Maximo Tulio, Clift Laurence
Loughborough Design School, Loughborough University.
Stud Health Technol Inform. 2015;217:478-84.
recently in Brazil, there have been investments and improvements in the service delivery system for assistive technology provision. However, there is little documentation of this process, or evidence that users are being involved appropriately.
to understand how a ssistive technology service provision currently functions in Belo Horizonte city, Brazil, in order to provide context-specific interventions and recommendations to improve services.
Qualitative research design, including visits to key institutions and semi-structured interviews with key stakeholders. Interview questions were divided with two purposes: 1) Exploratory, aiming to understand present service functioning; 2) Evaluative, aiming to assess staff difficulties in applying best existing best practices.
Assistive Technology services in Belo Horizonte fall under the 'medical model' definition of service delivery developed by AAATE. It was also found that staff lack training and knowledge support to assess user requirements and involve them during the decision process. Additionally, there is no follow up stage after the device is delivered.
The study clearly defines the service provision function and the staff difficulties at Belo Horizonte city, providing information for further studies.
最近在巴西，辅助技术提供的服务交付系统有了投资和改进。然而，关于这一过程的记录很少，也没有证据表明用户得到了适当的参与。
了解巴西贝洛奥里藏特市目前辅助技术服务的提供方式，以便提供针对具体情况的干预措施和建议来改善服务。
定性研究设计，包括走访关键机构以及与关键利益相关者进行半结构化访谈。访谈问题分为两个目的：1）探索性的，旨在了解当前服务的运作情况；2）评估性的，旨在评估工作人员在应用现有最佳实践方面的困难。
贝洛奥里藏特的辅助技术服务属于AAATE制定的“医疗模式”服务交付定义范畴。还发现工作人员缺乏评估用户需求并在决策过程中让用户参与的培训和知识支持。此外，设备交付后没有后续跟进阶段。
该研究明确界定了贝洛奥里藏特市的服务提供功能和工作人员面临的困难，为进一步研究提供了信息。
