Journal article
Medical referral and license disposition for drivers in Iowa
Journal of safety research, Vol.76, pp.83-89
02/2021
DOI: 10.1016/j.jsr.2020.12.001
PMID: 33653572
Abstract
Introduction: Driver retirement and determination of fitness-to-drive are important aspects of reducing the risk of motor-vehicle collision for an older driver. A lack of information about the review process may lead to poor evaluation of drivers or an increased testing burden to referred drivers. Methods: This paper evaluates the license review process for the state of Iowa. We evaluated data from January 2014 to January 2018 and described the source of referral, testing process, and ultimate license disposition. Cox proportional hazards for competing risk were used to determine the risk of having a change in restrictions on the license and the risk of license denial. Results: 20,742 individuals were followed through the medical referral process. The most common source of referrals was licensing officials (39.7%). Drivers referred by licensing officials were less likely to be denied their license when compared to drivers from other sources (HR = 0.92 95%CI: 0.87–0.98); however, licensing official referrals were more likely to result in license restrictions compared to other sources (HR = 1.91, 95%CI: 1.82–2.00). Drivers referred by either law enforcement or a physician were more likely to ultimately have their license denied. Conclusions: Physician and law enforcement referred the drivers most likely to have their license denied. A smaller proportion of drivers were referred by physicians and law enforcement compared to licensing officials. Practical Applications: Licensing agencies should work with physicians and law enforcement to identify drivers who may need a review of their license. Comprehensive tracking of all medical referrals for a driver’s license review is important for individual states to understand the burden of their driver referral process and for identifying referral sources with a high proportion of referrals with no licensing change for targeted outreach and education.
Details
- Title: Subtitle
- Medical referral and license disposition for drivers in Iowa
- Creators
- Jonathan Davis - University of Iowa Injury Prevention Research Center, 2195 Westlawn, Iowa City, IA 52242, USACara Hamann - University of Iowa Injury Prevention Research Center, 2195 Westlawn, Iowa City, IA 52242, USABrandon D Butcher - University of Iowa Injury Prevention Research Center, 2195 Westlawn, Iowa City, IA 52242, USACorinne Peek-Asa - University of Iowa Injury Prevention Research Center, 2195 Westlawn, Iowa City, IA 52242, USA
- Resource Type
- Journal article
- Publication Details
- Journal of safety research, Vol.76, pp.83-89
- DOI
- 10.1016/j.jsr.2020.12.001
- PMID
- 33653572
- NLM abbreviation
- J Safety Res
- ISSN
- 0022-4375
- eISSN
- 1879-1247
- Publisher
- Elsevier Ltd
- Grant note
- DOI: 10.13039/100005217, name: National Center for Injury Prevention and Control; DOI: 10.13039/100014791, name: Iowa Department of Transportation
- Language
- English
- Date published
- 02/2021
- Academic Unit
- Occupational and Environmental Health; Epidemiology; Nursing; Center for Social Science Innovation; Injury Prevention Research Center; Public Policy Center (Archive)
- Record Identifier
- 9984214809002771
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