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The Costs and Benefits of a Screening Program to Detect Dementia in Older Drivers

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  • Sheldon M. Retchin
  • Bruce E. Hillner

Abstract

A Markov model was used to assess the cost-benefit ratios of six strategies of screening older drivers for mental status, beginning at age 65. Probabilities of motor vehicle collisions (MVCs), injuries, and fatalities were obtained from national data. Dementia prevalence, test characteristics, and costs were obtained from the literature. Costs included lost wages, car ownership, alternative transportation, and injuries. Using a relative risk of MVC for those with dementia of 5 and a 5% annual discounting rate, the average cost per driver ranged from $51,600 (no testing) to $58,400 (testing every five years). The benefit was

Suggested Citation

  • Sheldon M. Retchin & Bruce E. Hillner, 1994. "The Costs and Benefits of a Screening Program to Detect Dementia in Older Drivers," Medical Decision Making, , vol. 14(4), pages 315-324, October.
    • Handle: RePEc:sae:medema:v:14:y:1994:i:4:p:315-324
    DOI: 10.1177/0272989X9401400402
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