Gerontology Research Centre, Harbour Centre 2800, Simon Fraser University, 515 West Hastings Street, Vancouver, British Columbia, Canada V6B 5K3.
Am J Occup Ther. 2013 Jan-Feb;67(1):100-7. doi: 10.5014/ajot.2013.006122.
Despite the potential benefits of powered mobility, many older adults do not have access to this technology. To date, few studies have explored how prescribers make decisions regarding provision of powered mobility. Therefore, we undertook a qualitative study to develop a better understanding of prescribers' attitudes toward and practices with older adult candidates for powered mobility devices. Our analysis of 10 in-depth interviews identified three main themes: (1) "Deciding who should be entitled" explored how therapists decided who should have access to powered mobility, (2) "power wheelchair negotiation" described the discord between clients and therapists that became apparent during this process, and (3) "practical considerations" revealed how contextual factors shaped the provision of powered mobility. The findings suggest that the ways in which powered mobility is funded, provided, and accommodated should be improved so that more older adults have access to these devices and can use them to their full potential.
尽管电动代步车具有潜在的好处,但许多老年人无法获得这项技术。迄今为止,很少有研究探讨过医生在提供电动代步车方面是如何做出决策的。因此,我们进行了一项定性研究,以更好地了解医生对电动代步车的老年候选人的态度和做法。我们对 10 次深入访谈的分析确定了三个主要主题:(1)“确定谁有资格”探讨了治疗师如何决定谁应该有资格获得电动代步车,(2)“电动轮椅协商”描述了在这个过程中客户和治疗师之间明显出现的分歧,(3)“实际考虑因素”揭示了环境因素如何影响电动代步车的提供。研究结果表明,应该改进电动代步车的资金提供、提供和适应方式,以便更多的老年人能够获得这些设备,并能够充分利用这些设备。