Abstract

GRANJA, Mónica. Medical certificates for drivers’ licenses: a critique of law No. 138/2012. Rev Port Med Geral Fam [online]. 2013, vol.29, n.3, pp.191-199. ISSN 2182-5173.

Legislation on medical examinations for obtaining and renewing of drivers’ licenses was recently amended by law no. 138/July 5, 2012. It has generated controversy because it ’pushes‘ family physicians (FP) to issue certificates with specifications that they cannot achieve in a family practice. Patients with health problems managed by their FP will require opinions from other doctors. The evaluation of the fitness to drive of professional drivers and of people with disabilities is not a usual task for FP. Some argue that assessment of fitness to drive is not a health need and should not be covered by the National Health Service. There is a potential for conflict between the different roles played by FP namely between the authority to determine medical fitness to drive and the caregiver role in the context of a doctor-patient relationship. Repeal of the law is proposed. The text should comply with European Community directives without being overzealous. Medical and Psychological Assessment Centers for drivers should be established. In these centers, physicians and other health professionals with necessary expertise and training can conduct driver evaluations uncomplicated by a therapeutic relationship.

Keywords : Automobile Driving; Accidents; Traffic; Motor Vehicles; Safety; General Practice; Roles, physician’s.

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