{"id":18145,"date":"2019-12-25T05:15:06","date_gmt":"2019-12-24T21:15:06","guid":{"rendered":"http:\/\/csccm.org.cn\/?p=18145"},"modified":"2020-01-01T06:12:20","modified_gmt":"2019-12-31T22:12:20","slug":"bmj%e5%9c%a3%e8%af%9e%e4%b8%93%e5%88%8a%ef%bc%9a%e8%b6%85%e9%80%9f%e8%a1%8c%e9%a9%b6%e7%9a%84%e9%9c%80%e6%b1%82%ef%bc%9a%e5%8c%bb%e7%94%9f%e9%a9%be%e9%a9%b6%e8%a1%8c%e4%b8%ba%e7%9a%84%e8%a7%82","status":"publish","type":"post","link":"https:\/\/csccm.org.cn\/?p=18145","title":{"rendered":"[BMJ\u5723\u8bde\u4e13\u520a]\uff1a\u8d85\u901f\u884c\u9a76\u7684\u9700\u6c42\uff1a\u533b\u751f\u9a7e\u9a76\u884c\u4e3a\u7684\u89c2\u5bdf\u6027\u7814\u7a76"},"content":{"rendered":"\n

Research<\/strong> Christmas 2019: Chasing Cars<\/p>\n\n\n\n

The need for speed: observational study of physician driving behaviors<\/h1>\n\n\n\n

Andr\u00e9 Zimerman,\u00a0Christopher Worsham, Jaemin Woo, et al<\/h3>\n\n\n\n

BMJ<\/em>\u00a02019; 367: l6354\u00a0doi:\u00a0https:\/\/doi.org\/10.1136\/bmj.l6354<\/a>\u00a0(Published 18 December 2019)<\/h3>\n\n\n\n

Abstract<\/h2>\n\n\n\n

Objective<\/strong>\u00a0\u76ee\u7684<\/h3>\n\n\n\n

To determine whether fast driving, luxury car ownership, and leniency by police officers differ across medical specialties.<\/p>\n\n\n\n

\u786e\u5b9a\u4e0d\u540c\u533b\u5b66\u4e13\u4e1a\u95f4\u8d85\u901f\u884c\u9a76\u3001\u62e5\u6709\u8c6a\u8f66\u60c5\u51b5\u4ee5\u53ca\u53d7\u5230\u8b66\u5bdf\u5bbd\u6055\u7684\u60c5\u51b5\u662f\u5426\u5b58\u5728\u5dee\u5f02<\/p>\n\n\n\n

Design<\/strong>\u00a0\u8bd5\u9a8c\u8bbe\u8ba1<\/h3>\n\n\n\n

Observational study.<\/p>\n\n\n\n

\u89c2\u5bdf\u6027\u7814\u7a76<\/p>\n\n\n\n

Setting<\/strong>\u00a0\u573a\u666f<\/h3>\n\n\n\n

Florida, USA.<\/p>\n\n\n\n

\u7f8e\u56fd\u4f5b\u7f57\u91cc\u8fbe\u5dde<\/p>\n\n\n\n

Participants<\/strong>\u00a0\u7814\u7a76\u4eba\u7fa4<\/h3>\n\n\n\n

5372 physicians and a sample of 19\u2009639 non-physicians issued a ticket for speeding during 2004-17.<\/p>\n\n\n\n

2004\u5e74-2017\u5e74\u95f4\u5f97\u5230\u8d85\u901f\u884c\u9a76\u7f5a\u5355\u76845372\u540d\u533b\u751f\u53ca19639\u540d\u975e\u533b\u751f\u3002<\/p>\n\n\n\n

Main outcome measures<\/strong>\u00a0\u4e3b\u8981\u9884\u540e\u6307\u6807<\/h3>\n\n\n\n

Observed rates of extreme speeding (defined as driving >20 mph above the speed limit), luxury car ownership, and leniency of the speeding ticket by police officers, by physician specialty, after adjustment for age and sex.<\/p>\n\n\n\n

\u9488\u5bf9\u6027\u522b\u4e0e\u5e74\u9f84\u6821\u6b63\u540e\uff0c\u533b\u751f\u4e0d\u540c\u4e13\u4e1a\u95f4\u6781\u5ea6\u8d85\u901f\uff08\u5b9a\u4e49\u4e3a\u8d85\u8fc7\u884c\u9a76\u901f\u5ea6\u4e0a\u7ebf> 20 mph\uff09\u3001\u62e5\u6709\u8c6a\u8f66\u60c5\u51b5\u4ee5\u53ca\u8b66\u5bdf\u5bf9\u8d85\u901f\u7f5a\u5355\u7684\u5bbd\u6055\u60c5\u51b5\u6bd4\u4f8b\u3002<\/p>\n\n\n\n

Results<\/strong>\u00a0\u7ed3\u679c<\/h3>\n\n\n\n

The sample included 5372 physicians who received 14\u2009560 speeding tickets. The proportion of drivers who were reported driving at speeds greater than 20 mph was similar between physicians and a sample of 19\u2009639 non-physicians who received a ticket for speeding (26.4%\u00a0v<\/em>\u00a026.8% of tickets, respectively). Among physicians who received a ticket, psychiatrists were most likely to be fined for extreme speeding (adjusted odds ratio of psychiatry compared with baseline specialty of anesthesia 1.51, 95% confidence interval 1.07 to 2.14). Among drivers who received a ticket, luxury car ownership was most common among cardiologists (adjusted proportion of ticketed cardiologists who owned a luxury car 40.9%, 95% confidence interval 35.9% to 45.9%) and least common among physicians in emergency medicine, family practice, pediatrics, general surgery, and psychiatry (eg, adjusted proportion of luxury car ownership among family practice physicians 20.6%, 95% confidence interval 18.2% to 23.0%). Speed discounting, a marker of leniency by police officers in which ticketed speed is recorded at just below the threshold at which a larger fine would otherwise be imposed, was common, but rates did not differ by specialty and did not differ between physicians and a sample of non-physicians.<\/p>\n\n\n\n

\u6837\u672c\u5305\u62ec5372\u540d\u533b\u751f\u5171\u6536\u523014\u2009560\u4e2a\u8d85\u901f\u884c\u9a76\u7f5a\u5355\u3002\u62a5\u544a\u8d85\u901f20 mph\u7684\u533b\u751f\u6bd4\u4f8b\u4e0e19\u2009639\u540d\u63a5\u5230\u8d85\u901f\u7f5a\u5355\u7684\u975e\u533b\u751f\u76f8\u4f3c (\u5206\u522b\u4e3a\u8d85\u901f\u884c\u9a76\u7f5a\u5355\u768426.4%\u00a0v<\/em>\u00a026.8%)\u3002\u5728\u63a5\u5230\u8d85\u901f\u884c\u9a76\u7f5a\u5355\u7684\u533b\u751f\u4e2d\uff0c\u7cbe\u795e\u79d1\u533b\u751f\u6700\u5bb9\u6613\u56e0\u6781\u5ea6\u8d85\u901f\u800c\u88ab\u7f5a\u6b3e (\u4e0e\u9ebb\u9189\u79d1\u533b\u751f\u76f8\u6bd4\uff0c\u7cbe\u795e\u79d1\u533b\u751f\u6821\u6b63\u540e\u6bd4\u6570\u6bd4\u4e3a 1.51, 95% \u53ef\u4fe1\u533a\u95f4 1.07 to 2.14)\u3002\u5728\u63a5\u5230\u7f5a\u5355\u7684\u533b\u751f\u4e2d\uff0c\u5fc3\u5185\u79d1\u533b\u751f\u62e5\u6709\u8c6a\u8f66\u6700\u591a (\u63a5\u5230\u8d85\u901f\u884c\u9a76\u7f5a\u5355\u7684\u5fc3\u5185\u79d1\u533b\u751f\u6821\u6b63\u540e\u62e5\u6709\u8c6a\u8f66\u7684\u6bd4\u4f8b\u4e3a 40.9%, 95% \u53ef\u4fe1\u533a\u95f4 35.9% to 45.9%)\uff0c\u6025\u8bca\u79d1\u533b\u751f\u3001\u5bb6\u5ead\u533b\u751f\u3001\u513f\u79d1\u533b\u751f\u3001\u666e\u901a\u5916\u79d1\u533b\u751f\u4ee5\u53ca\u7cbe\u795e\u79d1\u533b\u751f\u6700\u5c11 (\u4f8b\u5982\uff0c\u6821\u6b63\u540e\u5bb6\u5ead\u533b\u751f\u62e5\u6709\u8c6a\u8f66\u7684\u6bd4\u4f8b\u4e3a 20.6%, 95% \u53ef\u4fe1\u533a\u95f4 18.2% to 23.0%)\u3002 \u8d85\u901f\u6263\u51cf\uff0c\u5373\u7f5a\u5355\u4e2d\u8bb0\u5f55\u7684\u884c\u9a76\u901f\u5ea6\u521a\u597d\u4f4e\u4e8e\u66f4\u5927\u7f5a\u6b3e\u6570\u989d\u9650\u5ea6\uff0c\u662f\u8b66\u5bdf\u5bf9\u8d85\u901f\u884c\u9a76\u4f5c\u51fa\u5bbd\u6055\u7684\u6807\u5fd7\u3002\u8fd9\u4e00\u6bd4\u4f8b\u5728\u4e0d\u540c\u533b\u751f\u4e13\u4e1a\u4ee5\u53ca\u533b\u751f\u4e0e\u975e\u533b\u751f\u4e4b\u95f4\u5e76\u65e0\u663e\u8457\u5dee\u5f02\u3002<\/p>\n\n\n\n

\"\"\/<\/figure>\n\n\n\n
\"\"\/<\/figure>\n\n\n\n
\"\"\/<\/figure>\n\n\n\n
\"\"\/<\/figure>\n\n\n\n

Conclusions<\/strong>\u00a0\u7ed3\u8bba<\/h3>\n\n\n\n

Rates of extreme speeding were highest among psychiatrists who received a ticket, whereas cardiologists were the most likely to be driving a luxury car when ticketed. Leniency by police officers was similar across specialties and between physicians and non-physicians.<\/p>\n\n\n\n

\u63a5\u5230\u8d85\u901f\u884c\u9a76\u7f5a\u5355\u7684\u7cbe\u795e\u79d1\u533b\u751f\u6781\u5ea6\u8d85\u901f\u884c\u9a76\u7684\u6bd4\u4f8b\u6700\u9ad8\uff0c\u800c\u63a5\u5230\u7f5a\u5355\u7684\u5fc3\u5185\u79d1\u533b\u751f\u62e5\u6709\u8c6a\u8f66\u7684\u6bd4\u4f8b\u6700\u9ad8\u3002\u4e0d\u540c\u4e13\u4e1a\u533b\u751f\u4ee5\u53ca\u533b\u751f\u4e0e\u975e\u533b\u751f\u95f4\u8b66\u5bdf\u5bf9\u8d85\u901f\u884c\u9a76\u5bbd\u6055\u7684\u6bd4\u4f8b\u76f8\u4f3c\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"

Research Christmas 2019: Chasing Cars The need for […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[32,23],"tags":[],"_links":{"self":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/18145"}],"collection":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=18145"}],"version-history":[{"count":1,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/18145\/revisions"}],"predecessor-version":[{"id":18146,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/18145\/revisions\/18146"}],"wp:attachment":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=18145"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=18145"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=18145"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}