EXECUTIVE SUMMARY OLDER CANADIANS ON THE MOVE The Expert Panel on the Transportation Needs of an Aging Population Science Advice in the Public Interest OLDER CANADIANS ON THE MOVE The Expert Panel on the Transportation Needs of an Aging Population ii Older Canadians on the Move THE COUNCIL OF CANADIAN ACADEMIES 180 Elgin Street, Suite 1401, Ottawa, ON, Canada K2P 2K3 Notice: The project that is the subject of this report was undertaken with the approval of the Board of Directors of the Council of Canadian Academies (CCA). Board members are drawn from the Royal Society of Canada (RSC), the Canadian Academy of Engineering (CAE), and the Canadian Academy of Health Sciences (CAHS), as well as from the general public. The members of the expert panel responsible for the report were selected by the CCA for their special competencies and with regard for appropriate balance. This report was prepared for the Government of Canada in response to a request from the Minister of Transportation. Any opinions, findings, or conclusions expressed in this publication are those of the authors, the Expert Panel on the Transportation Needs of an Aging Population, and do not necessarily represent the views of their organizations of affiliation or employment, or the sponsoring organization, Transport Canada. Library and Archives Canada Cataloguing in Publication Older Canadians on the Move / Expert Panel on the Transportation Needs of an Aging Population. Issued also in French under title: Favoriser la mobilité des aînés canadiens. Includes bibliographical references. Issued in print and electronic formats. ISBN 978-1-926522-34-0 (softcover).--ISBN 978-1-926522-35-7 (PDF) 1. Older people--Transportation--Canada. 2. Transportation and state-- Canada. I. Council of Canadian Academies issuing body II. Council of Canadian Academies. Expert Panel on the Transportation Needs of an Aging Population, author HQ1063.5.O53 2017 362.63’0971 C2017-907016-9 C2017-907017-7 This report should be cited as: Council of Canadian Academies, 2017. Older Canadians on the Move. Ottawa (ON): The Expert Panel on the Transportation Needs of an Aging Population, Council of Canadian Academies. Disclaimer: The internet data and information referenced in this report were correct, to the best of the CCA’s knowledge, at the time of publication. Due to the dynamic nature of the internet, resources that are free and publicly available may subsequently require a fee or restrict access, and the location of items may change as menus and webpages are reorganized. © 2017 Council of Canadian Academies Printed in Ottawa, Canada The Council of Canadian Academies iii The Council of Canadian Academies The Council of Canadian Academies (CCA) is an independent, not-for-profit organization that supports independent, science-based, authoritative expert assessments to inform public policy development in Canada. Led by a Board of Directors and advised by a Scientific Advisory Committee, the CCA’s work encompasses a broad definition of science, incorporating the natural, social, and health sciences as well as engineering and the humanities. CCA assessments are conducted by independent, multidisciplinary panels of experts from across Canada and abroad. Assessments strive to identify emerging issues, gaps in knowledge, Canadian strengths, and international trends and practices. Upon completion, assessments provide government decision-makers, researchers, and stakeholders with high-quality information required to develop informed and innovative public policy. All CCA assessments undergo a formal report review and are published and made available to the public free of charge. Assessments can be referred to the CCA by foundations, non-governmental organizations, the private sector, or any level of government. The CCA is also supported by its three founding Member Academies: The Royal Society of Canada (RSC) Founded in 1882, the RSC comprises the Academies of Arts, Humanities and Sciences, as well as Canada’s first national system of multidisciplinary recognition for the emerging generation of Canadian intellectual leadership: The College of New Scholars, Artists and Scientists. Its mission is to recognize scholarly, research, and artistic excellence, to advise governments and organizations, and to promote a culture of knowledge and innovation in Canada and with other national academies around the world. The Canadian Academy of Engineering (CAE) The CAE is the national institution through which Canada’s most distinguished and experienced engineers provide strategic advice on matters of critical importance to Canada. The Academy is an independent, self-governing, and non-profit organization established in 1987. Fellows are nominated and elected by their peers in recognition of their distinguished achievements and career-long service to the engineering profession. Fellows of the Academy, who number approximately 600, are committed to ensuring that Canada’s engineering expertise is applied to the benefit of all Canadians. iv Older Canadians on the Move The Canadian Academy of Health Sciences (CAHS) CAHS recognizes excellence in the health sciences by appointing Fellows based on their outstanding achievements in the academic health sciences in Canada and on their willingness to serve the Canadian public. The Academy provides timely, informed, and unbiased assessments of issues affecting the health of Canadians and recommends strategic, actionable solutions. Founded in 2004, CAHS now has 607 Fellows and appoints new Fellows on an annual basis. The organization is managed by a voluntary Board of Directors and a Board Executive. www.scienceadvice.ca @scienceadvice Expert Panel on the Transportation Needs of an Aging Population v Expert Panel on the Transportation Needs of an Aging Population Under the guidance of its Scientific Advisory Committee, Board of Directors, and Member Academies, the CCA assembled the Expert Panel on the Transportation Needs of an Aging Population to undertake this project. Each expert was selected for his or her expertise, experience, and demonstrated leadership in fields relevant to this project. Neena L. Chappell, C.M., FRSC, FCAHS (Chair), Professor Emeritus, Institute on Aging & Lifelong Health and Department of Sociology, University of Victoria (Victoria, BC) Maureen Ashe, Associate Professor, Department of Family Practice, University of British Columbia; Centre for Hip Health and Mobility; Canada Research Chair in Community Mobility (Vancouver, BC) Howard Bergman, FCAHS, Chair, Department of Family Medicine, and Professor, Departments of Family Medicine, Medicine and Oncology, McGill University (Montréal, QC) David Timothy Duval, Associate Professor, Faculty of Business and Economics, University of Winnipeg; Associate, University of Manitoba Transport Institute (Winnipeg, MB) Geoff Fernie, FCAHS, Institute Director, Research, Toronto Rehabilitation Institute – UHN; Professor, Department of Surgery and Institute of Biomaterials and Biomedical Engineering, University of Toronto (Toronto, ON) Katharine M. Hunter-Zaworski, Associate Professor, School of Civil and Construction Engineering, Oregon State University (Corvallis, OR) Lorne Mackenzie, Director, Regulatory Affairs, WestJet Airlines (Calgary, AB) Lynn McDonald, Scientific Director, National Initiative for the Care of the Elderly (NICE); Professor, Faculty of Social Work, University of Toronto (Toronto, ON) David Metz, Honorary Professor, Centre for Transport Studies, University College London (London, United Kingdom) vi Older Canadians on the Move Alex Mihailidis, Professor, Department of Occupational Science and Occupational Therapy, University of Toronto; Scientific Director, AGE-WELL NCE Inc. (Toronto, ON) Parminder Raina, Scientific Director, McMaster Institute for Research on Aging; Professor, Department of Health Research Methods, Evidence, and Impact, McMaster University; Canada Research Chair (Tier 1) in GeroScience, Raymond & Margaret Labarge Chair in Research and Knowledge Application for Optimal Aging (Hamilton, ON) Marian L. Robson, Senior Associate, Global Public Affairs (Vancouver, BC) S. C. (Chan) Wirasinghe, FCAE, Professor, Department of Civil Engineering, University of Calgary (Calgary, AB) The CCA also recognizes the important contribution to this assessment of Brian Flemming, C.M., Q.C., Senior Fellow, Van Horne Institute. Over the course of its deliberations, the Panel sought assistance from many individuals and organizations that provided valuable information for consideration. Special thanks go to the following: Susan Clarke and J. Glendenning, Canadian Transportation Agency; Gina Sylvestre, University of Winnipeg; the Council of Canadians with Disabilities Transportation Committee; and the Canadian Longitudinal Study on Aging. Message from the Chair vii Message from the Chair Transportation is a vital part of the day-to-day lives of people in Canada. The benefits of an inclusive transportation system that allows for the seamless movement of everyone regardless of background, age, or ability would be significant and wide-reaching. Such a system would promote social equity, social inclusion, individual well-being, and facilitate new economic opportunities as greater numbers of people travel. Older adults are an important part of Canadian society, but their diverse transportation needs are not always met in the current transportation system. They are also the fastest growing demographic in the country, expected to constitute nearly a quarter of the population by 2036. Demand for an inclusive Canadian