Skip to main content
Erschienen in: Rechtsmedizin 4/2018

09.05.2018 | Review articles

Medical fitness to drive in the EU with special reference to the age factor

verfasst von: É. M. Kereszty, PhD, M. Julesz, PhD

Erschienen in: Rechtsmedizin | Ausgabe 4/2018

Einloggen, um Zugang zu erhalten

Abstract

As a general rule, Annex III of Directive 2006/126/EC of the European Parliament and of the Council on driving licences, does not impose an obligation on drivers to pass an examination of medical fitness to drive in order to obtain a driving licence. According to the EU Directive, EU member States are free to determine the rules of examination of medical fitness to drive. This freedom results in different regulations in different EU countries. In Hungary, the driver’s family physician is allowed to assess medical fitness to drive. This also holds true in the Netherlands but in the Dutch legal system it is only the assessment that is incumbent on the family physician, whilst the permission is accorded by the Central Agency of Fitness to Drive Permission. In Hungary, the certification of medical fitness to drive is issued by the driver’s family physician although the driving licence is issued by the Government Office. In Austria, medical fitness to drive is assessed by a contracted specialised doctor, who must be contracted by the Government Office for a term of 5 years and who has passed a medical officer’s qualification examination but must not be the driver’s family physician. This restriction applies in France as well. In complicated cases, the public health officer has the final word. An interesting parallel is to be found in the regulations of Hungary, Austria, France and the Netherlands: the doctor’s remuneration is not covered by social security. With slight differences, the amount of the fee is similar in all the countries under examination. This fee is to be paid by the driver, meaning that the state does not consider the right to drive as a human right. This is the case despite the fact that many people drive their cars to earn their living.
Literatur
1.
Zurück zum Zitat Costa G (2017) The obstructive sleep apnea syndrome (OSAP): implications for work and occupational health. Med Lavoro 108:251–259PubMed Costa G (2017) The obstructive sleep apnea syndrome (OSAP): implications for work and occupational health. Med Lavoro 108:251–259PubMed
2.
Zurück zum Zitat Dettling A, Vermesse M, Skopp G et al (2015) Consideration of back calculation lag time in drinking after the event constellations. Calculation of blood alcohol concentrations at the time of the event. Rechtsmedizin 25:40–45CrossRef Dettling A, Vermesse M, Skopp G et al (2015) Consideration of back calculation lag time in drinking after the event constellations. Calculation of blood alcohol concentrations at the time of the event. Rechtsmedizin 25:40–45CrossRef
3.
Zurück zum Zitat Fuermaier ABM, Piersma D, de Waard D et al (2017) Assessing fitnes to drive – A validation study on patients with mild cognitive impairment. Traffic Inj Prev 18:145–149CrossRef Fuermaier ABM, Piersma D, de Waard D et al (2017) Assessing fitnes to drive – A validation study on patients with mild cognitive impairment. Traffic Inj Prev 18:145–149CrossRef
4.
Zurück zum Zitat Gener S, Below E, Wegner C et al (2014) Influence on alcohol abstinence control by hand disinfection. Rechtsmedizin 24:252–257CrossRef Gener S, Below E, Wegner C et al (2014) Influence on alcohol abstinence control by hand disinfection. Rechtsmedizin 24:252–257CrossRef
5.
Zurück zum Zitat Germann S, Schaul M, Strohbeck-Kuhner P (2016) Compensation strategies of elderly drivers. Rechtsmedizin 26:279–283CrossRef Germann S, Schaul M, Strohbeck-Kuhner P (2016) Compensation strategies of elderly drivers. Rechtsmedizin 26:279–283CrossRef
6.
Zurück zum Zitat Haussmann R, Wagner T, Muller D et al (2017) Assessment of fitness to drive in patients with MCI and dementia syndrome. Nervenarzt 88:247–253CrossRef Haussmann R, Wagner T, Muller D et al (2017) Assessment of fitness to drive in patients with MCI and dementia syndrome. Nervenarzt 88:247–253CrossRef
7.
Zurück zum Zitat Institóris L, Tóth AR, Molnár A, Árok Z, Kereszty É, Varga T (2013) The frequency of alcohol, licit and illicit drug consumption in the general driving population in South-East Hungary. Forensic Sci Int 224:37–43CrossRef Institóris L, Tóth AR, Molnár A, Árok Z, Kereszty É, Varga T (2013) The frequency of alcohol, licit and illicit drug consumption in the general driving population in South-East Hungary. Forensic Sci Int 224:37–43CrossRef
8.
Zurück zum Zitat Julesz M, Kereszty ÉM (2015) Assessment of medical fitness to drive for drivers on public roads in Hungary and Austria. [Közúti járművezetők egészségi alkalmasságának vizsgálata Magyarországon és Ausztriában]. Magy Közigazgatás 8:49–54 (Hungarian) Julesz M, Kereszty ÉM (2015) Assessment of medical fitness to drive for drivers on public roads in Hungary and Austria. [Közúti járművezetők egészségi alkalmasságának vizsgálata Magyarországon és Ausztriában]. Magy Közigazgatás 8:49–54 (Hungarian)
9.
Zurück zum Zitat Kahvedzic A, McFadden R, Cummins G et al (2015) General practitioner attitudes and practices in medical fitness to drive in Ireland. J Trans Health 2:284–288CrossRef Kahvedzic A, McFadden R, Cummins G et al (2015) General practitioner attitudes and practices in medical fitness to drive in Ireland. J Trans Health 2:284–288CrossRef
10.
Zurück zum Zitat Kirsch B, Dettmeyer R (2016) Driving under the influence of alcohol. A 5‑year analysis of elderly drivers aged 70 years and over (2009–2013). Rechtsmedizin 25:258–263CrossRef Kirsch B, Dettmeyer R (2016) Driving under the influence of alcohol. A 5‑year analysis of elderly drivers aged 70 years and over (2009–2013). Rechtsmedizin 25:258–263CrossRef
11.
Zurück zum Zitat Del Rio CM, Gonzalez-Luque JC, Alvarez FJ (2001) Alcohol-related problems and fitness to drive. Alcohol Alcohol 36:256–261CrossRef Del Rio CM, Gonzalez-Luque JC, Alvarez FJ (2001) Alcohol-related problems and fitness to drive. Alcohol Alcohol 36:256–261CrossRef
12.
Zurück zum Zitat Selander H, Lee HC, Johansson K et al (2011) Older drivers: On-road and off-road test results. Accid Anal Prev 43:1348–1354CrossRef Selander H, Lee HC, Johansson K et al (2011) Older drivers: On-road and off-road test results. Accid Anal Prev 43:1348–1354CrossRef
13.
Zurück zum Zitat Versijpt J, Tant M, Beyer I et al (2017) Alzheimer’s disease and driving: review of the Belgian literature and consensus guideline from Belgian dementia experts and the Belgian road safety institute endorsed by the Belgian Medical Association. Acta Neurol Belg 117:811–819CrossRef Versijpt J, Tant M, Beyer I et al (2017) Alzheimer’s disease and driving: review of the Belgian literature and consensus guideline from Belgian dementia experts and the Belgian road safety institute endorsed by the Belgian Medical Association. Acta Neurol Belg 117:811–819CrossRef
Metadaten
Titel
Medical fitness to drive in the EU with special reference to the age factor
verfasst von
É. M. Kereszty, PhD
M. Julesz, PhD
Publikationsdatum
09.05.2018
Verlag
Springer Medizin
Erschienen in
Rechtsmedizin / Ausgabe 4/2018
Print ISSN: 0937-9819
Elektronische ISSN: 1434-5196
DOI
https://doi.org/10.1007/s00194-018-0247-5

Weitere Artikel der Ausgabe 4/2018

Rechtsmedizin 4/2018 Zur Ausgabe

Mitteilungen der Deutschen Gesellschaft für Rechtsmedizin

Mitteilungen der Deutschen Gesellschaft für Rechtsmedizin

Neu im Fachgebiet Rechtsmedizin