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本文引用的文献

1
Creating infrastructure and incentives to increase quality in forensic science.创建基础设施和激励措施以提高法医学质量。
Forensic Sci Int Synerg. 2023 Aug 30;7:100435. doi: 10.1016/j.fsisyn.2023.100435. eCollection 2023.
2
History of the National Association of Medical Examiners and its meetings, 1966-93.国家验尸官协会历史及其会议,1966 - 1993年
Am J Forensic Med Pathol. 1995 Dec;16(4):278-313. doi: 10.1097/00000433-199512000-00003.

美国法医服务提供者面临的无形危机。

The invisible crisis facing forensic providers in the United States.

出版信息

Forensic Sci Int Synerg. 2025 Aug 6;11:100631. doi: 10.1016/j.fsisyn.2025.100631. eCollection 2025 Dec.

DOI:10.1016/j.fsisyn.2025.100631
PMID:40822145
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12355123/
Abstract

There is a dissonance between the public perception of forensic practice in the United States and reality. Portrayed as infallible and universally available, the truth is that the awkward evolution of forensic practice has created fissures in its foundations, affecting both the quality and quantity of these critical services. These fissures have only widened over time, creating problems that require creative solutions. Within the United States, every level of government provides forensic services, and there is no overarching authority over forensic providers. The recent reevaluation of the Chevron deference doctrine by the Supreme Court ensures that this is unlikely to change in the foreseeable future. Under Chevron deference, courts would defer to regulatory agencies interpretations when laws were ambiguous. This new ruling transfers that responsibility back to the courts, making the creation of a new regulatory agency over forensic providers even less likely. Thus, any meaningful change to forensic practice must come from within the profession. As unlikely as this may seem, it has occurred before. This perspective allows us to see the hidden challenges forensic providers face and propose potential solutions that practitioners can implement to increase the quality of their work and the resilience of the system they operate within. By evaluating how forensic practice has implemented change in the past, this paper proposes solutions that have worked before and expands on others from different industries with similar challenges.

摘要

美国公众对法医实践的认知与现实之间存在脱节。法医实践被描绘成万无一失且普遍可得的,但事实是,法医实践的尴尬演变已使其根基出现裂痕,影响了这些关键服务的质量和数量。随着时间的推移,这些裂痕不断扩大,产生了需要创造性解决方案的问题。在美国,各级政府都提供法医服务,且对法医服务提供者没有统一的权威监管。最高法院最近对“谢弗林尊重原则”的重新评估确保了在可预见的未来这种情况不太可能改变。根据“谢弗林尊重原则”,当法律含糊不清时,法院会遵从监管机构的解释。这项新裁决将责任又交回给了法院,使得创建一个针对法医服务提供者的新监管机构的可能性更小。因此,法医实践的任何有意义的变革都必须来自该行业内部。尽管这似乎不太可能,但以前也发生过。这种观点使我们能够看到法医服务提供者面临的隐藏挑战,并提出从业者可以实施的潜在解决方案,以提高他们的工作质量以及他们所运作的系统的韧性。通过评估法医实践过去是如何实施变革的,本文提出了以前行之有效的解决方案,并对来自面临类似挑战的不同行业的其他方案进行了拓展。