[Physicians attending detainees in police custody: an improved format of the doctor's opinion].
[Physicians attending detainees in police custody: an improved format of the doctor's opinion].
复制标题
[为警察拘留中的被拘留者提供护理的医生：改进的医生意见格式]。
DOI：
10.1016/j.lpm.2012.04.027
复制
发表时间：
2013
期刊：
影响因子：
2.7
通讯作者：
P. Chariot
中科院分区：
文献类型：
--
作者：
Hugo Briffa;T. Lefèvre;C. Boraud;P. Chariot
目的 为警察拘留中的被拘留者提供护理的医生应确定被拘留者的健康状况是否适合在警察局拘留。根据法国最近关于警察拘留的法律（2011 年 4 月 14 日），医生应做出任何有用的观察。标准文件自2004年提出以来，至今尚未得到广泛应用。我们的目 请求权威。一些指导方针没有得到遵循，例如精神疾病和成瘾行为的检测以及创伤性伤害的系统记录。新模型已经由 25 名法医组成的小组进行了 18 个月的测试。它包括对创伤性伤害的描述，并建议医生系统地评估完全丧失工作能力的持续时间，即使当局没有要求进行详细描述。机密医疗记录提到了精神病史和成瘾行为。结论所提出的模型可以帮助被拘留者维护自己的权利。它还可以参与描述被拘留者可能面临的健康危害。
ObjectivePhysicians attending detainees in police custody should decide whether the detainee's health status is compatible with detention in a police station. According to a recent French law on police custody (April 14, 2011), the physician is expected to make any useful observations. Standard documents have been proposed since 2004. They have not been extensively used so far. Our objective was to analyze the content and the limitations of such documents and to elaborate a new model.MethodsWe analyzed available models, studied how they fit to national guidelines, and proposed a new model which was more in accordance with the existing guidelines.ResultsRecommended format of the doctor's opinion consists in two parts: a standard medical certificate to be sent to the authority who requested the doctor's attendance and a confidential medical record, which is not sent to the requesting authority. Some guidelines were not followed, eg detection of psychiatric illnesses and addictive behaviours, and a systematic record of traumatic injuries. The new model has been tested for 18 months by a group of 25 forensic physicians. It includes the description of traumatic injuries and suggests that the doctor systematically assesses a duration of total incapacity to work, even if an extensive description is not requested by the authority. The confidential medical record mentions psychiatric history and addictive behaviours.ConclusionThe proposed model could help detainees to assert their rights. It could also take part in characterizing health hazards to which detainees can be exposed.