Indian Academy of Forensic Medicine (IAFM) - Official website of IAFM
Indian Academy of Forensic Medicine (IAFM) - Official website of IAFM
Indian Academy of Forensic Medicine (IAFM) - Official website of IAFM
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J <strong>Indian</strong> Acad <strong>Forensic</strong> Med. October- December 2011, Vol. 33, No. 4 ISSN 0971-0973<br />
Med, 30(3); p136-140. The Medical Pr<strong>of</strong>ession and Law 1992 pp<br />
14.<br />
7. The Consumer Protection Act, 1998.<br />
342<br />
8. The Medical Termination <strong>of</strong> Pregnancy act 1971.<br />
9. The PC & PNDT act 1994 amd 2003.<br />
10. The MCI Act 1956; Amended in 1997-2000 & 2002.<br />
Table- 1: Awareness status regarding medico-legal Case Management<br />
Sr. No. Particular <strong>of</strong> subject matter/ issues Awareness Response Total number <strong>of</strong> cases 119<br />
Aware Partly Aware Not Aware No response<br />
1. Medico-legal Cases 66 (55.46%) 49 (41.18%) 01 (0.84%) 03 (2.52%)<br />
2. Promptness in examination <strong>of</strong> victim <strong>of</strong> sexual<br />
assaults<br />
45 (37.82%) 31 (26.05%) 33 (27.73%) 10 (8.40%)<br />
3. Death certification in MLC 43 (36.13%) 31 (26.05%) 37 (31.09%) 08 (6.72%)<br />
4. Evidence Preservation in MLC 39 (32.77%) 37 (31.09%) 24 (20.17%) 19 (15.97%)<br />
5. Medico-legal severity <strong>of</strong> injury 36 (30.25%) 43 (36.13%) 28 (23.53%) 12 (10.08%)<br />
6. Importance <strong>of</strong> Identity in MLC 33 (27.73%) 39 (32.77%) 31 (26.05%) 16 (13.45%)<br />
7. Criminal Abortion Cases 27 (22.69%) 31 (26.05%) 49 (41.18%) 12 (10.08%)<br />
8. Awareness <strong>of</strong> Law related to medical Practice 44 (36.97%) 23 (19.33%) 38 (31.93%) 14 (11.77%)<br />
9. Real causes <strong>of</strong> Negligence complaints 46 (38.66%) 39 (32.77%) 23 (19.33%) 11 (9.24%)<br />
10. Awareness regarding the provisions <strong>of</strong> PCPNDT Act 45 (37.82%) 37 (31.09%) 24 (20.17%) 13 (10.92%)<br />
11. Importance <strong>of</strong> good medical record 32 (26.89%) 42 (35.29%) 29 (24.37%) 16 (13.45%)<br />
12. Rights <strong>of</strong> the patients 25 (21.08%) 41 (34.45%) 39 (32.77%) 14 (11.77%)<br />
Average percentage 33.69% 31.02% 24.93% 10.36%<br />
Table-2: Status <strong>of</strong> various medico-legal procedures <strong>of</strong> medico-legal Case Management<br />
Sr. No. Particular <strong>of</strong> subject matter/ issue Awareness Response /Total number <strong>of</strong> cases 119<br />
Aware Partly Aware Not Aware No response<br />
1. Injury report/ Register/MLC Register 67 (56.30%) 36 (30.25%) 11 (9.24%) 05 (4.20%)<br />
2. Ideal Medico-legal record Keeping 25 (21.01%) 41 (34.45%) 34 (28.57%) 19 (15.97%)<br />
3. Recording <strong>of</strong> Dying Declaration/ Deposition. 34 (28.57%) 39 (32.77%) 35 (29.41%) 11 (9.24%)<br />
4. MLC Investigation 38 (31.93%) 44 (36.98%) 29 (24.37%) 08 (6.72%)<br />
5. Poisoning cases 37 (31.09%) 33 (27.73%) 36 (30.25%) 13 (10.92%)<br />
6. Negligence in MLC Cases 41 (34.45%) 29 (24.37%) 32 (26.89%) 17 (14.29%)<br />
Average percentage 33.89% 31.09% 24.79% 10.22%<br />
Table-3: Awareness Status about various documentation proceude in MLC Management<br />
Sr. No. Particular <strong>of</strong> subject matter/ issue Awareness Response Total number <strong>of</strong> cases 119<br />
Aware Partly Aware Not Aware No Response<br />
1. MLC Cases File? 36 (30.25%) 39 (32.77%) 29 (24.37%) 15 (12.61%)<br />
2. MLC Record Keeping? 25 (21.01%) 41 (34.45%) 34 (28.57%) 19 (15.97%)<br />
3. MLC Investigations? 38 (31.93%) 44 (36.98%) 29 (24.37%) 08 (6.72%)<br />
4. Asses <strong>of</strong> Medical Records? 34 (28.57%) 26 (21.85%) 46 (38.66%) 13 (10.92%)<br />
5. Safety <strong>of</strong> Medical records? 33 (27.73%) 29 (24.37%) 43 (36.13%) 14 (11.77%)<br />
Average percentage 27.90% 30.08% 30.42% 11.60%<br />
Table-4: Status <strong>of</strong> specific problem medico-legal Case Management<br />
Sr. No. Particular <strong>of</strong> subject matter/ issue Problemin (%)<br />
1. No significant History <strong>of</strong> MLC? 76%<br />
2. Household Accidents? 67%<br />
3. Illegal pregnancy/criminal abortion? 63%<br />
4. Patient <strong>of</strong> MLC case absconds? 59%<br />
5. Attendant absconds? 57%<br />
6. Cases in which Dying Declaration/Deposition required? 51%<br />
7. Financial Crisis <strong>of</strong> patient? 50%<br />
8. Non-cooperation <strong>of</strong> IO? 43%<br />
9. Problem related to preservation evidence material? 43%<br />
10. Attitude and behavior <strong>of</strong> IO/Agency? 41%<br />
11. Patient insisting/refusing for MLC Cases? 39%<br />
12. <strong>Forensic</strong> medicine/Autopsy? 29%<br />
13. Court/Witness? 27%<br />
14. MLC Patient died at higher center? 23%