Hogan David B, Scialfa Charles T, Caird Jeff K
Department of Medicine, Faculty of Medicine, University of Calgary, Calgary, AB;
Department of Psychology, Faculty of Arts, University of Calgary, Calgary, AB.
Can Geriatr J. 2014 Jun 3;17(2):76-81. doi: 10.5770/cgj.17.111. eCollection 2014 Jun.
The rapidly increasing number of older drivers is accentuating the challenges in concurrently identifying older drivers posing an unacceptable risk if they continue to drive, while not discriminating against those capable of safely driving. Attendees of an invitational meeting about the assessment of older drivers were asked to participate in a modified Delphi process designed to develop consensus statements on the assessment of older drivers.
Forty-one non-student symposium attendees were invited to participate in two rounds of a survey, in which they were asked to indicate their level of agreement (or disagreement) on a five-point Likert scale to a series of statements about the assessment of older drivers. Consensus was defined as 80% + of respondents either agreeing or disagreeing with a statement.
More than one-half (n = 23) completed the first round of the survey and 12 participated in the second. There was consensus on the need for a modifiable, fair, rational, and widely accessible multi-step approach to the assessment of older drivers. This would require the engagement and support of physicians and other health-care practitioners in identifying and reporting medically at-risk drivers of any age. At a societal level, alternatives to driving a personal motor vehicle should be developed.
An on-going dialogue about this complex issue is required. Decisions should be based on explicitly stated principles and informed by the best available evidence.
老年驾驶员数量的迅速增加，凸显了在识别那些如果继续驾车将带来不可接受风险的老年驾驶员，同时又不歧视那些有能力安全驾驶的老年驾驶员时所面临的挑战。一场关于老年驾驶员评估的邀请会议的与会者被要求参与一个经过改进的德尔菲法流程，该流程旨在就老年驾驶员评估制定共识声明。
邀请了41名非学生研讨会与会者参与两轮调查，要求他们以五点李克特量表表明对一系列关于老年驾驶员评估的声明的同意（或不同意）程度。共识被定义为80%及以上的受访者同意或不同意某一声明。
超过一半（n = 23）的人完成了第一轮调查，12人参与了第二轮。对于需要一种可修改、公平、合理且广泛适用的多步骤老年驾驶员评估方法达成了共识。这将需要医生和其他医疗从业者参与并提供支持，以识别和报告任何年龄段有医学风险的驾驶员。在社会层面，应开发个人机动车驾驶的替代方式。
需要就这个复杂问题持续进行对话。决策应基于明确阐述的原则，并以现有最佳证据为依据。
