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Independent assessors in contrast to treating physicians as expert witnesses in Canada: comparing duties and responsibilities

机译:与加拿大专家见证人的独立评估师相反:比较职责和责任

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摘要

In civil and criminal proceedings, there are factors inherent in the role of a treating physician such as advocacy and other duties owed the patient, in contrast to expert opinion provided by an independent assessor which is required to be objective. Misunderstanding or unawareness of the differences in treating versus expert physicians can lead to decision-makers relying on potentially biased information. Recent decisions in Canada have allowed for opinion evidence by treatment providers (Westerhoff v. Gee Estate), which seem to ignore the potential bias of the treatment provider. The lack of clarity by which decision-makers perceive the role of physician witnesses poses a significant issue for physicians, who must balance competing interests, equivocal processes and concerns regarding bias and conflict of interest when providing medical information to a decision-maker. This paper attempts to clarify the essential differences between information provided by a treating physician as opposed to an expert opinion provided by an independent consultant in Canada. Discussion around privacy legislation will be used to highlight some differences. It is hoped that a clearer understanding of the information the decision-makers are receiving will promote an improved understanding of that information and, subsequently, an improved decision-making process.
机译:在民事和刑事诉讼中,有因素的宣传和其他职责的宣传和患者的宣传和其他职责的作用是固有的因素,与独立评估员提供的专家意见相比,这是必需的。对治疗与专家医师的差异的误解或不明确可能导致依赖潜在偏见的信息的决策者。加拿大最近的决定通过治疗提供者(Westerhoff v.Gee庄园)允许意见证据,这似乎忽略了治疗提供者的潜在偏见。决策者感知医生证人的作用缺乏清晰度对医生构成了重要问题,他们必须在向决策者提供医疗信息时平衡竞争利益,抵抗进程和疑虑的偏见和利益冲突。本文试图澄清治疗医师提供的信息之间的基本差异,而不是加拿大独立顾问提供的专家意见。讨论隐私法例将用于突出一些差异。希望更清楚地了解决策者正在接受的信息,将促进对该信息的改进了解,并随后进行改进的决策过程。

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