Sindwani R, Parnes L S
Department of Otolaryngology, University of Western Ontario, London.
J Otolaryngol. 1997 Apr;26(2):104-11.
The objectives of this study were (1) to learn about the concerns and current practices of Canadian otolaryngologists with regard to the reporting of vestibular patients; and (2) to examine the three different reporting mandates in Canada by surveying otolaryngologists in Ontario, Alberta, and British Columbia, and to assess the level of satisfaction with reporting methods.
A survey was mailed to all members of the Canadian Society of Otolaryngology-Head and Neck Surgery in Ontario, Alberta, and British Columbia, using a modified version of the "Dillman Total Survey Design Method."
The survey had an overall response rate of 62.8%. Although many respondents have considered reporting vestibular patients (82.2%) and have warned patients not to drive without reporting them (84.2%), only 25.3% actually have. The great majority (91.8%) felt that unfit drivers should be brought to the attention of the transportation authority. There was no consensus of opinion on the best method of reporting, but only 23.3% of those surveyed supported mandatory physician reporting. Ontario otolaryngologists were significantly less satisfied with the fitness-to-drive legislation in their province than were those from Alberta or British Columbia (chi 2 = 22.7, p = .001). Almost three times as many Ontario respondents have actually reported a vestibular patient (chi 2 = 6.7, p = .01).
The study results suggest that mandatory physician reporting is not a satisfactory method of reporting unfit-to-drive vestibular patients. It is highly recommended that all physicians become familiar with the reporting guidelines in their province or territory and comply with their legal obligations.
本研究的目的是：（1）了解加拿大耳鼻喉科医生在报告前庭疾病患者方面的关注点和当前做法；（2）通过对安大略省、艾伯塔省和不列颠哥伦比亚省的耳鼻喉科医生进行调查，研究加拿大三种不同的报告要求，并评估对报告方法的满意度。
采用“迪尔曼全面调查设计方法”的修改版，向安大略省、艾伯塔省和不列颠哥伦比亚省的加拿大耳鼻喉科-头颈外科学会所有成员邮寄调查问卷。
该调查的总体回复率为62.8%。虽然许多受访者考虑过报告前庭疾病患者（82.2%），并警告患者在未报告的情况下不要开车（84.2%），但实际报告的只有25.3%。绝大多数（91.8%）认为不适合开车的司机应引起交通管理部门的注意。对于最佳报告方法没有达成共识，但只有23.3%的受访者支持医生强制报告。安大略省的耳鼻喉科医生对该省的驾驶适宜性立法的满意度明显低于艾伯塔省或不列颠哥伦比亚省的医生（卡方检验=22.7，p = 0.001）。安大略省实际报告过前庭疾病患者的受访者几乎是其他两省的三倍（卡方检验=6.7，p = 0.01）。
研究结果表明，医生强制报告不是报告不适合开车的前庭疾病患者的令人满意的方法。强烈建议所有医生熟悉其所在省份或地区的报告指南，并履行其法律义务。
