Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke · 2026
General practitioners' dual role in expert assessments of harmful alcohol use and fitness to drive - a qualitative study.
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Lid Torgeir Gilje, Bjørnestad Anders Ledaal, Iden Kristina Riis
Аннотация
BACKGROUND AND AIM: Harmful alcohol use can be a sensitive topic, and discussions with patients about alcohol can be challenging. In some cases, alcohol use can result in patients being deemed unfit to drive. The main aim of this study was to explore general practitioners' experiences with their dual role as clinician and expert assessor in relation to patients' alcohol use.
MATERIAL AND METHOD: This is a qualitative study in which general practitioners attending a seminar on changing alcohol habits in general practice were invited to participate. Audio recordings from group discussions in four seminar sessions were transcribed and analysed using systematic text condensation.
RESULTS: The general practitioners (N = 36) reported that the dual role of clinician and expert assessor can be challenging when assessing medical fitness to drive in patients with possible or confirmed harmful alcohol use. Several found the regulatory framework governing fitness to drive unclear and difficult to interpret, with the use of discretion within both a clinical and legal framework being particularly challenging. However, some found the regulation to be useful in supporting behavioural change in relation to alcohol.
INTERPRETATION: General practitioners experienced a challenging dual role as clinician and expert assessor in the efforts related to alcohol use. It is unclear to what extent the current driving licence regulation and associated guide improve health care and contribute to road safety.
MATERIAL AND METHOD: This is a qualitative study in which general practitioners attending a seminar on changing alcohol habits in general practice were invited to participate. Audio recordings from group discussions in four seminar sessions were transcribed and analysed using systematic text condensation.
RESULTS: The general practitioners (N = 36) reported that the dual role of clinician and expert assessor can be challenging when assessing medical fitness to drive in patients with possible or confirmed harmful alcohol use. Several found the regulatory framework governing fitness to drive unclear and difficult to interpret, with the use of discretion within both a clinical and legal framework being particularly challenging. However, some found the regulation to be useful in supporting behavioural change in relation to alcohol.
INTERPRETATION: General practitioners experienced a challenging dual role as clinician and expert assessor in the efforts related to alcohol use. It is unclear to what extent the current driving licence regulation and associated guide improve health care and contribute to road safety.