{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,18]],"date-time":"2023-09-18T15:07:05Z","timestamp":1695049625954},"reference-count":18,"publisher":"Oxford University Press (OUP)","issue":"927","license":[{"start":{"date-parts":[[2003,1,1]],"date-time":"2003-01-01T00:00:00Z","timestamp":1041379200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2003,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Purpose<\/jats:title>\n                  <jats:p>Previous studies have shown that physicians often have poor knowledge of the medical restriction on fitness to drive, or submit poor quality medical reports. To determine the reliability of physicians\u2019 reports on fitness to drive, the medical data provided on the standard medical fitness form was compared with the additional data collected on repeated assessment.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A random sample of 100 applicants for a driver\u2019s licence aged more than 49 years who submitted the standard medical form were asked to provide, from their regular family doctor, confirmation of their health status and\/or additional medical data in order to make a re-evaluation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The rate of rejection for a licence for medical reasons was 3% on the basis of the standard evaluation and 17% on the basis of the re-evaluation (p&amp;lt;0.001).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>This study shows that the random evaluation of physician assessments of applicants for a driver\u2019s licence increases the detection rate of medical problems that can affect fitness to drive. The alarming difference in the rate of rejection between the two assessments may reflect a lackadaisical attitude of medical professionals toward the licence assessment procedure and\/or physician unawareness of the medical restrictions on fitness to drive. Results of this study suggest that this subject must be included in medical education programmes.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/pmj.79.927.52","type":"journal-article","created":{"date-parts":[[2003,2,3]],"date-time":"2003-02-03T21:25:41Z","timestamp":1044307541000},"page":"52-54","source":"Crossref","is-referenced-by-count":9,"title":["Are medical reports on fitness to drive trustworthy?"],"prefix":"10.1093","volume":"79","author":[{"given":"T S","family":"Steier","sequence":"first","affiliation":[{"name":"Department of Family Medicine, Sackler Faculty of Medicine, Tel Aviv University , Tel Aviv , Israel"},{"name":"Maccabi Sick Fund , Ramat Gan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E","family":"Kitai","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Sackler Faculty of Medicine, Tel Aviv University , Tel Aviv , Israel"},{"name":"Maccabi Sick Fund , Ramat Gan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Wiener","sequence":"additional","affiliation":[{"name":"Medical Institute of Road Safety , Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E","family":"Kahan","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Sackler Faculty of Medicine, Tel Aviv University , Tel Aviv , Israel"},{"name":"Maccabi Sick Fund , Ramat Gan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2003,1,1]]},"reference":[{"key":"2023042409330364500_R1","doi-asserted-by":"crossref","first-page":"624","DOI":"10.1136\/pgmj.68.802.624","article-title":"The law and medical fitness to drive\u2014a study of doctors\u2019 knowledge.","volume":"68","author":"King","year":"1992","journal-title":"Postgrad Med J"},{"key":"2023042409330364500_R2","first-page":"242","article-title":"Problems in the assessment of driving capability in family practice.","volume":"54","author":"Seeger","year":"1997","journal-title":"Ther Unsach"},{"key":"2023042409330364500_R3","volume-title":"Takanot taavura (traffic regulations)","author":"Department of Transport","year":"1998"},{"key":"2023042409330364500_R4","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1136\/pgmj.71.839.525","article-title":"The older driver\u2014a review.","volume":"71","author":"Morgan","year":"1995","journal-title":"Postgrad Med J"},{"key":"2023042409330364500_R5","doi-asserted-by":"crossref","first-page":"1026","DOI":"10.1001\/jama.1995.03530130032024","article-title":"Relationship between driver\u2019s licence renewal policies and fatal crashes involving drivers 70 years or older.","volume":"274","author":"Levy","year":"1995","journal-title":"JAMA"},{"key":"2023042409330364500_R6","first-page":"141","article-title":"Older adult driver.","volume":"61","author":"Carr","year":"2000","journal-title":"Am Fam Physician"},{"key":"2023042409330364500_R7","doi-asserted-by":"crossref","first-page":"1060","DOI":"10.1001\/jama.1995.03530130066030","article-title":"Older drivers and physicians.","volume":"274","author":"Martinez","year":"1995","journal-title":"JAMA"},{"key":"2023042409330364500_R8","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1136\/pgmj.75.887.537","article-title":"Medical restriction to driving: the awareness of patients and doctors.","volume":"75","author":"Kelly","year":"1999","journal-title":"Postgrad Med J"},{"key":"2023042409330364500_R9","first-page":"1701","article-title":"Saskatchewan physicians\u2019 attitudes and knowledge regarding assessment of medical fitness to drive.","volume":"160","author":"Marshall","year":"1999","journal-title":"Can Med Assoc J"},{"key":"2023042409330364500_R10","first-page":"25","author":"Lwanga","year":"1991","journal-title":"Sample size determination in health studies"},{"key":"2023042409330364500_R11","doi-asserted-by":"crossref","first-page":"229","DOI":"10.3810\/pgm.2000.03.953","article-title":"Evaluation of fitness to drive. 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