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[法医强制收治中的医疗保健研究还是在黑暗中摸索:关于更统一和更好数据必要性的共识文件]

[Healthcare research in forensic commitment or poking around in the dark : Consensus paper on the necessity for more uniform and better data].

作者信息

Querengässer J, Bezzel A, Hoffmann K, Mache W, Schiffer B

机构信息

LWL-Maßregelvollzugsklinik Herne, Akademie für forensische Psychiatrie (AFoPs), Wilhelmstr. 120, 44649, Herne, Deutschland.

Fachklinik für Forensische Psychiatrie und Psychotherapie, Bezirksklinikum Regensburg, Institut für Qualitätsmanagement des Maßregelvollzugs in Bayern, Universitätsstraße 84, 94053, Regensburg, Deutschland.

出版信息

Nervenarzt. 2017 Nov;88(11):1292-1297. doi: 10.1007/s00115-017-0432-x.

DOI:10.1007/s00115-017-0432-x
PMID:29063263
Abstract

Complex trends in occupancy determined by many influencing factors, clear state-specific differences in imprisonment practices as well as recently implemented statutory alterations to the appropriate paragraphs in criminal law, underline the necessity for qualitative high-grade concomitant research of German forensic commitment; however, neither the structural prerequisites nor an adequate data situation are currently present in order to do justification to this aim. Not even the total number of patients currently accommodated in forensic commitment can be elucidated from the publicized (partial) statistics. This consensus paper, which was formulated by three research institutes active at the state level, describes the limited possibilities for current forensic healthcare research and raises the demand for a nationwide uniform data situation on patients in forensic commitment. Furthermore, how the appropriate elicitation instrument should be organizationally and structurally achieved, is sketched from a scientific perspective. This article aims at initiating a discussion on a sustainable improvement in the prerequisites for healthcare research in German forensic commitment and targets a sensitization of decision makers in politics and administration for this topic.

摘要

由诸多影响因素所决定的复杂入住趋势、监禁实践中明显的州级差异以及最近对刑法相关条款实施的法定变更,凸显了对德国法医鉴定相关事宜进行高质量定性伴随研究的必要性;然而,目前既不存在结构上的先决条件,也没有充足的数据状况来实现这一目标。从公开的(部分)统计数据中甚至无法厘清目前法医鉴定所收治患者的总数。这份由三个活跃于州层面的研究机构撰写的共识文件,描述了当前法医医疗研究的有限可能性,并提出了对法医鉴定患者进行全国统一数据统计的需求。此外,还从科学角度勾勒了应如何在组织和结构上实现合适的获取工具。本文旨在引发一场关于可持续改善德国法医鉴定医疗研究先决条件的讨论,并旨在提高政治和行政决策者对该主题的敏感度。

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