TY  - JOUR
T1  - COgnitively impaired older drivers, risk assessment, and physician responsibility—reply
AU  - Carr DB, Ott BR
Y1  - 2010/08/18
N1  - 10.1001/jama.2010.1150
JO  - JAMA
SP  - 744
EP  - 745
VL  - 304
IS  - 7
N2  - 
In Reply: Dr Finucane raises several excellent points. We agree that the issue of confidentiality must be weighed in decisions to report at-risk cognitively impaired older drivers. Physicians have an obligation to protect health information, and that breech of confidentiality to a third party has to be carefully considered. In the case of dementia, physicians are often faced with patients who lack insight and decision-making capacity. In this instance, involving a surrogate decision maker or a third party like the state may not only be appropriate but also be justifiable from both a legal and ethical standpoint.1

SN  - 0098-7484
M3  - doi: 10.1001/jama.2010.1150
UR  - http://dx.doi.org/10.1001/jama.2010.1150
ER  -