Campbell F
Nurs Times. 1991;87(5):40-2.
The redefinition of disability from a medical problem inherent in the individual, to a socially constructed problem affected by the world in which that individual lives, has led to an emphasis and exploration of the interrelationship between disease/disorder, impairment, disability and handicap. It is clear that those who are disabled do not necessarily need to be handicapped by their disability. One method of professional intervention designed to prevent disability becoming a handicap and to promote independence is the provision of aids and equipment. Despite its evident importance it appears that the provision of aids and equipment in the community is poorly co-ordinated, complex and time-consuming. Some of the reasons for this are examined in this paper. Key themes that are addressed include the legislative framework, the conceptual confusion arising from poorly defined terms, the link between health and social services, the consumer perspective, and wastage.
残疾的定义已从个体内在的医学问题，转变为受个体生活环境影响的社会建构问题，这使得人们开始重视并探索疾病/病症、损伤、残疾和障碍之间的相互关系。显然，残疾人士不一定会因自身残疾而成为障碍者。一种旨在防止残疾演变为障碍并促进独立性的专业干预方法是提供辅助器具和设备。尽管其重要性不言而喻，但社区中辅助器具和设备的提供似乎协调不善、复杂且耗时。本文探讨了其中的一些原因。所涉及的关键主题包括立法框架、术语定义不明确导致的概念混淆、健康与社会服务之间的联系、消费者视角以及浪费现象。
