| Medical review of fitness to drive in older drivers: the Maryland experience. | |
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MedLine Citation:
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PMID: 18696391 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Over the next several decades, both the number and percentage of older drivers will increase dramatically. Older age is inherently associated with medical conditions, particularly those involving cognition and vision, that can affect medical fitness to drive. Over a 60-year period, the Maryland Motor Vehicle Administration (MVA) in conjunction with its medical advisory board (MAB) has matured a comprehensive system to identify at-risk older drivers and to assess their medical fitness to drive. METHODS: This paper describes the medical review process in general, and in particular for older drivers, that has evolved in the state of Maryland. The resources, philosophy and research underpinnings of its MAB review process are examined. RESULTS: Studies of functional screening measures in older drivers indicate that older drivers at risk of being at-fault for future crashes can be identified. The feasibility of using such screening measures for drivers referred to the MVA has been confirmed by practical use for a period of seven years. CONCLUSIONS: It is possible to create a medical review process with a goal of "safe mobility for life" that supports preservation of the driving privilege among many older drivers. |
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Authors:
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Carl A Soderstrom; John J Joyce |
Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Traffic injury prevention Volume: 9 ISSN: 1538-957X ISO Abbreviation: Traffic Inj Prev Publication Date: 2008 Aug |
Date Detail:
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Created Date: 2008-08-12 Completed Date: 2008-10-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101144385 Medline TA: Traffic Inj Prev Country: United States |
Other Details:
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Languages: eng Pagination: 342-9 Citation Subset: IM |
Affiliation:
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Medical Advisory Board, Maryland Motor Vehicle Administration, Glen Burnie, Maryland 21062, USA. csoderstrom@mdot.state.md.us |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Accident Prevention
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standards,
statistics & numerical data Accidents, Traffic / prevention & control*, statistics & numerical data Aged Aged, 80 and over Automobile Driving / legislation & jurisprudence*, statistics & numerical data Female Geriatric Assessment Health Status Humans Licensure / legislation & jurisprudence, statistics & numerical data Male Maryland Mental Competency Mental Status Schedule Physical Fitness / physiology*, psychology* Risk Assessment Safety Management Task Performance and Analysis |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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