BBiomedSc, University of Newcastle, NSW.
University of Newcastle, NSW.
Aust J Gen Pract. 2022 Jun;51(6):457-462. doi: 10.31128/AJGP-09-21-6170.
General practitioners (GPs) in New South Wales are required to perform annual medical assessments of driving fitness in patients aged 75 years or older. The objective of this study was to understand GPs' attitudes towards driving assessments and to highlight guideline limitations and possible solutions.
Semi-structured interviews with a sample of 10 GPs were audio-recorded, transcribed and thematically analysed.
The key themes that emerged were challenges GPs face with the current driving fitness assessment, techniques used to overcome these challenges, and the process of negotiating with patients.
The findings highlighted the need for further support of GPs and for more statistical evidence of driving risks. Key areas of uncertainty were applying licence restrictions, calculating the sum of effects of comorbidities and assessment of new patients. This study might prompt consideration of a range of supports to assist GP decision making, as well as contribute to a decision aid for older drivers.
新南威尔士州的全科医生（GP）需要对 75 岁及以上患者进行年度驾驶适应性评估。本研究旨在了解全科医生对驾驶评估的态度，并强调指南的局限性和可能的解决方案。
对 10 名 GP 进行了半结构化访谈，对访谈内容进行了录音、转录和主题分析。
出现的主要主题包括 GP 在当前驾驶适应性评估中面临的挑战、克服这些挑战的技术以及与患者协商的过程。
研究结果强调需要进一步支持全科医生，并提供更多关于驾驶风险的统计证据。关键的不确定性领域包括适用驾照限制、计算合并症的综合影响以及评估新患者。本研究可能会促使考虑一系列支持措施来协助 GP 做出决策，并为老年驾驶员的决策辅助工具做出贡献。
