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Coroner consistency - The 10-jurisdiction, 10-year, postcode lottery?

机译:验尸官的一致性-10个管辖区,10年的邮政编码彩票?

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The investigation and classification of deaths in England and Wales relies upon the application by medical practitioners of diverse reporting standards set locally by coroners and thereafter upon the effectively unconstrained decision process of those same coroners. The author has conducted extensive comparative analysis of Ministry of Justice data on reports to the coroner and their inquest and verdict returns alongside Office of National Statistics data pertaining to the numbers of registered deaths in equivalent local jurisdictions. Here, he analyses 10 jurisdictions characterised by almost identical inquest return numbers in 2011. Substantial variation was found in reporting rates to the coroner and in the profile of inquest verdicts. The range of deaths reported varied from 34% to 62% of all registered deaths. Likewise only 2 of the 10 jurisdictions shared the same ranking of proportions in which the six common verdicts were reached. Individual jurisdictions tended to be consistent over time in their use of verdicts. In all cases, proportionately more male deaths were reported to the coroner. Coroners generally seemed prima facie to be gendered' in their approach to verdicts; that is, they were consistently more likely to favour a particular verdict when dealing with a death, according to the sex of the deceased. The extent to which coroners seemed gendered varied widely. While similar services such as the criminal courts or the Crown Prosecution Service are subject to extensive national guidance in an attempt to constrain idiosyncratic decision making, there seems no reason why this should apply less to the process of death investigation and classification. Further analysis of coroners' local practices and their determinants seems necessary.
机译:在英格兰和威尔士,对死亡的调查和分类取决于医生对死因裁判官在当地设定的各种报告标准的应用,然后依靠这些死因裁判官的有效不受约束的决策过程。作者对司法部对死因裁判官的报告,他们的调查和判决结果以及国家统计局的数据进行了广泛的比较分析,这些数据与在当地相当辖区的登记死亡人数有关。在这里,他分析了10个司法管辖区,这些司法管辖区的特征是2011年的调查返回数字几乎相同。在向死因裁判官报告的比率和调查判决的概况中发现存在很大差异。报告的死亡范围从所有登记的死亡的34%到62%不等。同样,在十个司法管辖区中,只有两个拥有相同的比例等级,达到了六个共同判决。各个司法管辖区在使用判决时往往会保持一致。在所有情况下,向死因裁判官报告的男性死亡人数均成比例增加。死因裁判官似乎在表面上将性别表面化了。也就是说,根据死者的性别,他们在处理死亡时总是更有可能赞成一项特定的判决。死因裁判官看来性别的程度差异很大。虽然类似的服务机构(例如刑事法院或皇家检察院)受到广泛的国家指导,以试图限制特质决策,但似乎没有理由将其不适用于死亡调查和分类过程。似乎有必要对验尸官的当地做法及其决定因素进行进一步分析。

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