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Using "Age" as a Fitness-to-Drive Criterion for Older Adults

H. Tuokko and F. Hunter (Biography)
September 2002

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EXECUTIVE SUMMARY


PART ONE: THE OLDER DRIVER : INTRODUCTION AND GENERAL COMMENTS

PART TWO: CURRENT AGE-RELATED "FITNESS-TO DRIVE" STANDARDS

1. OVERVIEW
2. STATUTORY AGE-RELATED LAWS
   A. ALBERTA AND YUKON
   B. QUEBEC
   
3. REGULATORY AGE-RELATED LAWS
   A. NOVA SCOTIA
   B. NEW BRUNSWICK
   C. NEWFOUNDLAND
   D. NORTHWEST TERRITORIES AND NUNAVUT
   E. ONTARIO
   
4. AGE-RELATED POLICIES
5. OTHER AGE-RELATED CONSIDERATIONS: REPORTS OF HEALTH CARE PROFESSIONALS
6. SUMMARY

PART THREE: REVIEW OF FACTORS THAT IMPACT ABILITY TO DRIVE

1. INTRODUCTION
2. SENSORY AND MOTOR CONDITIONS
3. MENTAL FUNCTIONING
   A. ABRUPT CHANGE IN MENTAL FUNCTIONING
   B. FLUCTUATIONS IN MENTAL FUNCTIONING
   C. PROGRESSIVE NEURODEGENERATIVE DISORDERS
   
4. FRAILTY
5. SUMMARY

PART FOUR: LEGAL CHALLENGES TO AGE-RELATED TESTING LAWS

1. INTRODUCTION
2. HUMAN RIGHTS LEGISLATION
3. CHALLENGES UNDER THE CANADIAN CHARTER OF RIGHTS AND FREEDOMS
4. APPEAL PROCESSES WITHIN PROVINCIAL LEGISLATION
5. CONCLUSIONS

PART FIVE: CONSULTATIONS

1. HOW DO YOU VIEW MANDATORY DRIVING RE-EVALUATIONS BASED ON AGE?
2. HOW ADEQUATE DO YOU THINK EVALUATIONS BASED ON AGE ARE FOR IDENTIFYING PROBLEM DRIVERS? HOW COMFORTABLE DO YOU THINK ASSESSORS ARE IN MAKING AN ASSESSMENT AS TO WHETHER A PERSON IS SUFFICIENTLY IMPAIRED SO AS TO PRESENT A HAZARD ON THE ROAD?
3. ARE THERE OTHER FACTORS THAT INFLUENCE DRIVING OTHER THAN AGE? UNDER WHAT CONDITIONS WOULD YOU RECOMMEND FITNESS-TO-DRIVE EVALUATION?
4. WHAT ARE THE BENEFITS AND DRAWBACKS OF FITNESS-TO-DRIVE EVALUATIONS?
5. HOW IMPORTANT AN ISSUE IS DRIVING TO OLDER ADULTS?
6. HOW COULD THE PROCEDURE BE IMPROVED? WHAT WOULD YOU RECOMMEND TO IMPROVE DRIVING CONDITIONS FOR OLDER ADULTS?
7. SUMMARY

PART SIX: SUMMARY AND RECOMMENDATIONS

1. OVERVIEW
2. SUMMARY
3. RESEARCH FINDINGS
4. ALTERNATIVE METHODS
   A. PERIODIC MEDICAL EVALUATIONS
   B. GREATER SPECIFICITY IN MEDICAL REQUIREMENTS
   C. REPORTING REQUIREMENTS
   D. OTHER TRIGGERS
   
5. CONCLUSION

APPENDIX 1. PROVINCIAL AGE-BASED CRITERIA

APPENDIX 2. CONSULTATION PAPER

APPENDIX 3. INTERVIEW QUESTIONS

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