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Related Experiment Videos

The aging driver. Medicine, policy, and ethics.

D B Reuben1, R A Silliman, M Traines

  • 1Rhode Island Hospital, Division of General Internal Medicine, Providence 02902.

Journal of the American Geriatrics Society
|December 1, 1988
PubMed
Summary

As America

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Area of Science:

  • Geriatrics
  • Public Health
  • Medical Ethics

Background:

  • The aging population in America is increasing, leading to more older adults on the road.
  • Physiological changes and common diseases in the elderly can impair safe driving abilities.
  • Limited state-specific guidelines for older drivers place the responsibility on physicians for medical competence assessments.

Purpose of the Study:

  • To review medical criteria for assessing driving competence in older adults.
  • To discuss the ethical considerations surrounding driving cessation for the elderly.
  • To report current legal regulations relevant to physicians and aging drivers.

Main Methods:

  • Review of medical literature on aging and driving.
  • Analysis of physiological changes affecting driving.
  • Examination of chronic diseases impacting driving safety.
  • Discussion of ethical dilemmas and legal frameworks.

Main Results:

  • Normal aging can reduce sensory input, especially vision, crucial for driving.
  • Conditions like coronary artery disease, dementia, diabetes, and drug use increase crash risks.
  • Ethical conflicts arise between individual driving benefits and public safety risks.

Conclusions:

  • Physicians play a critical role in evaluating driving competence and counseling older patients.
  • A comprehensive approach is needed, considering medical, ethical, and legal aspects.
  • Further research is required to establish clearer guidelines for aging drivers.

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