Mortenson W Ben, Miller William C
Vancouver Coastal Health, Vancouver, BC, Canada.
Can J Occup Ther. 2008 Jun;75(3):167-75. doi: 10.1177/000841740807500308.
Increasing choices in assistive technology have made the process of procuring a wheelchair more complex and challenging.
To explore the intricacies of the procurement process from the perspectives of clients and therapists.
Thirty-four participants were interviewed, including 13 wheelchair prescribers, 14 wheelchair users, and 7 wheelchair associates (family members and caregivers).
Analysis revealed five main themes. "Who decides?" described varying degrees of client involvement in the procurement process. "Expert knowledge" reflected the expert knowledge that all parties possessed. "Form versus function"captured the primary and, at times, conflicting outcomes that participants wanted to achieve. "Fitting in" depicted the environmental factors that affected wheelchair procurement. "(Re)solutions" illustrated strategies that participants felt improved the process.
This study reveals clients' experiences with wheelchair procurement, identifies potential issues therapists may encounter, and suggests possible remedies they might consider when prescribing wheelchairs within a client-centred framework.
辅助技术选择的增加使得采购轮椅的过程更加复杂且具有挑战性。
从客户和治疗师的角度探讨采购过程的复杂性。
对34名参与者进行了访谈，包括13名轮椅开方者、14名轮椅使用者和7名轮椅相关人员（家庭成员和护理人员）。
分析揭示了五个主要主题。“谁来决定？”描述了客户在采购过程中不同程度的参与。“专业知识”反映了各方所拥有的专业知识。“形式与功能”体现了参与者想要实现的主要且有时相互冲突的结果。“融入”描述了影响轮椅采购的环境因素。“（再）解决方案”说明了参与者认为能改善该过程的策略。
本研究揭示了客户在轮椅采购方面的经历，识别了治疗师可能遇到的潜在问题，并提出了在以客户为中心的框架内开处方轮椅时他们可能考虑的可能补救措施。
