This study investigated reasons why older adults (n=689) were reported to the Driver License Bureau, Missouri Department of Revenue, by family members as potentially unfit to drive with an emphasis on cognitive concerns and associated licensing outcomes. A total of 448 drivers were reported to have some cognitive issue; common symptoms included confusion, memory loss, and becoming lost while driving. Diagnostic labels (Alzheimer's disease (AD), cognitive impairment/dementia, brain injury/insult) were listed for 365 cases. A physician evaluation is required for license review. Of those with a diagnostic label, half (51%, n=187) failed to submit this evaluation and almost all were de-licensed immediately. Of those evaluated by a physician, diagnostic agreement between family members and physicians was high for specific conditions (100% for AD, 97% for acute brain injury), and less so for cognitive impairment/dementia (75%). This latter finding suggests that physicians and family members may understand cognitive symptoms differently. Whether cognitively impaired or not, few family reported drivers in this sample (∼2%) retained a valid license. Family members may be in the best position to recognize when medical-functional deficits impact on driving safety, and physicians and driver licensing authorities would do well to take their observations into account with respect to older driver fitness.


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    Titel :

    Family reports of medically impaired drivers in Missouri: cognitive concerns and licensing outcomes




    Erscheinungsdatum :

    2015




    Medientyp :

    Aufsatz (Zeitschrift)


    Format :

    Print


    Sprache :

    Englisch



    Klassifikation :

    BKL:    44.80 / 44.80 Unfallmedizin, Notfallmedizin / 55.84 / 55.24 / 55.84 Straßenverkehr / 55.24 Fahrzeugführung, Fahrtechnik



    Family reports of medically impaired drivers in Missouri: Cognitive concerns and licensing outcomes

    Meuser, Thomas M. / Carr, David B. / Unger, Elizabeth A. et al. | Elsevier | 2014


    Motor-vehicle crash history and licensing outcomes for older drivers reported as medically impaired in Missouri

    Meuser, Thomas M. / Carr, David B. / Ulfarsson, Gudmundur F. | Elsevier | 2008




    Medically Impaired Drivers: An Evaluation of California Policy

    M. E. Janke / R. C. Peck / D. R. Dreyer | NTIS | 1978