BA, MBBS, FRACGP, PhD, Adjunct Professor, School of Rural Medicine, University of New England, Armidale, NSW; Adjunct Professor, School of Nursing and Midwifery, Western Sydney University, Sydney, NSW; Clinical Professor, Wicking Dementia Research Education Centre, University of Tasmania, Hobart, Tas.
PhD, MBA, BComm, Senior Research Officer, University of Newcastle, NSW.
Aust J Gen Pract. 2023 Aug;52(8):512-515. doi: 10.31128/AJGP-01-23-6693.
Austroads has recently introduced a new set of guidelines for driving assessment in Australia. It is therefore timely to review the clinical approach to driving assessments, which is often seen as one of the most difficult areas of general practice.
This article reviews the difficulties of driving assessment, including what measures there are to guide general practitioners (GPs), and proposes a practical approach to this issue for general practice.
There is as yet no widely agreed toolkit for office-based driving assessment in general practice. On-road assessment by a trained assessor, such as an occupational therapist, remains the gold standard. GPs should consider a stepped approach to driving cessation by raising this issue well in advance of the need for licence termination, working with the patient and the family through the driving cessation itself and providing follow-up support for the patient afterwards.
Austroads 最近在澳大利亚推出了一套新的驾驶评估指南。因此，及时审查驾驶评估的临床方法是适时的，因为这通常被视为普通实践中最困难的领域之一。
本文回顾了驾驶评估的难点，包括有哪些措施可以指导全科医生，并为普通实践提出了一种实用的方法。
目前，在普通实践中，还没有一个广泛认可的、用于办公室驾驶评估的工具包。由经过培训的评估员（如职业治疗师）进行的路考仍然是金标准。全科医生应该考虑通过逐步的方法来停止驾驶，在需要终止驾照之前提前提出这个问题，与患者和家属一起完成驾照终止过程，并在之后为患者提供后续支持。
