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爱尔兰全科医生对老年人驾驶适宜性医学评估的意见和态度。

General practitioners' opinions and attitudes towards medical assessment of fitness to drive of older adults in Ireland.

作者信息

Omer Sami, Dolan Catherine, Dimitrov Borislav D, Langan Camilla, McCarthy Geraldine

机构信息

Sligo/Leitrim Mental Health Services, Sligo, Ireland; Department of Psychiatry, College of Medicine, University of Dammam, Dammam, Saudi Arabia.

出版信息

Australas J Ageing. 2014 Sep;33(3):E33-6. doi: 10.1111/ajag.12045. Epub 2013 May 30.

Abstract

OBJECTIVE

The study sought to assess opinions and attitudes of general practitioners (GPs) in Ireland towards fitness to drive (FTD) assessment in people older than 65 years old as well as to gather information on current assessment practices.

METHOD

A postal-based cross-sectional survey was carried out with 603 GP practices randomly selected using the Irish College of General Practitioners database.

RESULTS

Response rate was 42.6%. The prevalence of GPs not confident in assessing FTD was less than 15% with 81% reporting the need for more education on assessing FTD, and 82% identifying that mandatory reporting of unsafe drivers posed a conflict of interest. Only 37% of GPs always/often used the Irish Road Safety Authority handbook when assessing FTD with 14% not aware of its existence. Of responders, 89% were of the opinion that a clinical assessment tool would be of benefit in assessing FTD.

CONCLUSION

Our study highlights the need for education and training for Irish GPs on FTD assessment in the older people patient population.

摘要

目的

本研究旨在评估爱尔兰全科医生(GP)对65岁以上人群驾驶适宜性(FTD)评估的意见和态度,并收集当前评估实践的相关信息。

方法

使用爱尔兰全科医生学院数据库随机选取603家全科医生诊所进行基于邮寄的横断面调查。

结果

回复率为42.6%。对评估FTD缺乏信心的全科医生比例不到15%,81%的人报告需要接受更多关于评估FTD的教育,82%的人认为强制报告不安全驾驶者存在利益冲突。在评估FTD时,只有37%的全科医生总是/经常使用爱尔兰道路安全管理局手册,14%的人不知道该手册的存在。在回复者中,89%的人认为临床评估工具对评估FTD有益。

结论

我们的研究强调了对爱尔兰全科医生进行老年人FTD评估教育和培训的必要性。

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