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医生对受损驾驶员和潜在受损驾驶员的报告。纽约州医学协会生物伦理问题委员会。

Reporting by physicians of impaired drivers and potentially impaired drivers. The Committee on Bioethical Issues of the Medical Society of the State of New York.

作者信息

Berger J T, Rosner F, Kark P, Bennett A J

机构信息

Winthrop University Hospital, Mineola, NY, State University of New York at Stony Brook School of Medicine, Stony Brook, NY, USA.

出版信息

J Gen Intern Med. 2000 Sep;15(9):667-72. doi: 10.1046/j.1525-1497.2000.04309.x.

DOI:10.1046/j.1525-1497.2000.04309.x
PMID:11029682
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1495589/
Abstract

Physicians routinely care for patients whose ability to operate a motor vehicle is compromised by a physical or cognitive condition. Physician management of this health information has ethical and legal implications. These concerns have been insufficiently addressed by professional organizations and public agencies. The legal status in the United States and Canada of reporting of impaired drivers is reviewed. The American Medical Association's position is detailed. Finally, the Bioethics Committee of the Medical Society of the State of New York proposes elements for an ethically defensible public response to this problem.

摘要

医生经常会诊治一些患者,这些患者驾驶机动车的能力因身体或认知状况而受到损害。医生对这些健康信息的管理具有伦理和法律意义。专业组织和公共机构对这些问题的关注还不够充分。本文回顾了美国和加拿大关于报告受损驾驶员的法律状况。详细阐述了美国医学协会的立场。最后,纽约州医学协会生物伦理委员会提出了一些要素,以便从伦理角度对这一问题作出合理的公众回应。

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本文引用的文献

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Saskatchewan physicians' attitudes and knowledge regarding assessment of medical fitness to drive.萨斯喀彻温省医生对驾驶医学适宜性评估的态度和知识。
CMAJ. 1999 Jun 15;160(12):1701-4.
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Risk factors for seizure-related motor vehicle crashes in patients with epilepsy.癫痫患者与癫痫发作相关的机动车碰撞事故的危险因素。
Neurology. 1999 Apr 22;52(7):1324-9. doi: 10.1212/wnl.52.7.1324.
3
Older drivers and cataract: driving habits and crash risk.老年驾驶员与白内障:驾驶习惯与撞车风险。
J Gerontol A Biol Sci Med Sci. 1999 Apr;54(4):M203-11. doi: 10.1093/gerona/54.4.m203.
4
The association between sleep apnea and the risk of traffic accidents. Cooperative Group Burgos-Santander.睡眠呼吸暂停与交通事故风险之间的关联。布尔戈斯 - 桑坦德合作小组。
N Engl J Med. 1999 Mar 18;340(11):847-51. doi: 10.1056/NEJM199903183401104.
5
Evaluating driving performance of outpatients with Alzheimer disease.评估阿尔茨海默病门诊患者的驾驶表现。
J Am Board Fam Pract. 1998 Jul-Aug;11(4):264-71. doi: 10.3122/jabfm.11.4.264.
6
DOT examinations: practical aspects and regulatory review.DOT检查:实际操作方面与监管审查。
Am Fam Physician. 1998 Aug;58(2):415-26.
7
Assessing medically impaired older drivers in a licensing agency setting.在驾照发放机构环境中评估有医学问题的老年驾驶员。
Accid Anal Prev. 1998 May;30(3):347-61. doi: 10.1016/s0001-4575(97)00112-7.
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Automobile accidents in patients with sleep apnea syndrome. An epidemiological and mechanistic study.睡眠呼吸暂停综合征患者的机动车事故。一项流行病学和机制研究。
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Benzodiazepine use and motor vehicle accidents. Systematic review of reported association.苯二氮䓬类药物的使用与机动车事故。对已报道关联的系统评价。
Can Fam Physician. 1998 Apr;44:799-808.
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Impact from changes in Illinois drivers license renewal requirements for older drivers.伊利诺伊州老年驾驶员驾照 renewal 要求变化的影响。 注:这里“renewal”常见释义为“更新;续期” ,结合语境可能准确意思需根据更多背景信息确定,暂按字面翻译为“renewal” 。
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