目的 完善我国伤残评定制度。方法 对国内外伤残赔偿的性质及方式、国际上伤残评定标准颁布情况进行梳理与比较;以美国医学会《永久性残损评定指南》(GEPI)为参照,对《人体损伤致残程度分级》(《致残分级》)进行分析与评价。结果 《致残分级》总体上与GEPI存在相关性,但存在遗漏部分伤残评定条款、缺乏多发性损伤的晋级原则等问题。结论 《致残分级》具有普适性,但需要借鉴GEPI残损区域分值,细化等级划分,补充晋级原则,以满足我国现阶段伤残评定的需要。
Objective To perfect disability assessment in China. Methods The nature and method of disability compensation inside and outside China were reviewed, as well as the promulgation of disability assessment outside the region. The Classification of the Impairment Related to Injury was analyzed based on the Guides to the Evaluation of Permanent Impairment (GEPI). Results The Classification of the Impairment Related to Injury was consistent with GEPI in general, but there also were some problems, such as the omission of clauses, and lacking the promoted principle of multiple injury. Conclusion The Classification of the Impairment Related to Injury is universal. But it needs to take quantification of impairment of GEPI as reference, and refine the principle and supplement of the promoted principle, to meet the practical needs of disability assessment in China.
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