美国针对老年驾驶员的驾驶康复项目。
Driving rehabilitation programs for older drivers in the United States.
作者信息
Betz Marian E, Dickerson Anne, Coolman Tyler, Schold Davis Elin, Jones Jacqueline, Schwartz Robert
机构信息
1Department of Emergency Medicine, School of Medicine, University of Colorado Anschutz Medical Campus , Aurora, Colorado , USA.
出版信息
Occup Ther Health Care. 2014 Jul;28(3):306-17. doi: 10.3109/07380577.2014.908336.
Abstract
The objective of this study was to describe the services, referral and reporting practices, and barriers to utilization of driver rehabilitation programs (DRPs) for older drivers. Identified through two national association databases, 204 DRPs completed an online survey. DRP availability varies, with a median of one program per 64,151 older adults (range: 1,006-676,981). The median cost for a complete evaluation was $400; 36% of DRPs reported no third-party reimbursement. Participants thought barriers to DRP use include cost/reimbursement, lack of program awareness, and issues with evaluator training. Models for insurance reimbursement, and increased awareness of program benefits by healthcare providers and older drivers, are needed.
摘要
本研究的目的是描述老年驾驶员的驾驶康复项目（DRP）的服务、转诊及报告实践，以及利用这些项目的障碍。通过两个全国性协会数据库确定了204个驾驶康复项目，并完成了一项在线调查。驾驶康复项目的可及性各不相同，每64,151名老年人中平均有一个项目（范围：1,006 - 676,981）。一次完整评估的平均费用为400美元；36%的驾驶康复项目报告称没有第三方报销。参与者认为使用驾驶康复项目的障碍包括费用/报销、对项目缺乏了解，以及评估人员培训问题。需要建立保险报销模式，并提高医疗保健提供者和老年驾驶员对项目益处的认识。
相似文献
1
Driving rehabilitation programs for older drivers in the United States.美国针对老年驾驶员的驾驶康复项目。
Occup Ther Health Care. 2014 Jul;28(3):306-17. doi: 10.3109/07380577.2014.908336.
2
On the road again after traumatic brain injury: driver safety and behaviour following on-road assessment and rehabilitation.创伤性脑损伤后再次上路：道路评估与康复后的驾驶员安全与行为
Disabil Rehabil. 2016;38(10):994-1005. doi: 10.3109/09638288.2015.1074293. Epub 2015 Aug 27.
3
Evaluation of the Older Driver.老年驾驶员评估
Prim Care. 2017 Sep;44(3):457-467. doi: 10.1016/j.pop.2017.05.003.
4
Survey of Occupational Therapy Driver Assessors' Rehabilitation Interventions With Older Drivers.职业治疗驾驶员评估师对老年驾驶员康复干预的调查。
OTJR (Thorofare N J). 2022 Apr;42(2):115-126. doi: 10.1177/15394492211050634. Epub 2021 Oct 13.
5
Evaluating driving as a valued instrumental activity of daily living.评估驾驶作为有价值的日常生活工具性活动。
Am J Occup Ther. 2011 Jan-Feb;65(1):64-75. doi: 10.5014/ajot.2011.09052.
6
Documentation and reimbursable for driver rehabilitation services.驾驶员康复服务的文件记录及可报销情况。
Occup Ther Health Care. 2014 Apr;28(2):209-22. doi: 10.3109/07380577.2014.904960.
7
Occupational therapy interventions to promote driving and community mobility for older adults with low vision: a systematic review.职业疗法干预措施促进低视力老年人驾驶和社区活动能力：系统评价。
Am J Occup Ther. 2013 May-Jun;67(3):296-302. doi: 10.5014/ajot.2013.005660.
8
The association of physical activity, cognitive processes and automobile driving ability in older adults: A review of the literature.老年人身体活动、认知过程与汽车驾驶能力之间的关联：文献综述
Geriatr Nurs. 2016 Jul-Aug;37(4):313-20. doi: 10.1016/j.gerinurse.2016.05.004. Epub 2016 May 31.
9
Neuropsychological assessment of geriatric driving competence.老年驾驶能力的神经心理学评估。
Brain Inj. 2005 Mar;19(3):221-6. doi: 10.1080/02699050400017213.
10
Driver rehabilitation programs: defining program models, services, and expertise.驾驶员康复计划：定义计划模式、服务和专业知识。
Occup Ther Health Care. 2014 Apr;28(2):177-87. doi: 10.3109/07380577.2014.903582.
引用本文的文献
1
Toward Safe and Confident Silver Drivers: Interview Study Investigating Older Adults' Driving Practices.迈向安全自信的银发司机：探讨老年人驾驶行为的访谈研究。
JMIR Aging. 2024 Aug 12;7:e57402. doi: 10.2196/57402.
2
"You just have to be careful how you do it": A qualitative study of the Healthwise decision aid for older drivers.“你只需要小心操作即可”：一项针对老年驾驶员的 Healthwise 决策辅助工具的定性研究。
Traffic Inj Prev. 2024;25(6):781-787. doi: 10.1080/15389588.2024.2351203. Epub 2024 Jun 11.
3
Addressing the Complex Driving Needs of an Aging Population.满足老年人口复杂的驾驶需求。
JAMA. 2023 Sep 26;330(12):1187-1188. doi: 10.1001/jama.2023.16093.
4
Visual functions associated with on-road performance by older drivers evaluated by a certified driving rehabilitation specialist.由认证驾驶康复专家评估的老年驾驶员的道路行驶表现相关视觉功能。
Ophthalmic Physiol Opt. 2022 Jul;42(4):879-886. doi: 10.1111/opo.12985. Epub 2022 Mar 31.
5
The Advancing Understanding of Transportation Options (AUTO) study: design and methods of a multi-center study of decision aid for older drivers.交通选择进阶理解（AUTO）研究：一项针对老年驾驶员决策辅助工具的多中心研究的设计与方法
Inj Epidemiol. 2021 May 3;8(1):23. doi: 10.1186/s40621-021-00310-4.
6
Driver Rehabilitation Utilization and Need Among Community-Dwelling Older Adults.社区居住的老年人中的驾驶员康复利用和需求。
Am J Occup Ther. 2021 Mar-Apr;75(2):7502205040p1-7502205040p7. doi: 10.5014/ajot.2020.040501.
7
Utilization of driving and other transportation rehabilitation in the National Health and Aging Trends Study.在国家健康老龄化趋势研究中利用驾驶和其他交通康复。
Disabil Health J. 2020 Jul;13(3):100911. doi: 10.1016/j.dhjo.2020.100911. Epub 2020 Feb 19.
8
Physician and Family Discussions about Driving Safety: Findings from the LongROAD Study.医生与患者家庭关于驾驶安全的讨论：来自 LongROAD 研究的结果。
J Am Board Fam Med. 2019 Jul-Aug;32(4):607-613. doi: 10.3122/jabfm.2019.04.180326.
9
Construction and Validation of the 21 Item Fitness-to-Drive Screening Measure Short-Form.21项驾驶适宜性筛查量表简表的构建与验证
Front Public Health. 2018 Dec 6;6:339. doi: 10.3389/fpubh.2018.00339. eCollection 2018.
10
Prospective Validation of a Screening Tool to Identify Older Adults in Need of a Driving Evaluation.前瞻性验证一种筛选工具，以识别需要驾驶评估的老年人。
J Am Geriatr Soc. 2018 Feb;66(2):357-363. doi: 10.1111/jgs.15222. Epub 2017 Dec 12.
本文引用的文献
1
Recruitment of older drivers from primary care clinics for on-road fitness-to-drive testing: results of a pilot study.从基层医疗诊所招募老年驾驶员进行道路驾驶适任性测试：一项试点研究的结果
J Am Geriatr Soc. 2014 Jul;62(7):1388-90. doi: 10.1111/jgs.12913.
2
Driving with dementia: evaluation, referral, and resources.痴呆症患者驾车：评估、转诊及资源
Occup Ther Health Care. 2014 Jan;28(1):62-76. doi: 10.3109/07380577.2013.867091.
3
The overall program effects of California's 3-Tier Assessment System pilot on crashes and mobility among senior drivers.加利福尼亚州三级评估系统试点对老年驾驶员事故和机动性的整体计划效果。
J Safety Res. 2013 Dec;47:1-8. doi: 10.1016/j.jsr.2013.06.002. Epub 2013 Jul 16.
4
Driving assessment tools used by driver rehabilitation specialists: survey of use and implications for practice.驾驶员康复专家使用的驾驶评估工具：使用情况调查及对实践的启示。
Am J Occup Ther. 2013 Sep-Oct;67(5):564-73. doi: 10.5014/ajot.2013.007823.
5
Physician knowledge, assessment, and reporting of older driver fitness.医生对老年驾驶员健康状况的了解、评估及报告。
Occup Ther Health Care. 2011 Oct;25(4):213-24. doi: 10.3109/07380577.2011.607227.
6
Protocol for Candrive II/Ozcandrive, a multicentre prospective older driver cohort study.Candrive II/Ozcandrive 研究方案：一项多中心前瞻性老年驾驶员队列研究。
Accid Anal Prev. 2013 Dec;61:245-52. doi: 10.1016/j.aap.2013.02.009. Epub 2013 Mar 7.
7
Certified driver rehabilitation specialists' preferred situations for driving simulator scenarios.认证驾驶员康复专家首选的驾驶模拟器场景情况。
Am J Occup Ther. 2012 Jan-Feb;66(1):110-4. doi: 10.5014/ajot.2012.001594.
8
Contribution of off-road tests to predicting on-road performance: a critical review of tests.越野测试对预测道路行驶性能的贡献：对测试的批判性综述
Aust Occup Ther J. 2012 Feb;59(1):89-97. doi: 10.1111/j.1440-1630.2011.00989.x. Epub 2011 Dec 28.
9
Survey of driving evaluation and rehabilitation curricula in occupational therapy programs.职业治疗项目中的驾驶评估和康复课程调查。
Am J Occup Ther. 2011 Mar-Apr;65(2):217-20. doi: 10.5014/ajot.2011.000810.
10
Evaluating driving as a valued instrumental activity of daily living.评估驾驶作为有价值的日常生活工具性活动。
Am J Occup Ther. 2011 Jan-Feb;65(1):64-75. doi: 10.5014/ajot.2011.09052.
Zotero 插件