School of Health and Wellbeing, The University of Southern Queensland, Ipswich, Australia.
TC Beirne School of Law, The University of Queensland, St Lucia, Australia.
Assist Technol. 2020;32(2):74-78. doi: 10.1080/10400435.2018.1485780. Epub 2018 Aug 6.
Reforms to Australia's disability and rehabilitation sectors have espoused the potential of assistive technology as an enabler. As new insurance systems are being developed it is timely to examine the structure of existing systems. This exploratory study examined the policies guiding assistive technology provision in the motor accident insurance sector of one Australian state.
Policy documents were analyzed iteratively with a set of qualitative questions to understand the intent and interpretation of policies guiding assistive technology provision. Content analysis identified relevant sections and meaningful terminology, and context analysis explored the dominant perspectives informing policy.
The concepts and language of assistive technology are not part of the policy frameworks guiding rehabilitation practice in Queensland's motor accident insurance sector. The definition of rehabilitation in the legislation is consistent with contemporary international interpretations that focus on optimizing functioning in interaction with the environment. However, the supporting documents are focused on recovery from injuries where decisions are guided by clinical need and affordability.
The policies frame rehabilitation in a medical model that separates assistive technology provision from the rehabilitation plan. The legislative framework provides opportunities to develop and improve assistive technology provision as part of an integrated approach to rehabilitation.
澳大利亚的残疾和康复部门的改革提倡将辅助技术作为一种推动者。随着新的保险制度的发展,现在正是审查现有制度结构的时候。这项探索性研究审查了澳大利亚一个州的机动车事故保险部门指导辅助技术供应的政策。
使用一组定性问题对政策文件进行迭代分析,以了解指导辅助技术供应的政策的意图和解释。内容分析确定了相关部分和有意义的术语,而情境分析则探讨了为政策提供信息的主导观点。
在昆士兰州机动车事故保险部门,指导康复实践的政策框架中没有辅助技术的概念和语言。立法中的康复定义与当代国际解释一致,这些解释侧重于与环境相互作用优化功能。然而,支持文件侧重于从受伤中恢复,决策以临床需要和负担能力为指导。
政策将康复框定在一个将辅助技术供应与康复计划分开的医疗模式中。立法框架为作为康复综合方法的一部分发展和改进辅助技术供应提供了机会。