{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T21:34:11Z","timestamp":1763760851142,"version":"3.45.0"},"reference-count":25,"publisher":"Aerospace Medical Association","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:p>\n                    <jats:bold>INTRODUCTION:<\/jats:bold>\n                    Pilots are undoubtedly among employees who undergo rigorous medical evaluations to ensure they are fit to fly. However, accidents like the Germanwings Flight 9525 highlight that medically unfit individuals can still end up in the cockpit.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>METHODS:<\/jats:bold>\n                    This study sought to investigate Greek pilots\u2019 attitudes toward medical reporting, given that the available national research is very limited. Semistructured interviews were conducted and analyzed through Thematic Analysis with subjects (\n                    <jats:italic>N<\/jats:italic>\n                    = 18) from general, military, and commercial aviation in Greece during the first quarter of 2024. Cross-sectoral differences were identified through Content Analysis.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>RESULTS:<\/jats:bold>\n                    The primary barrier to medical reporting, identified by 16 out of 18 subjects (88% of the sample), was the fear of losing their pilot license, which would have major consequences for their income and way of life. Additionally, concerns about the perceived damage to professional identity and a deep passion for flying contributed to their reluctance to disclose medical issues. A general tendency to conceal medical problems from the Aeromedical Examiner during the annual medical certificate renewal was identified, particularly when such issues were considered of minor importance (61% of the sample).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>DISCUSSION:<\/jats:bold>\n                    Although the findings align with international research, this study identified a more pronounced tendency among subjects to conceal medical issues they perceived as unimportant. The establishment of compulsory loss-of-pilot-license insurance was the major mitigation measure proposed by the interviewees. Nonetheless, its effectiveness remains questionable according to the literature, and further research is recommended in this area.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>\n                      Kioulepoglou P, Makris I.\n                      <jats:italic>Medical reporting behavior of military, commercial, and general aviation pilots<\/jats:italic>\n                      . Aerosp Med Hum Perform. 2025; 96(10):903\u2013910.\n                    <\/jats:bold>\n                  <\/jats:p>","DOI":"10.3357\/amhp.6621.2025","type":"journal-article","created":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T21:29:14Z","timestamp":1763760554000},"page":"903-910","source":"Crossref","is-referenced-by-count":0,"title":["Medical Reporting Behavior of Military, Commercial, and General Aviation Pilots"],"prefix":"10.3357","volume":"96","author":[{"given":"Panagiotis","family":"Kioulepoglou","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilias","family":"Makris","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1911","reference":[{"key":"B1","article-title":"Statistical Reviews","year":"2021","unstructured":"National Transportation Safety Board. Statistical Reviews. 2021 [Accessed 2023 Oct. 8]. Available from https:\/\/www.ntsb.gov\/safety\/Pages\/research.aspx."},{"key":"B2","article-title":"Pilot medical certification. StatPearls. Treasure Island (FL): StatPearls Publishing","author":"Matthews MJ","year":"2024","unstructured":"Matthews MJ, Stretanski MF. Pilot medical certification. StatPearls. Treasure Island (FL): StatPearls Publishing; 2024. [Accessed 2024 May 9]. Available from http:\/\/www.ncbi.nlm.nih.gov\/books\/NBK567745\/."},{"issue":"2","key":"B3","series-title":"Suicide Life Threat Behav.","first-page":"234","article-title":"Analysis of NTSB aircraft\u2010assisted pilot suicides: 1982\u20132014","volume":"46","author":"Politano PM","year":"2016","unstructured":"Politano PM, Walton RO. Analysis of NTSB aircraft\u2010assisted pilot suicides: 1982\u20132014. Suicide Life Threat Behav. 2016 Apr; 46(2):234\u20138."},{"issue":"8","key":"B4","series-title":"Aviat Space Environ Med.","first-page":"841","article-title":"Aircraft-assisted pilot suicides: lessons to be learned","volume":"85","author":"Vuorio A","year":"2014","unstructured":"Vuorio A, Laukkala T, Navathe P, Budowle B, Eyre A, Sajantila A. Aircraft-assisted pilot suicides: lessons to be learned. Aviat Space Environ Med. 2014 Aug; 85(8):841\u20136."},{"issue":"1","key":"B5","series-title":"Chem Eng Trans.","first-page":"589","article-title":"Reporting culture within a modern organisation","volume":"36","author":"Douglas E","year":"2014","unstructured":"Douglas E, Cromie S, Leva MC, Balfe N. Reporting culture within a modern organisation. Chem Eng Trans. 2014; 36(1):589\u201395."},{"issue":"3","key":"B6","series-title":"Work stress.","first-page":"293","article-title":"Achieving a safe culture: theory and practice","volume":"12","author":"Reason J.","year":"1998","unstructured":"Reason J. Achieving a safe culture: theory and practice. Work stress. 1998; 12(3):293\u2013306."},{"issue":"4","key":"B7","series-title":"J Occup Environ Med.","first-page":"e245","article-title":"Healthcare avoidance in aircraft pilots due to concern for aeromedical certificate loss: a survey of 3765 pilots","volume":"64","author":"Hoffman WR","year":"2022","unstructured":"Hoffman WR, Aden J, Barbera RD, Mayes R, Willis A,  Healthcare avoidance in aircraft pilots due to concern for aeromedical certificate loss: a survey of 3765 pilots. J Occup Environ Med. 2022 Apr; 64(4):e245\u20138."},{"key":"B8","article-title":"Accident on 24 March 2015 at Prads-Haute-Bl\u00e9one (Alpes-de-Haute-Provence, France) to the Airbus A320-211 registered D-AIPX operated by Germanwings","year":"2016","unstructured":"Bureau d \u2019 Enqu\u00eates et d \u2019 Analyses. Accident on 24 March 2015 at Prads-Haute-Bl\u00e9one (Alpes-de-Haute-Provence, France) to the Airbus A320-211 registered D-AIPX operated by Germanwings. Minist\u00e8re de l\u2019Ecologie, du D\u00e9veloppement durable et de l\u2019Energie; 2016:110. Report No.: Final Report. [Accessed 1 Aug. 2025]. Available from: https:\/\/bea.aero\/uploads\/tx_elydbrapports\/BEA2015-0125.en-LR.pdf."},{"issue":"4","key":"B9","series-title":"Aerosp Med Hum Perform.","first-page":"388","article-title":"Suicide and murder-suicide involving aircraft","volume":"87","author":"Kenedi C","year":"2016","unstructured":"Kenedi C, Friedman SH, Watson D, Preitner C. 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