School of Health, University of the Sunshine Coast, Queensland, Australia.
J Safety Res. 2023 Jun;85:42-51. doi: 10.1016/j.jsr.2023.01.005. Epub 2023 Feb 2.
With an aging population there are more older drivers than ever before. To reduce unnecessary road accidents and assist older drivers to successfully transition to non-driving, a better understanding of the factors that influence planning for driving retirement is required. This review explores documented factors that may influence older adults in planning for driving retirement, thus providing new understandings that can inform future preventative road safety measures, interventions, and policies.
A systematic search was performed using four databases to locate qualitative studies on the factors that influenced older drivers to plan for driving retirement. To identify factors influencing planning for driving retirement, a thematic synthesis approach was utilized. Identified themes were categorized in relation to elements of the Social Ecological Model theoretical framework.
The systematic search resulted in 12 included studies from 4 countries. Four major themes and 11 subthemes were identified regarding planning driver retirement. Each subtheme denotes a factor that may facilitate and/or impede older drivers planning for driving retirement.
These results indicate that it is vitally important to encourage older drivers to plan for driving retirement as early as possible. Stakeholders involved in the safety of older drivers (including family, clinicians, road authorities, and policy makers) should work together on interventions and policies that empower older drivers to successfully plan for driving retirement in order to improve road safety and quality of life.
Introducing conversations about driving retirement via medical appointments, family, media, and peer-support groups could facilitate planning for driving retirement. Community-based ride-sharing systems and subsidized private transport options are needed to ensure continued mobility of older adults, especially in rural and regional areas that lack alternate transport services. When devising urban and rural planning, transport, license renewal, and medical testing rules, policy makers should consider older drivers' safety, mobility, and quality of life after driving retirement.
随着人口老龄化，老年司机比以往任何时候都多。为了减少不必要的道路交通事故，帮助老年司机顺利过渡到非驾驶状态，需要更好地了解影响驾驶退休计划的因素。本综述探讨了可能影响老年司机规划驾驶退休的有案可稽的因素，从而提供新的认识，为未来预防性道路安全措施、干预措施和政策提供信息。
使用四个数据库进行了系统搜索，以查找关于影响老年司机规划驾驶退休因素的定性研究。为了确定影响驾驶退休计划的因素，采用了主题综合方法。确定的主题按社会生态模式理论框架的要素进行分类。
系统搜索结果来自 4 个国家的 12 项纳入研究。确定了 4 个主要主题和 11 个子主题，涉及规划驾驶员退休。每个子主题都表示一个可能促进和/或阻碍老年司机规划驾驶退休的因素。
这些结果表明，鼓励老年司机尽早规划驾驶退休至关重要。涉及老年司机安全的利益相关者（包括家庭、临床医生、道路当局和政策制定者）应共同努力，制定干预措施和政策，赋予老年司机权力，使他们能够成功规划驾驶退休，以提高道路安全和生活质量。
通过医疗预约、家庭、媒体和同伴支持小组引入关于驾驶退休的对话，可以促进驾驶退休规划。需要社区型拼车系统和补贴私人交通选择，以确保老年居民的持续流动性，特别是在缺乏替代交通服务的农村和地区。在制定城市和农村规划、交通、许可证更新和医疗测试规则时，政策制定者应考虑老年司机驾驶退休后的安全、流动性和生活质量。
