在部落土地上进行的医疗法律死亡调查 - - 代表性不足或服务不足?
Jeri D Ropero-Miller1, Wayne J Pitts1, Anum Imran1
1RTI International, 3040 E. Cornwallis Road, Research Triangle Park, NC, 27709, USA.
Forensic science international. Synergy
|June 14, 2024
概括
在部落土地上进行的医疗法律死亡调查 (MDIs) 是复杂的,没有足够的文件. 服务于部落地区的许多法医和验尸官办公室并不单独追踪这些病例,从而影响数据的准确性.
科学领域:
- 法医科学 法医科学 法医科学
- 公共卫生 公共卫生
- 土著研究土著研究.
背景情况:
- 在部落土地上和美国印第安人/阿拉斯加土著 (AIAN) 人口的死亡调查带来了独特的挑战,并且往往记录不良.
- 在这些背景下,了解医疗法律死亡调查的范围和局限性对于公共卫生和司法至关重要.
研究的目的:
- 分析联邦和州认可的部落土地服务的法医和验尸官 (MEC) 办公室进行的MDI的范围和特征.
- 确定在部落土地上为MDIs收集数据和分配资源方面的差异和挑战.
主要方法:
- 来自2018年法医和验尸官办公室 (CMEC) 人口普查数据的分析.
- 审查MEC办公室服务部落土地的报告实践和资源可用性.
- 部落土地服务的司法管辖区与非部落土地服务的司法管辖区之间的未确定的人类遗骸案件的比较.
主要成果:
- 大约有150个MEC办公室为部落土地服务,但44%的人没有单独追踪这些案件.
- 服务于人口在25,000至250,000之间部落地区的MEC办公室报告说,资源和信息获取更好.
- 与其他司法管辖区相比,服务于部落土地的MEC办公室中位数是未识别人体遗骸案件的6倍.
结论:
- 在部落土地上对MDIs的国家理解和文档中存在显著的差距.
- 在部落土地上为MDIs收集数据和分配资源需要有针对性的改进.
- 需要进一步的研究来解决涉及AIAN人员和部落领土的死亡调查的复杂性.
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