自動車運転再開支援リハビリテーションの現状と実際—新潟リハビリテーション病院の取り組みと新潟県の現状

Current status and practice of rehabilitation for supporting resumption of car driving:Initiatives at Niigata Rehabilitation Hospital and current status in Niigata Prefecture

　新潟リハビリテーション病院は，2001年の開院当初から自動車運転再開支援リハビリテーションに取り組んできた．近隣の自動車教習所の協力のもと，実車評価も含めた総合的な評価を行ってきた．徐々に県内で取り組む医療機関が増えてきた時期に運転免許センターと県指定自動車教習所協会に実情を訴え，2012年に自動車運転再開支援講習カリキュラムが策定され，協力教習所が飛躍的に増えた．同時期に医療機関の連携のために「障害と自動車運転に関する研究会」を立ち上げた．徐々に取り組む医療機関などが増え，2022年には53機関になっている．研究会活動では，常に運転免許センターと県指定自動車教習所協会との連携をとりながら活動を進めている．2017年には脳卒中の診断書の書式改定に協力した．2021年には自動車運転再開支援講習カリキュラムの改訂で路上での実車評価も追加され，より実践的な評価となっている．今後もより活動を充実させていく．

　Since its opening in 2001, Niigata Rehabilitation Hospital has been providing rehabilitation to support resumption of driving. Comprehensive evaluations, including actual vehicle evaluations, have been conducted with the cooperation of nearby driving schools. The number of medical institutions involved in the program gradually increased in the prefecture, and the number of cooperating driving schools increased dramatically in 2012 after a curriculum was developed by the Driver's License Center and the Prefectural Association of Designated Driving Schools. At the same time, the Study Group on Disability and Driving was established to promote cooperation among medical institutions. The number of medical institutions involved gradually increased to reach 53 in 2022. The activities of the study group are always carried out in cooperation with the Driver's License Center and the Prefectural Association of Designated Driving Schools. In 2017, we cooperated in the revision of the medical certificate form for stroke, and in 2021, the curriculum for the training course to support resumption of driving was revised and actual driving on the road was added, making the evaluation more practical. We will continue to enhance our activities in the future.