THE CONTRIBUTION OF SPECIALISTS IN FORENSIC MEDICINE AND MEDICAL EXPERTISE IN HEALTH SERVICE

How to cite: Trunckle YF, Vieira DN. The contribution of specialists in forensic medicine and medical expertise in health service. Persp Med Legal Pericia Med. 2022; 7: e220812

https://dx.doi.org/10.47005/220812

Submitted 08/24/2022
Accepted 09/21/2022

The authors inform no conflict of interest.

A CONTRIBUIÇÃO DO ESPECIALISTA EM MEDICINA LEGAL E PERÍCIA MÉDICA NO SERVIÇO DE SAÚDE.

Yuri Franco Trunckle (1)

https://orcid.org/0000-0002-9133-9653

Duarte Nuno Pessoa Vieira (2)

https://orcid.org/0000-0002-7366-6765

(1) Médico Residente em Medicina Legal e Perícia Médica do Departamento de Medicina Legal, Ética Médica, Medicina Social e do Trabalho da Faculdade de Medicina da Universidade de São Paulo (FMUSP).

(2) Professor Catedrático de Medicina Legal, Ciências Forenses, Ética e Direito Médico da Faculdade de Medicina da Universidade de Coimbra (Portugal)

E-mail: yuriftrunckle@gmail.com

ABSTRACT

Introduction: With the growing demand for judicial medical expertise due to litigations involving allegations of damages associated with health care and the known ignorance of social security issues by health teams, this paper aims to discuss the usefulness of the specialist in Legal Medicine and Medical Expertise in health services as a consultant on these issues. Material  and method: non-systematic literary review on the themes of “medical error”, social security medical expertise, medical law and legal medicine and medical expertise. Results: no studies were found discussing the usefulness of the specialist in question working in health services, having found studies related to the theme and some repercussions of litigation involving health. Conclusion: the specialist in Forensic Medicine and Medical Expertise for being the link between medical knowledge and the law has technical competence to act in an interdisciplinary way in health services with regard to ethical and legal issues in these services.

Keyword: medical errors; consultants; forensic medicine;


Bibliographical references

  1. Muñoz, D. R. (2017). Medicina normativa. Saúde Ética & Justiça 2(1), 1-5.
  2. Vieira, DN. Avaliação e reparação integral do dano: as novas perspectivas na União Europeia. Revista do Tribunal Superior do Trabalho, São Paulo, SP, v. 80, n. 1, p. 178-201, jan./mar. 2014.
  3. Mansur NS, Oliveira RA. O médico e a justiça. São Paulo: Cremesp; 2006.
  4. Mendonça, VS; Custódio, EM. Nuances e desafios do erro médico no Brasil: as vítimas e seus olhares. Rev. Bioét.,  Brasília ,  v. 24, n. 1, p. 136-146,  Apr.  2016 .   Available from http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1983-80422016000100136&lng=en&nrm=iso>. access on  22  June  2020.  http://dx.doi.org/10.1590/1983-80422016241115.
  5. Vincent C, Young M, Phillips A. Why do people sue doctors? A study of patients and relatives taking legal action. Lancet. 1994;343(8913):1609-1613. doi:10.1016/s0140-6736(94)93062-7
  6. França, GV (2010). Direito Médico, 10ª ed. Rio de Janeiro: Forense.
  7. Grange, P. Papillon, F. (2008). Erreus médicales. Paris: Nil
  8. Nogueira Junior, José Hilton. Perícia médica previdenciária: o que os estudantes e médicos sabem sobre o tema / José Hilton Nogueira Júnior – Natal, 2015. 61f: il.
  9. Hirst D. Supporting staff during litigation – managerial aspects. Clinical Risk. 1996; 2:189-94
  10. Martin CA, Wilson JF, Fiebelman ND, Gurley DN, Miller TW. Physicians’ psychological reactions to malpractice litigation. South Med J. 1991;84:1300-4.
  11. Abate A. O erro médico. Negócios da Saúde. 2006;35(1):1-5
  12. Gonçalves CR. Responsabilidade civil. 14. ed. São Paulo: Saraiva, 2012, p. 47
  13. Guides to the evaluation of disease and injury causation / [edited by]J. Mark Melhorn, William E. Ackerman III, James B. Talmage, Mark H. Hyman. – Second edition.
  14. Bonzani PJ. Millender LH, Keelan B. Mangieri MG. Factors prolonging disability in related cumulative trauma disorders. / Hand Surg Am. 1997:22(1):30-34
  15. Deyo RA Pain and public policy. N Engl J Med. 2000;342: 12111213
  16. Hadler NM. If you have to prove you are ill, you can’t get well: the object lesson of fibromyalgia. Spine. 1996:21(20): 23972400
  17. Melhom JM. Rediscovering occupational Orthopaedics for the next millennium. J Bone Jour Surg Am. 1998:81-A 1587591
  18. Melhom JM. Workers’ compensation: avoiding the work-related disability / Bone Joint Sere Am. 2000:82-A(10): 14901493
  19. Melhom JM. Impairment and disability evaluation: understanding the process, J Bone Joint Surg Am. 2001;83-A(12): 19051911
  20. Wynia MK, Cummins DS. VanGeest JB, Wilson 1B. Physician manipulation of reimbursement rules for patients: between a rock and a hard place. JAMA. 200028314 :1858-1865.