Shanahan E M, Sladek R M, Phillips P
Flinders Medical Centre, Adelaide, South Australia, Australia.
Intern Med J. 2007 Jun;37(6):372-6. doi: 10.1111/j.1445-5994.2007.01337.x.
In Australia medical practitioners are often required to assume the responsibility for assessing fitness to drive. However the clinical practice, knowledge and attitudes of doctors with regards to this responsibility are unknown. The aim of this study was to determine the clinical practice, knowledge and attitudes of public hospital doctors in the area of fitness-to-drive decision-making.
A survey of public hospital doctors in Adelaide, South Australia was undertaken in 2003, shortly after the promulgation nationwide of guidelines to assist in the assessment of patients' fitness to drive. The survey sought details on medical practitioners' clinical practice in this regard, as well as their knowledge of the guidelines. In addition, it sought their attitudes to undertake this responsibility.
Eighty-four per cent of respondents had at some time in their working career at least discussed the issue of fitness to drive with their patients. Seventy per cent acknowledged that they had received the recently published guidelines on fitness to drive. Despite this, knowledge of the contents of the guidelines was poor. Attitudes to the responsibility were equivocal with several significant reservations expressed.
Public hospital doctors in Australia have poor knowledge of the content of published guidelines in the area of fitness to drive. If this situation is to be improved, alternative approaches to the education of this group with respect to this significant public health problem should be considered. Many doctors are uncomfortable with their responsibilities in this area and alternative models of decision-making should be considered.
在澳大利亚，执业医师常常需要承担评估驾驶适宜性的责任。然而，医生在这方面的临床实践、知识和态度尚不清楚。本研究的目的是确定公立医院医生在驾驶适宜性决策领域的临床实践、知识和态度。
2003年，在全国颁布协助评估患者驾驶适宜性的指南后不久，对南澳大利亚阿德莱德的公立医院医生进行了一项调查。该调查旨在了解执业医师在这方面的临床实践细节以及他们对指南的了解情况。此外，还询问了他们承担这项责任的态度。
84%的受访者在其职业生涯中的某个时候至少与患者讨论过驾驶适宜性问题。70%的人承认他们收到了最近发布的关于驾驶适宜性的指南。尽管如此，对指南内容的了解却很差。对承担这项责任的态度模棱两可，存在一些重大保留意见。
澳大利亚公立医院医生对已发布的驾驶适宜性指南内容了解不足。如果要改善这种情况，应该考虑针对这一重要公共卫生问题对该群体进行教育的替代方法。许多医生对他们在这一领域的责任感到不安，应该考虑替代的决策模式。
