PMID- 1577499
OWN - NLM
STAT- MEDLINE
DCOM- 19920610
LR  - 20170214
IS  - 0018-7208 (Print)
IS  - 0018-7208 (Linking)
VI  - 34
IP  - 1
DP  - 1992 Feb
TI  - A geriatric and gerontologic perspective on the effects of medical conditions on 
      older drivers: discussion of Waller.
PG  - 17-24
AB  - In discussing Waller's paper, we build on his review of medical conditions and 
      the risk of motor vehicle accidents (MVAs) using principles derived from 
      geriatrics, gerontology, and health services research. Three approaches are 
      suggested. The medical model uses discrete diseases as risk factors, but despite 
      its utility and appeal, this model does not sufficiently characterize health and 
      functional status to be the sole approach, and future investigative efforts 
      should at least consider severity of illness concepts. The functional status 
      model emphasizes a functional and physiological approach to health status, but 
      despite its successful application in geriatric assessment and its investigative 
      promise, functional status can be difficult to measure and has not been validated 
      in relation to MVA risk. Finally we consider a behavioral model and within that 
      framework discuss the relation of depressive and other emotional illnesses as 
      well as social vitality to driving patterns and MVA occurrence.
FAU - Wallace, R B
AU  - Wallace RB
AD  - Department of Preventive Medicine and Environmental Health, University of Iowa 
      College of Medicine, Iowa City 52242.
FAU - Retchin, S M
AU  - Retchin SM
LA  - eng
GR  - AG 07094/AG/NIA NIH HHS/United States
GR  - AG-0-2106/AG/NIA NIH HHS/United States
PT  - Journal Article
PT  - Research Support, U.S. Gov't, P.H.S.
PL  - United States
TA  - Hum Factors
JT  - Human factors
JID - 0374660
SB  - IM
MH  - Accidents, Traffic/legislation & jurisprudence/prevention & control
MH  - Adolescent
MH  - Adult
MH  - Age Factors
MH  - Aged
MH  - Automobile Driving/*legislation & jurisprudence/psychology
MH  - *Chronic Disease
MH  - Geriatric Assessment
MH  - Humans
MH  - Middle Aged
MH  - Risk Factors
EDAT- 1992/02/01 00:00
MHDA- 1992/02/01 00:01
CRDT- 1992/02/01 00:00
PHST- 1992/02/01 00:00 [pubmed]
PHST- 1992/02/01 00:01 [medline]
PHST- 1992/02/01 00:00 [entrez]
AID - 10.1177/001872089203400103 [doi]
PST - ppublish
SO  - Hum Factors. 1992 Feb;34(1):17-24. doi: 10.1177/001872089203400103.