Introduction/Rationale: Fitness-to-drive evaluations are essential in determining individuals’ ability to hold a driving license, particularly in the context of cognitive impairments. While European countries, including Switzerland, legislate minimum medical requirements for fitness to drive, Swiss law provides no standardised guidelines for assessing fitness to drive for individuals with cognitive impairments and compensatory interventions for them.
Objectives: This study aims to describe the state of fitness-to-drive assessments, procedures, and compensatory strategies in Switzerland.
Methods/Approach: We developed a web survey in French, German, and Italian, as an interdisciplinary team. The survey addressed both generic and discipline-specific aspects of fitness-to-drive evaluations. It was completed by 324 participants, including employees of driving offices, occupational therapists, physicians, driving instructors, neuropsychologists, and traffic psychologists. Additionally, eight focus groups conducted in French and German explored specific procedures and decision-making.
Results/Practice implications: Findings reveal significant variability in fitness-to-drive assessment across Switzerland, influenced by regional differences and disciplinary practices. This variability is seen in the use and type of cognitive assessment tools, for example. Furthermore, physicians position themselves as the experts, allowed by the law to decide on fitness-to-drive. Occupational therapists provide both on-road evaluations and interventions like mobility transitions, to support individuals unable to meet driving requirements.
Conclusion/Contribution to the occupational therapy profession: Guidelines and interdisciplinary collaboration could enhance the consistency and effectiveness of assessments and interventions nationwide. Countries worldwide need to prepare for the anticipated increase in older adults requiring evaluations.