@article{ref1,
title="Evaluating medically at-risk drivers: a survey of assessment practices in Canada",
journal="Canadian journal of occupational therapy",
year="2013",
author="Vrkljan, Brenda H. and Myers, Anita M. and Crizzle, Alexander M. and Blanchard, Robin A. and Marshall, Shawn C.",
volume="80",
number="5",
pages="295-303",
abstract="BACKGROUND: Assessing medical fitness to drive (FTD) can include both off- and on-road testing, although consistency of practice is unclear. <br><br>PURPOSE: To examine actual practices being used to assess FTD at driver assessment centres (DACs) across Canada. <br><br>METHOD: Surveys e-mailed to 90 DACs were returned by 47 assessors. <br><br>FINDINGS: The majority of respondents (89%) were occupational therapists. Assessors reported doing an average of eight FTD assessments per month (range = I to 40) at an average cost of $366 (SD = $225; range = $40 to $985). Referrals came from physicians (96%), other health professionals (70%), and licensing authorities (66%). Clients with stroke, dementia, traumatic brain injury, mild cognitive impairment, and multiple sclerosis composed 62% of estimated caseloads. Assessments took 3 hr on average (range = 1.24 to 4.5 hr); 64% reported they always took clients on road regardless of clinic results. IMPLICATIONS: Evidence-based guidelines for training and assessment are clearly needed given the inconsistency in practice.<p /> <p>Language: en</p>",
language="en",
issn="0008-4174",
doi="",
url="http://dx.doi.org/"
}