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Improving Evidence-Based Practice in Forensic Medicine:Validation of INtegration of Forensic Epidemiology and the Rigorous EvaluatioN of Causation Elements and Principles of Evidence-Based Reporting in FORensic Medicine-Pathology version in Indonesia

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Journal of Forensic Science and Medicine 2023年第3期9卷 236-249页

作者： Putri Dianita Ika Meilia Herkutanto Agus Purwadianto Budi Sampurna Murdani Abdullah diantha soemantri Aria Kekalih Doctoral Program in Medical Sciences Faculty of Medicine Universitas IndonesiaJakartaIndonesia Department of Forensic Medicine and Mortuary Persahabatan General HospitalJakartaIndonesia Department of Forensic Medicine and Medicolegal Studies Dr.Cipto Mangunkusumo General HospitalFaculty of Medicine Universitas IndonesiaJakartaIndonesia Department of Internal Medicine Dr.Cipto Mangunkusumo General HospitalFaculty of Medicine Universitas IndonesiaJakartaIndonesia Department of Medical Education Faculty of Medicine Universitas IndonesiaJakartaIndonesia Department of Community Medicine Faculty of Medicine Universitas IndonesiaJakartaIndonesia

Introduction: Expert opinions presented in legal proceedings should be scientifically accountable, which is known as evidence-based practice (EBP). Although forensic medical expert opinions are essential in legal proceedings, the methods used to formulate them are not always evidence based or based on standard methods. In forensic medicine, EBP has not been explicitly applied, including in Indonesia. One potential approach to formulate evidence-based expert opinions is called INtegration of Forensic Epidemiology and the Rigorous EvaluatioN of Causation Elements (INFERENCE). In addition, there is also no universal guideline for making forensic pathological reports. One prospective guideline is named the Principles of Evidence-based Reporting in FORensic Medicine-Pathology version (PERFORM-P). Methods: This article describes the validation process of INFERENCE and PERFORM-P in Indonesia. This study uses a mixed method through three interrelated phases, i.e., (1) a cross-sectional survey to determine the characteristics of Indonesian forensic doctors and their current practice, (2) the adaptation and validation process of the two tools through a review by the Indonesian College of Forensic Medicine, and (3) a one-group pre-postintervention study to assess the validity and reliability of forensic medical expert opinions formulated using Indonesian-INFERENCE (i-INFERENCE) and reported using Indonesian-PERFORM-P (i-PERFORM-P). Results and Discussion: In general, both tools received a positive reception and can potentially be used in the Indonesian setting with some additions/clarifications in the user manuals. Participants envision that both tools will be most useful in complex cases. Conclusions: By obtaining the i-INFERENCE and the i-PERFORM-P, it is hoped that Indonesian forensic medical doctors are better equipped in analyzing and reporting complex cases, and the implementation of EBP can be improved.

关键词： Evidence-based practice forensic medicine forensic pathology INFERENCE Principles of Evidence-based Reporting in FORensic Medicine-Pathology version

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