| Physician input and licensing of at-risk drivers: A review of all-inclusive medical evaluation forms in the US and Canada. | |
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MedLine Citation:
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PMID: 22310038 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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This article details a systematic review of medical evaluation forms in support of licensing decisions for medically at-risk drivers. Comparisons were made between all-inclusive forms utilized by 52 State and Provincial Departments of Motor Vehicles (DMVs) in the US and Canada. Comparisons focused on length, format, content, instructional quality, medical coverage, ease of use, and other qualitative characteristics. Median page length was 2 (range 1-10), and mean word count was 1083 (494-3884). Common response options included open-ended (98%), forced choice (87%), and check box (81%). While the majority of forms (77%) required driver consent, only 24% requested information from the driver. Less than half (46%) included text on confidentiality protection. While all forms requested general medical information, just over half included specific sections for vision (54%) and cognitive/neurological conditions (56%). Most forms (81%) required that a judgment be made concerning driver safety, and half prompted for possible license restrictions. Criterion-based quality ratings were assigned on a five-point Likert scale by group consensus. One third of forms were rated as marginal or poor in comprehensiveness and utility, and just two garnered an excellent overall rating. Findings are discussed relative to current research on driver fitness and elements of a proposed model form. Best practice recommendations include a page length limitation, emphasis on in-person evaluation (i.e., as opposed to a records-only review), prompts to collect crash and other driving history information, clear instructions and stepwise format, content prompts across relevant medical categories, documentation of functional status and impairment levels, options for driving with restrictions in lieu of de-licensing, and emphasis on relative (vs. absolute) clinical judgments of overall driver safety. |
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Authors:
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Thomas M Meuser; Marla Berg-Weger; Patricia M Niewoehner; Annie C Harmon; Jill C Kuenzie; David B Carr; Peggy P Barco |
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Publication Detail:
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Type: Journal Article Date: 2012-01-20 |
Journal Detail:
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Title: Accident; analysis and prevention Volume: 46 ISSN: 1879-2057 ISO Abbreviation: Accid Anal Prev Publication Date: 2012 May |
Date Detail:
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Created Date: 2012-02-07 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 1254476 Medline TA: Accid Anal Prev Country: England |
Other Details:
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Languages: eng Pagination: 8-17 Citation Subset: IM |
Copyright Information:
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Copyright © 2011 Elsevier Ltd. All rights reserved. |
Affiliation:
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School of Social Work, University of Missouri - St. Louis, One University Blvd., 134D Bellerive Hall, St. Louis, MO 63121, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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