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Occupational Therapy In Health Care Volume 28, 2014 - Issue 3
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Research Article

Driving Rehabilitation Programs for Older Drivers in the United States

Marian E. BetzDepartment of Emergency Medicine, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USACorrespondence[email protected]
,
Anne DickersonDepartment of Occupational Therapy, East Carolina University, Greenville, North Carolina, USA
,
Tyler CoolmanDepartment of Emergency Medicine, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA
,
Elin Schold DavisAmerican Occupational Therapy Association, Bethesda, Maryland, USA
,
Jacqueline JonesCollege of Nursing, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA
&
Robert SchwartzDepartment of Medicine, Division of Geriatric Medicine, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA
Pages 306-317 | Received 03 Feb 2014, Accepted 22 Mar 2014, Published online: 27 Jun 2014
 
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ABSTRACT

The objective of this study was to describe the services, referral and reporting practices, and barriers to utilization of driver rehabilitation programs (DRPs) for older drivers. Identified through two national association databases, 204 DRPs completed an online survey. DRP availability varies, with a median of one program per 64,151 older adults (range: 1,006–676,981). The median cost for a complete evaluation was $400; 36% of DRPs reported no third-party reimbursement. Participants thought barriers to DRP use include cost/reimbursement, lack of program awareness, and issues with evaluator training. Models for insurance reimbursement, and increased awareness of program benefits by healthcare providers and older drivers, are needed.

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