Cost intensity of identifying contraindications to driving a company car through psychological tests on the basis of real-world data in Poland

Abstract

Objective. The study objective was to determine the cost intensity of identifying contraindications to fleet car driving in preventive care. Background. The objective of a psychological examination is to identify impaired psychomotor function as well as any intellectual, cognitive or emotional incapacities, which may seriously impede safety. Method. Real-world data were collected from the healthcare provider in Poland. A total of 8111 anonymous records from psychomotor tests performed between January 1 and December 31, 2012 were analysed. Results. The number needed to screen to identify one person with contraindications to driving was 737. An individual examination costs PLN 150, thus the estimated cost of identifying one case was PLN 110,550 (EUR 25,000). The average number of tests in a small enterprise with 20–50 fleet cars was estimated at 5–25 in a 5-year period and their cost at PLN 3750 (PLN 750 annually). Conclusion. Health check-ups include ophthalmological and neurological consultations; therefore, psychological examination of fleet car drivers may be considered excessive due to cost and limited preventive value. High costs may be burdensome mainly to larger companies. Application. A final decision regarding necessity of psychological testing should be preceded by medical assessment of the risk of work accidents.