Introduction

This study systematically reviewed the literature on key issues relating to the safety benefits of older drivers attending an in-person licence renewal. This included identifying: 1) screening tools that are suitable for inclusion in a populationbased in-person licence renewal process for drivers aged 75 years and older which: a) can be administered by non-health professionals (or via a computer terminal/smart device), and b) are compatible with Australian fitness to drive requirements; 2) the evidence that in-person licence renewal policies are associated with safety benefits, as defined by: a) a reduction in motor vehicle crash risk, or b) on-road driving test outcomes.

Methods

This review was registered with PROSPERO 2019: CRD42019120809. A systematic search of public health, psychology and transport databases was conducted on March 20th 2019.

Results

Five studies published between 1986 and 2011 met the inclusion criteria. The review did not identify any suitable screening tools for inclusion in a population-based in-person licence renewal process for older drivers. There was inconclusive evidence regarding the safety benefits associated with in-person licence renewal policies for older drivers. Two studies reported that these policies were associated with a reduced crash risk. However, two studies reported that these policies were not associated with a reduced crash risk, and a third study provided inconclusive evidence. It is important to note that the included studies were conducted across different licensing jurisdictions, with different in-person licence renewal policies – both with and without vision and cognitive testing, which limit the generalisability of the findings.

Conclusions

It is recommended that a population-based controlled research study in multiple licensing jurisdictions is conducted to specifically investigate the safety benefits of in-person licence renewal policies, as well as the efficacy of different components (including screening by health professionals prior to renewal), as a means to reduce road trauma.

中文翻译：

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参加亲自驾驶执照更新的年长驾驶员的安全利益

介绍

这项研究系统地回顾了有关与面对面驾驶执照更新的老年驾驶员的安全利益有关的关键问题的文献。这包括确定：1）适用于年龄在75岁及以上的驾驶员的基于人群的面对面驾驶执照更新过程的筛选工具，其中：a）可以由非保健专业人员（或通过计算机终端/智能设备）管理）和b）符合澳大利亚人对驾驶的要求；2）亲自驾驶执照更新政策与安全利益相关联的证据，其定义为：a）减少机动车碰撞风险，或b）道路驾驶测试结果。

方法

该评论已在PROSPERO 2019注册：CRD42019120809。2019年3月20日对公共卫生，心理学和交通数据库进行了系统搜索。

结果

1986年至2011年发表的五项研究符合纳入标准。审查未发现任何合适的筛选工具，可将其包括在针对老年人的基于人群的亲自执照更新流程中。没有证据表明与老年人驾驶执照续签政策有关的安全利益。两项研究报告说，这些政策与降低的坠机风险有关。但是，两项研究报告说这些政策与降低的坠机风险没有关系，第三项研究提供了不确定的证据。重要的是要注意，所包括的研究是在不同的许可辖区进行的，具有不同的亲自执照更新政策-无论是否进行视力和认知测试，这都会限制研究结果的推广性。

结论

建议在多个许可辖区进行基于人群的对照研究，以专门调查亲自执照更新政策的安全性以及不同组成部分的功效（包括在更新之前由卫生专业人员进行筛查），作为减少道路创伤的一种手段。