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Medisinsk sakkyndighet, objektivitet og rettferdighet i uförepensjonssaker
Engelsk titel: Medical expert assessment, objectivity and justice in disability pension cases Läs online Författare: Solli HM Språk: Nor Antal referenser: 36 Dokumenttyp: Artikel UI-nummer: 03081202

Tidskrift

Tidsskrift for Den Norske Laegeforening 2003;123(15)2072-5 ISSN 0029-2001 E-ISSN 0807-7096 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

BACKGROUND : The formal principle of justice is often interpreted as the requirement of objectivity when a person's situation is to be evaluated in the light of social justice. The aim of this article is to analyse whether or not the formal principle of justice is fulfilled by the ontological and the epistemological concept of objectivity when disability claims are evaluated medically in relation to the Norwegian legislation on disability benefits. MATERIAL AND METHODS : material is legal and medical texts about medical disability evaluation. The method is text analysis. RESULTS : The main result is that the concept of ontological objectivity functions as the criterion of objectivity when the causal relations between sickness, impairment and disability are explained. This criterion is, however, problematic because it is based on the assumption that there is a linear causal model of these relations, which precludes the explanation of many cases of disability. INTERPRETATION : The ontological concept of objectivity is not a necessary condition for impartiality and formal justice in relation to the causal relation between sickness and disability. In some situations this concept is a sufficient condition. The epistemological concept of objectivity is a sufficient condition, but it is not a necessary condition. Some cases must be reviewed on a discretionary basis.