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GPs’ awareness of car driving among oldest patients: exploratory results from a primary care cohort
BACKGROUND: Increasingly more very old people are active drivers. Sensory, motor and cognitive limitations, and medication can increase safety risks. Timely attention to driving safety in the patient–doctor relationship can promote patient-centred solutions. AIM: To explore the following questions:...
Autores principales: | , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Royal College of General Practitioners
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8170606/ https://www.ncbi.nlm.nih.gov/pubmed/33495163 http://dx.doi.org/10.3399/BJGPO.2020.0145 |
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author | Leve, Verena Pentzek, Michael Fuchs, Angela Bickel, Horst Weeg, Dagmar Weyerer, Siegfried Werle, Jochen König, Hans-Helmut Hajek, André Lühmann, Dagmar van den Bussche, Hendrik Wiese, Birgitt Oey, Anke Heser, Kathrin Wagner, Michael Luppa, Melanie Röhr, Susanne Maier, Wolfgang Scherer, Martin Kaduszkiewicz, Hanna Riedel-Heller, Steffi G |
author_facet | Leve, Verena Pentzek, Michael Fuchs, Angela Bickel, Horst Weeg, Dagmar Weyerer, Siegfried Werle, Jochen König, Hans-Helmut Hajek, André Lühmann, Dagmar van den Bussche, Hendrik Wiese, Birgitt Oey, Anke Heser, Kathrin Wagner, Michael Luppa, Melanie Röhr, Susanne Maier, Wolfgang Scherer, Martin Kaduszkiewicz, Hanna Riedel-Heller, Steffi G |
author_sort | Leve, Verena |
collection | PubMed |
description | BACKGROUND: Increasingly more very old people are active drivers. Sensory, motor and cognitive limitations, and medication can increase safety risks. Timely attention to driving safety in the patient–doctor relationship can promote patient-centred solutions. AIM: To explore the following questions: do GPs know which patients drive a car? Is fitness to drive addressed with patients? DESIGN & SETTING: Cross-sectional data from patient interviews and GP survey in the ninth follow-up phase of a prospective primary care cohort (the German Study on Ageing, Cognition and Dementia in Primary Care Patients (AgeCoDe) and the Study on Needs, Health Service Use, Costs and Health-Related Quality of Life in a large sample of ‘oldest-old’ primary care patients (≥85 years; AgeQualiDe)) . METHOD: The sample consisted of patients in the age group ≥85 years and their GPs. Independent reports were gathered on driving activity from the GP and the patient, and information was gained from GPs on whether driving ability was discussed with the patient. Statistical analyses included validity parameters and bivariate characterisation of subgroups (non-parametric significance tests, effect size). RESULTS: Self-reports of 553 patients were available (69.5% female; mean age 90.5 years; 15.9% drive a car). For 427 patients, GP data were also available: GPs recognised 67.1% correctly as drivers and 94.9% as non-drivers. GPs said that they had discussed fitness to drive with 32.1% of potentially driving patients. Among drivers who were not recognised and with whom driving had not been discussed, there were more patients with a low educational level. CONCLUSION: The GP’s assessment of driving activity among very old patients showed moderate sensitivity and good specificity. Driving ability was seldom discussed. Asking an appropriate question during assessment could increase GPs’ awareness of older patients’ automobility. |
format | Online Article Text |
id | pubmed-8170606 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Royal College of General Practitioners |
record_format | MEDLINE/PubMed |
spelling | pubmed-81706062021-06-11 GPs’ awareness of car driving among oldest patients: exploratory results from a primary care cohort Leve, Verena Pentzek, Michael Fuchs, Angela Bickel, Horst Weeg, Dagmar Weyerer, Siegfried Werle, Jochen König, Hans-Helmut Hajek, André Lühmann, Dagmar van den Bussche, Hendrik Wiese, Birgitt Oey, Anke Heser, Kathrin Wagner, Michael Luppa, Melanie Röhr, Susanne Maier, Wolfgang Scherer, Martin Kaduszkiewicz, Hanna Riedel-Heller, Steffi G BJGP Open Research BACKGROUND: Increasingly more very old people are active drivers. Sensory, motor and cognitive limitations, and medication can increase safety risks. Timely attention to driving safety in the patient–doctor relationship can promote patient-centred solutions. AIM: To explore the following questions: do GPs know which patients drive a car? Is fitness to drive addressed with patients? DESIGN & SETTING: Cross-sectional data from patient interviews and GP survey in the ninth follow-up phase of a prospective primary care cohort (the German Study on Ageing, Cognition and Dementia in Primary Care Patients (AgeCoDe) and the Study on Needs, Health Service Use, Costs and Health-Related Quality of Life in a large sample of ‘oldest-old’ primary care patients (≥85 years; AgeQualiDe)) . METHOD: The sample consisted of patients in the age group ≥85 years and their GPs. Independent reports were gathered on driving activity from the GP and the patient, and information was gained from GPs on whether driving ability was discussed with the patient. Statistical analyses included validity parameters and bivariate characterisation of subgroups (non-parametric significance tests, effect size). RESULTS: Self-reports of 553 patients were available (69.5% female; mean age 90.5 years; 15.9% drive a car). For 427 patients, GP data were also available: GPs recognised 67.1% correctly as drivers and 94.9% as non-drivers. GPs said that they had discussed fitness to drive with 32.1% of potentially driving patients. Among drivers who were not recognised and with whom driving had not been discussed, there were more patients with a low educational level. CONCLUSION: The GP’s assessment of driving activity among very old patients showed moderate sensitivity and good specificity. Driving ability was seldom discussed. Asking an appropriate question during assessment could increase GPs’ awareness of older patients’ automobility. Royal College of General Practitioners 2021-03-24 /pmc/articles/PMC8170606/ /pubmed/33495163 http://dx.doi.org/10.3399/BJGPO.2020.0145 Text en Copyright © 2021, The Authors https://creativecommons.org/licenses/by/4.0/This article is Open Access: CC BY license (https://creativecommons.org/licenses/by/4.0/) |
spellingShingle | Research Leve, Verena Pentzek, Michael Fuchs, Angela Bickel, Horst Weeg, Dagmar Weyerer, Siegfried Werle, Jochen König, Hans-Helmut Hajek, André Lühmann, Dagmar van den Bussche, Hendrik Wiese, Birgitt Oey, Anke Heser, Kathrin Wagner, Michael Luppa, Melanie Röhr, Susanne Maier, Wolfgang Scherer, Martin Kaduszkiewicz, Hanna Riedel-Heller, Steffi G GPs’ awareness of car driving among oldest patients: exploratory results from a primary care cohort |
title | GPs’ awareness of car driving among oldest patients: exploratory results from a primary care cohort |
title_full | GPs’ awareness of car driving among oldest patients: exploratory results from a primary care cohort |
title_fullStr | GPs’ awareness of car driving among oldest patients: exploratory results from a primary care cohort |
title_full_unstemmed | GPs’ awareness of car driving among oldest patients: exploratory results from a primary care cohort |
title_short | GPs’ awareness of car driving among oldest patients: exploratory results from a primary care cohort |
title_sort | gps’ awareness of car driving among oldest patients: exploratory results from a primary care cohort |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8170606/ https://www.ncbi.nlm.nih.gov/pubmed/33495163 http://dx.doi.org/10.3399/BJGPO.2020.0145 |
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