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[医学专家意见——可信度、伦理、报酬]

[Medical expert opinion--credibility, ethics, remuneration].

作者信息

Sahar Avraham

出版信息

Harefuah. 2007 Jul;146(7):534-6, 574, 473.

PMID:17803167
Abstract

Israeli Law requires a Personal Injury Claim to be supported by an Expert Medical Opinion. Such evidence provides the Court with information essential for the evaluation of scientific material, which is beyond the Court's "judicial knowledge". Incongruent Expert Opinions are not necessarily the result of deceit. Experts are entitled to differences in their respective evaluation and interpretation of data and conflicting medical opinions may be legitimate. The Court's duty and prerogative is to select the "legally correct" opinion. The sole tool at the Court's disposal is precise and logical thinking, aided by principles set by the U.S. Supreme Court for the evaluation of scientific evidence, and adopted by the Israeli Court. The choice of the "correct" opinion centers on it's objectivity. A court-appointed expert is not necessarily an effective solution. Remuneration of the expert by the interested party increases the level of mistrust. The difficult questions concerning the credibility of an opinion arise as the result of insufficient specific expertise of the witness, presentation by a pretender to expertise or plain misrepresentation of data, excerpts of literature etc. Such transgressions are best exposed by the opposing party's expert and attorney. The court has effective means for the control of such behavior. The fraudulent expert witness is neither immune to criminal prosecution, nor to civil suit. IMA's Code of Ethics for Experts is adequate. Expert's fees should be consistent with the effort involved, as well as with the expert's rank and experience. Any linkage of fees to the outcome of the procedure should be prohibited, as well as the intervention of "contractors". Attempts to limit experts' fees, may result in the abstention of the most knowledgeable specialists from such duties. The blame for a false opinion does not lie with the paying party, it is mostly the witness who is responsible.

摘要

以色列法律要求人身伤害索赔需有专家医学意见的支持。此类证据为法院提供了评估科学材料所必需的信息,而这些信息超出了法院的“司法知识”范围。不一致的专家意见不一定是欺诈的结果。专家有权在各自对数据的评估和解释上存在差异,相互冲突的医学意见可能是合理的。法院的职责和特权是选择“法律上正确的”意见。法院唯一可利用的工具是精确且合乎逻辑的思维,并借助美国最高法院为评估科学证据所设定、且被以色列法院采用的原则。“正确”意见的选择以其客观性为核心。法院指定专家不一定是有效的解决办法。由利益相关方支付专家报酬会增加不信任程度。关于意见可信度的难题,是由于证人缺乏足够的专业知识、冒充专家者的陈述,或对数据、文献摘录等的公然歪曲而产生的。此类违规行为最好由对方的专家和律师揭露。法院有有效的手段来控制此类行为。欺诈性专家证人既无法免于刑事起诉,也无法免于民事诉讼。以色列医学协会的专家道德准则是足够的。专家费用应与所付出的努力以及专家的级别和经验相一致。应禁止将费用与程序结果挂钩,以及“掮客”的干预。试图限制专家费用可能会导致最有学识的专家不愿承担此类职责。虚假意见的责任不在于付费方,主要应由证人负责。

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