Instruments for investigating fitness to drive - needs and expectations in primary care: a qualitative study

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Ressource 1Télécharger: BIB_F0F5A3E17471.P001.pdf (133.89 [Ko])
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ID Serval
serval:BIB_F0F5A3E17471
Type
Actes de conférence (partie): contribution originale à la littérature scientifique, publiée à l'occasion de conférences scientifiques, dans un ouvrage de compte-rendu (proceedings), ou dans l'édition spéciale d'un journal reconnu (conference proceedings).
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Abstract (résumé de présentation): article court qui reprend les éléments essentiels présentés à l'occasion d'une conférence scientifique dans un poster ou lors d'une intervention orale.
Collection
Publications
Titre
Instruments for investigating fitness to drive - needs and expectations in primary care: a qualitative study
Titre de la conférence
20th International Council on Alcohol, Drugs and Traffic Safety Conference (ICADTS)
Auteur(s)
Vaucher P., Cardoso I., Mangin P., Herzig L., Favrat B.
Adresse
Brisbane, Australia, 2013, August, 25-28
Statut éditorial
Publié
Date de publication
08/2013
Langue
anglais
Résumé
Background: Primary care physicians are often requested to assess their patients' fitness to drive. Little is however known on their needs to help them in this task. Aims: The aim of this study is to develop theories on needs, expectations, and barriers for clinical instruments helping physicians assess fitness to drive in primary care. Methods: This qualitative study used semi-structured interviews to investigate needs and expectations for instruments used to assess fitness to drive. From August 2011 to April 2013, we recorded opinions from five experts in traffic medicine, five primary care physicians, and five senior drivers. All interviews were integrally transcribed. Two independent researchers extracted, coded, and stratified categories relying on multi-grounded theory. All participants validated the final scheme. Results: Our theory suggests that for an instruments assessing fitness to drive to be implemented in primary care, it need to contribute to the decisional process. This requires at least five conditions: 1) it needs to reduce the range of uncertainty, 2) it needs to be adapted to local resources and possibilities, 3) it needs to be accepted by patients, 4) choices of tasks need to adaptable to clinical conditions, 5) and interpretation of results need to remain dependant of each patient's context. Discussion and conclusions: Most existing instruments assessing fitness to drive are not designed for primary care settings. Future instruments should also aim to support patient-centred dialogue, help anticipate driving cessation, and offer patients the opportunity to freely take their own decision on driving cessation as often as possible.
Création de la notice
20/03/2014 19:16
Dernière modification de la notice
03/03/2018 22:37
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