关于驾驶适宜性的医学报告可靠吗？
Are medical reports on fitness to drive trustworthy?
作者信息
Steier T S, Kitai E, Wiener A, Kahan E
机构信息
Department of Family Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
出版信息
Postgrad Med J. 2003 Jan;79(927):52-4. doi: 10.1136/pmj.79.927.52.
PURPOSE
Previous studies have shown that physicians often have poor knowledge of the medical restriction on fitness to drive, or submit poor quality medical reports. To determine the reliability of physicians' reports on fitness to drive, the medical data provided on the standard medical fitness form was compared with the additional data collected on repeated assessment.
METHODS
A random sample of 100 applicants for a driver's licence aged more than 49 years who submitted the standard medical form were asked to provide, from their regular family doctor, confirmation of their health status and/or additional medical data in order to make a re-evaluation.
RESULTS
The rate of rejection for a licence for medical reasons was 3% on the basis of the standard evaluation and 17% on the basis of the re-evaluation (p<0.001).
CONCLUSION
This study shows that the random evaluation of physician assessments of applicants for a driver's licence increases the detection rate of medical problems that can affect fitness to drive. The alarming difference in the rate of rejection between the two assessments may reflect a lackadaisical attitude of medical professionals toward the licence assessment procedure and/or physician unawareness of the medical restrictions on fitness to drive. Results of this study suggest that this subject must be included in medical education programmes.
目的
以往研究表明，医生往往对驾驶适宜性的医学限制了解不足，或提交质量欠佳的医学报告。为确定医生关于驾驶适宜性报告的可靠性，将标准医学健康表格上提供的医学数据与重复评估时收集的额外数据进行了比较。
方法
随机抽取100名年龄超过49岁且提交了标准医学表格的驾照申请者，要求他们从其常规家庭医生处获取健康状况确认信息和/或额外医学数据，以便进行重新评估。
结果
基于标准评估，因医学原因被拒发驾照的比例为3%；基于重新评估，这一比例为17%（p<0.001）。
结论
本研究表明，对驾照申请者的医生评估进行随机评估可提高对可能影响驾驶适宜性的医学问题的检出率。两次评估之间令人震惊的拒发率差异可能反映出医学专业人员对驾照评估程序态度懈怠和/或医生对驾驶适宜性的医学限制认识不足。本研究结果表明，这一主题必须纳入医学教育项目。
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