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残疾的生物心理社会模型对人身伤害法医学评估的影响。

Impact of the biopsychosocial model of disability on the medicolegal assessment of personal injury.

作者信息

Lutte Isabelle, Schneider Marguerite, Kapita Amandine, Gille Anouk, Staquet Pascal, Tomberg Claude

机构信息

Faculty of Medicine, Université Libre de Bruxelles, 808, Route de Lennik, Brussels, CP630, 1070, Belgium.

Brussels Bar, Brussels, Belgium.

出版信息

Arch Public Health. 2024 Dec 31;82(1):248. doi: 10.1186/s13690-024-01471-6.

Abstract

BACKGROUND

The objective of this paper was to determine whether the medicolegal assessment of injured and disabled persons is based on the biopsychosocial model of disability proposed by the International Classification of Functioning, Disability, and Health.

METHODS

We searched for the word disability and other keywords, occurring alone or in combination as well as the meaning given to the word "disability" in two Belgian legal databases (JURA and STRADALEX) for the period from 1960 to 2020.

RESULTS

The use of the term disability has increased over time, more so from 2001 to 2010, in areas of public health law, labor relations, and personal injury law. Cross-referencing keywords revealed that incapacity (personal, domestic, or professional) reflecting the victim's disability from a legal perspective appears to be dominated by the impairment criterion.

CONCLUSIONS

Although the biopsychosocial model of disability appears to be widely accepted by courts, medical experts have made few changes to their methodology of assessing personal injuries. We identify four potential factors that could explain the status quo.

摘要

背景

本文的目的是确定对受伤和残疾人的法医学评估是否基于《国际功能、残疾和健康分类》提出的残疾生物心理社会模型。

方法

我们在两个比利时法律数据库(JURA和STRADALEX)中搜索了1960年至2020年期间单独出现或组合出现的“残疾”一词以及赋予“残疾”一词的含义,以及其他关键词。

结果

随着时间的推移,“残疾”一词的使用有所增加,在2001年至2010年期间在公共卫生法、劳动关系和人身伤害法领域增加得更多。交叉引用关键词显示,从法律角度反映受害者残疾的无行为能力(个人、家庭或职业方面)似乎主要由损伤标准主导。

结论

尽管残疾生物心理社会模型似乎已被法院广泛接受,但医学专家在评估人身伤害的方法上几乎没有做出改变。我们确定了四个可以解释现状的潜在因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a992/11686965/e171b648f34d/13690_2024_1471_Fig1_HTML.jpg

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