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Experienced processes and outcomes of driving license withdrawal due to visual field loss: A Swedish survey study of trust in authorities
Swedish National Road and Transport Research Institute, Society, environment and transport, Mobility, actors and planning processes. The Swedish Institute for Disability Research, Örebro University, Sweden.ORCID iD: 0000-0002-4984-7857
Swedish National Road and Transport Research Institute, Traffic and road users.ORCID iD: 0000-0003-2292-3722
Örebro University, Sweden; Dalarna University, Sweden.ORCID iD: 0000-0002-4578-0501
2023 (English)In: Transportation Research Interdisciplinary Perspectives, E-ISSN 2590-1982, Vol. 17, article id 100758Article in journal (Refereed) Published
Abstract [en]

Citizen perceptions of justice, regarding both processes and outcomes, are closely related to the perceived legitimacy of the authorities involved and are thus significant for trust. This study investigates how a withdrawn driving license due to visual field loss might affect trust in the authorities involved in withdrawal processes and outcomes: the health-care system, the Swedish Transport Agency, and the judicial system. The factors influencing trust were investigated as was whether the withdrawal experience had changed the trust in other authorities not involved in the withdrawal process. Also, the aetiology of the visual field loss and gender were investigated. A survey study was conducted in which 402 Swedish respondents with visual field loss and a withdrawal experience participated. Variance, regression, and content analyses were conducted. The following conceptual factors were used in understanding trust: Benevolence, Openness, Integrity, Ability, and Value Congruence. The results revealed that processes and outcomes affected the overall trust in all three authorities, although the highest trust was in the health-care system (but still low). Diagnosis, but not gender, was important for the experienced trust. Differences in levels of trust in each authority were related to the aetiology of the diagnosis. Benevolence and Ability were the trust factors most important for overall trust in the health-care system and the Swedish Transport Agency. For some respondents (46%), the negative experiences of the withdrawal had worsened their trust in other, not involved authorities, as well.

Place, publisher, year, edition, pages
Elsevier, 2023. Vol. 17, article id 100758
Keywords [en]
Disability, Driving cessation, Gender, Public trust, Transport justice, Visual impairment
National Category
Business Administration
Identifiers
URN: urn:nbn:se:vti:diva-19551DOI: 10.1016/j.trip.2023.100758ISI: 001089368800001Scopus ID: 2-s2.0-85147227566OAI: oai:DiVA.org:vti-19551DiVA, id: diva2:1737579
Available from: 2023-02-17 Created: 2023-02-17 Last updated: 2024-08-30Bibliographically approved
In thesis
1. Förändringar i transportrelaterad välfärd och myndighetsförtroende: en studie om personer som fått sitt körkort återkallat på grund av synfältsbortfall
Open this publication in new window or tab >>Förändringar i transportrelaterad välfärd och myndighetsförtroende: en studie om personer som fått sitt körkort återkallat på grund av synfältsbortfall
2021 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Access to transport, and thus accessibility to desired and needed activities, is of importance for the individual's welfare and subjective well-being. In many western contexts, land use and infrastructure are configured for the benefit of cars. A withdrawn driving license (WDL) might thereby affect welfare and subjective well-being. Further, if the WDL is perceived as unfair, trust for authorities involved in the WDL process can be affected. The overall aim is to explore changes of having a WDL due to visual field loss (VFL), concerning transport-related welfare and trust in authorities. Four studies were conducted, and both qualitative and quantitative methods have been used. The results showed that the WDL had led to negative welfare consequences for the respondents, such as ended careers, limited or ceased opportunities for leisure activities, and difficulties managing daily errands. These consequences can be explained by lacking or unsatisfactory alternative transport arrangements (study I). Also, the WDL had led to worsen overall subjective wellbeing. This can, for example, be explained by the respondents' perception of unsatisfactory access to transport means, to live a life to be satisfied with (study II). The respondents perceived the vision tests on which the WDL isbased as unfair, as they do not measure individual driving ability related to traffic safety. Perceptions of outcomes and processes were fueled by experiences of deficiencies regarding, for example, performance and information, leading to a decrease in trust in the authorities involved in the process of WDL due to VFL: the Health Care (the physician being obligated to report the VFL to the Swedish Transport Agency), the Swedish Transport Agency (decisions on WDL), and the Judicial system (decisions in cases of appeals) (study III). Gender had no effect on trust for none of these authorities. Though, diagnosis (reasons for VFL) had effect, and differences in degree oftrust for each of the three authorities were seen, related to type of diagnosis. The results also showed that low trust related to WDL process can generate lower trust in authorities in general (53%) (study IV). Finally, the thesis contributes to insights of goal conflicts that driving license withdrawals can entail, dealing with issues of safety, accessibility, and justice.

Place, publisher, year, edition, pages
Örebro: Örebro University, 2021. p. 123
Series
Studies from The Swedish Institute for Disability Research ; 104
Keywords
Subjective well-being, quality of life, transport disadvantage, social exclusion, transport equity, impairment, mobility, participation
National Category
Other Health Sciences
Identifiers
urn:nbn:se:vti:diva-17503 (URN)9789175294131 (ISBN)
Public defence
2021-12-16, Örebro universitet, Forumhuset, Hörsal F, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2021-12-06 Created: 2021-12-06 Last updated: 2023-06-13Bibliographically approved

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Nyberg, JonnaAndersson, Jan

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