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Physician responsibility in driver assessment

M A Drickamer1, R A Marottoli

  • 1Veterans Administration Medical Center, West Haven, Connecticut 06516.

The American Journal of the Medical Sciences
|November 1, 1993
PubMed
Summary
This summary is machine-generated.

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Physicians frequently discuss driving safety with patients, but few report unsafe drivers. Most believe older drivers need screening and that reporting is a public health responsibility, highlighting a need for clearer guidelines.

Area of Science:

  • Medical Practice
  • Public Health
  • Geriatric Medicine

Background:

  • Driving is a critical activity for independence, particularly for older adults.
  • Physician involvement in assessing driving ability and reporting unsafe drivers is complex.
  • Current legal and medical guidelines for physician reporting of unsafe drivers are often unclear.

Purpose of the Study:

  • To investigate current physician practices regarding patient counseling on driving.
  • To determine the extent to which physicians report unsafe drivers to motor vehicle authorities.
  • To understand physicians' perspectives on age-based driving screening and their reporting responsibilities.

Main Methods:

  • A survey was distributed to licensed general practitioners, internists, ophthalmologists, neurologists, and neurosurgeons in Connecticut.

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  • Physician responses regarding driving discussions and reporting practices were collected and analyzed.
  • Response rate was 59% (2,049 out of 3,450 eligible physicians).

    • Main Results:

    • 77% of physicians discussed driving with patients; 14% reported unsafe drivers to the Department of Motor Vehicles (DMV).
    • Specialists were more likely than general practitioners to discuss driving.
    • 74% of physicians supported age-based driving ability screening, and 59% felt responsible for reporting unsafe drivers to the DMV.

    Conclusions:

    • Physicians acknowledge driving safety as a significant public health concern.
    • There is a recognized need for improved legal and medical frameworks to guide physician actions on driver safety.
    • Physician practices indicate a gap between awareness of driving risks and reporting behaviors, necessitating clearer protocols.