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1 results

  • Ethics of Clinical Decision-Making for Older Drivers: Reporting Health-Related Driving Risk

  • Barbara Mazer, Maude Laliberté, Matthew Hunt, Josée Lemoignan, Isabelle Gélinas, Brenda Vrkljan, Gary Naglie, Shawn Marshall
  • Journal:
    Canadian Journal on Aging / La Revue canadienne du vieillissement / Volume 35 / Issue S1 / June 2016
    Published online by Cambridge University Press:
    27 April 2016, pp. 69-80

  • The number of older drivers will continue to increase as the population ages. Health care professionals have the responsibility of providing care and maintaining confidentiality for their patients while ensuring public safety. This article discusses the ethics of clinical decision-making pertaining to reporting health-related driving risk of older drivers to licensing authorities. Ethical considerations inherent in reporting driving risk, including autonomy, confidentiality, therapeutic relationships, and the uncertainty about determining individual driving safety and risk, are discussed. We also address the moral agency of reporting health-related driving risk and raise the question of whose responsibility it is to report. Issues of uncertainty surrounding clinical reasoning and concepts related to risk assessment are also discussed. Finally, we present two case studies to illustrate some of the issues and challenges faced by health care professionals as they seek to balance their responsibilities for their patients while ensuring road safety for all citizens.