Körkortsdiagnostik i allmänläkares dagliga patientarbete med äldre: en jämförelse av svenska och finska allmänläkares aktiviteter, kunskaper och attityder

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Liisa Hakamies-Blomqvist
Torbjörn Falkmer
Catarina Lundberg
Anne Braekhus

In Sweden and Finland, different methods are used for identifying elderly drivers who should not continue to drive a car for medical reasons. Although Swedish doctors are obliged to report unsuitable drivers, no medical examinations are required for extending a driving licence. In Finland, however, a driver aged 70 or over must produce a medical certificate together with a certificate of continued driving ability when renewing his licence. The main purpose of the survey was to investigate whether the Finnish system had led to doctors having greater knowledge of traffic medicine and a more active approach compared with doctors in the Swedish system, since all Finnish doctors come into contact with mandatory medical examinations for driving licences during the course of their training as well as in clinical work. A random sample of 3,000 Swedish and Finnish general practitioners was given a postal questionnaire concerning their activities, knowledge and attitudes in regard to car drivers aged 65 and over. The results showed that the differences in activity and attitudes between Swedish and Finnish doctors regarding elderly people and car driving were small. The Swedish doctors were somewhat more active, and knew more about dementia as a risk factor. The Finnish doctors, however, had greater confidence in their own capability to assess the driving ability of elderly patients. The Finnish system thus does not lead to more knowledgeable or active doctors, but can create a somewhat illusory self-confidence among doctors.

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