Department of Molecular Medicine, Legal Medicine, University of Padua, Padua, Italy, Via Falloppio, 50, Padova, Italia..
Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Legal Medicine, University of Padova,Via Falloppio, 50, Padova, Italia..
Acta Biomed. 2020 Apr 29;91(4):e2020090. doi: 10.23750/abm.v91i4.9373.
Clinical legal medicine is a branch of legal medicine that takes place in a clinical setting approaching the patient's bedside and using a particular attention not only for conceptual or normative references but also for every possible medical and social aspect.
The requests of medico-legal opinions received by the Department of Legal Medicine of a large university hospital were retrospectively collected over a 5-years period. The analysis focused on the recurrence rate of the requests and the most common medico-legal issues to be solved in a clinical context, differentiating between adult and minor patients.
The collected medico-legal advices amounted to 448. The most clearly involved clinical area was Medicine (54%) followed by Gynecology and Obstetrics (15.6%), Pediatrics and Surgery (10.7%). The requests concerning patient's self-determination in therapeutics choices, including refusal of proposed treatments, covered almost one-half of total casuistry. The designation of support administrator represented also a relevant issue (20.5%). In case of minors, the queries related to reporting crimes were three times higher than in adults, while the appointment of a support administrator was never requested.
Clinical legal medicine, through medico-legal advices, plays a primary role in contributing to the safeguarding of health and to the decision-making process of clinicians.
临床法医学是法医学的一个分支，它发生在临床环境中，接近患者的床边，并特别关注不仅是概念性或规范性的参考，而且还关注每一个可能的医学和社会方面。
回顾性地收集了一家大型大学医院法医学系在 5 年内收到的医学法律意见请求。分析集中在请求的复发率和最常见的医学法律问题上，在临床背景下解决，区分成年和未成年患者。
共收集到 448 份医学法律意见。最明显涉及的临床领域是医学（54%），其次是妇科和产科（15.6%）、儿科和外科（10.7%）。关于患者在治疗选择中的自我决定的请求，包括拒绝提出的治疗，几乎占总病例的一半。支持管理员的指定也是一个相关问题（20.5%）。对于未成年人，涉及报告犯罪的查询是成年人的三倍，而从未要求指定支持管理员。
临床法医学通过医学法律意见，在促进健康保护和临床医生的决策过程中发挥着主要作用。
