Miller D J, Morley J E
UCLA-VA Multicampus Division of Geriatric Medicine and Gerontology, UCLA School of Medicine.
J Am Geriatr Soc. 1993 Jul;41(7):722-4. doi: 10.1111/j.1532-5415.1993.tb07460.x.
To examine physicians' attitudes toward and knowledge concerning driving in older persons.
Questionnaire survey.
A questionnaire was sent to physician members of the American Geriatrics Society (n = 5009). The questionnaire explored physicians' practice characteristics, general approach to record keeping, frequency of behavior toward educating, counseling, and reporting patients to authorities when deemed appropriate, and their personal understanding of driving issues and physician responsibilities within the state in which they practice.
A response rate of 48% was obtained. There was a lack of consensus among physicians, with a broad range of attitudes and practices dealing with this growing public health concern. Physicians generally believed that they had a legal responsibility to assess driving ability but were uncertain about how to assess driving competence and their responsibility toward their senior patients who drive.
Physician practices concerning the appropriate management of older drivers vary widely. Physicians should be aware that medical literature is available to aid in the evaluation of the elderly driver with medical impairments. In addition, physicians should consider referring their elderly patients to driver refresher courses to improve or maintain their driving skills. More research is needed to help guide health professionals in assessing the frail elder with multiple medical impairments and decreasing the crash risk for the older driver.
探讨医生对老年人驾驶的态度和相关知识。
问卷调查。
向美国老年医学会的医生会员（n = 5009）发放问卷。问卷探究了医生的执业特点、记录保存的一般方法、在认为适当时对患者进行教育、咨询以及向当局报告的行为频率，以及他们对所在州驾驶问题和医生责任的个人理解。
获得了48%的回复率。医生们缺乏共识，在应对这一日益严重的公共卫生问题上存在广泛的态度和做法。医生们普遍认为他们有评估驾驶能力的法律责任，但不确定如何评估驾驶能力以及对老年驾车患者的责任。
医生对老年驾驶者适当管理的做法差异很大。医生应意识到有医学文献可帮助评估有医学障碍的老年驾驶者。此外，医生应考虑将老年患者转介至驾驶复习课程以提高或保持其驾驶技能。需要更多研究来帮助指导卫生专业人员评估有多种医学障碍的体弱老年人，并降低老年驾驶者的撞车风险。
