A preliminary model of wheelchair service delivery.

摘要: Abstract Eggers SL, Myaskovsky L, Burkitt KH, Tolerico M, Switzer GE, Fine MJ, Boninger ML. A preliminary model of wheelchair service delivery. Objective To integrate and expand on previously published models delivery, provide a framework for developing more comprehensive, descriptive delivery adults with spinal cord injury within the U.S. health care system. Design Literature review qualitative analysis in-depth interviews. Setting Not applicable. Participants Ten academic, clinical, regulatory, industry experts (Department Veterans Affairs [VA] non-VA) in Interventions Main Outcome Measures Interviewees were asked to discuss full range variables stakeholders involved limit their scope provision primary subsequent or replacement chairs (not backup chairs) United States. Results Most we interviewed stressed that clients who require play central role process. Providers (including clinicians, rehabilitation engineers, counselors) are also critical stakeholders. More so than other settings, suppliers an integral wheelchairs may significantly influence appropriateness provided. Suppliers often have direct through interactions clinician and/or client. This identified number system-level factors facility administration standards, policies, regulations) ultimately Conclusions We developed detailed, integrates process device outcomes, includes patient-level, provider-level, directly those processes outcomes. believe this detailed can help clinicians researchers describe consider complexities It be used identify related disparities prescribed. Further, intervene reduce such disparities.