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["同一种疾病"——一个有问题的法律概念]

["The same disease"--a problematic legal concept].

作者信息

Piechowiak H

出版信息

Gesundheitswesen. 1994 Mar;56(3):117-21.

PMID:8173199
Abstract

The legal concept "the same disease" according to a clause in the German Social Code, is questioned as a problematic one. This is compared with the broad interpretation of this concept in actual practice by those specialists who are engaged in expertising concerning limitation of claims by insured persons for compensation payment, since legal interpretations may reduce the possibilities of the statutory insurance body to reject such claims or to declare that no further payments will be made. This article has been written to stimulate a conceptional clarification and greater uniformity in expertising.

摘要

根据德国社会法典中的一项条款,“同一种疾病”这一法律概念被质疑存在问题。这与那些从事被保险人索赔赔偿限制鉴定工作的专家在实际操作中对该概念的宽泛解释形成对比,因为法律解释可能会减少法定保险机构拒绝此类索赔或宣布不再支付的可能性。撰写本文旨在促进鉴定工作中的概念澄清和更大程度的一致性。

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