Weckbecker Klaus, Bleckwenn Markus
Institut für Allgemeinmedizin (ifam), Medizinische Fakultät der Heinrich-Heine-Universität Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Deutschland.
Institut für Hausarztmedizin, Medizinische Fakultät der Universität Bonn, Campus Venusberg 1, 53127, Bonn, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2019 Dec;62(12):1446-1451. doi: 10.1007/s00103-019-03044-3.
Family doctors are the most competent persons for the postmortem examination due to their knowledge of the patient, previous history, and the circumstances of death. The postmortem examination is a medical activity with specific requirements for the physician that require special training. The situation on site enables the physician to gather important information about the circumstances of death. However, a local postmortem examination is also carried out under difficult conditions, without personal or professional support and in an environment that knows neither the meaning nor the procedure of a postmortem examination. Differences in the understanding of the terms unnatural or unclarified death type lead to conflicts between physicians and the surrounding field of the deceased.
由于家庭医生了解患者情况、既往病史及死亡情形，他们是进行尸检最合适的人选。尸检是一项对医生有特定要求的医学活动，需要经过特殊培训。现场情况能让医生收集到有关死亡情形的重要信息。然而，当地进行的尸检也是在困难条件下开展的，没有个人或专业支持，而且所处环境既不了解尸检的意义也不清楚尸检程序。对非自然死亡或死因不明这类术语理解上的差异，导致医生与死者周围人群之间产生冲突。
