Gowran Rosemary Joan, Goldberg Mary, Comanescu Gabi, Ungureanu Claudia, Garcia Ferdiliza Dandah S, Xavier Cheryl Ann, Pearlman Jon
a School of Allied Health, Faculty of Education and Health Sciences, Health Research Institute, University of Limerick , Limerick , Ireland.
b Occupational Therapy, School of Health and Sport Science, University of Sunshine Coast , Queensland , Australia.
Disabil Rehabil Assist Technol. 2019 Aug;14(6):612-627. doi: 10.1080/17483107.2018.1539131. Epub 2019 Mar 1.
: Achieving appropriate wheelchair provision at a national level is complex, requiring regulations, funding and policies established through governments. Understanding wheelchair provision within different countries is key. This paper describes the process used to support the development of wheelchair service strategic plans in Romania and the Philippines. It considers the influences, meaning, challenges and developments when producing strategic priorities within two different contexts. : The International Society of Wheelchair Professionals (ISWP) sponsored affiliates Motivation Foundation Romania and the Philippine Society of Wheelchair Philippine Society of Wheelchair Professionals (PSWP), to conduct organizational ethnographic mixed method stakeholder centred studies, to develop robust strategic plans. An affiliate coordinator for wheelchair provision in less resourced settings supported this process. : Diversity between the two-affiliate sites was evident, influencing value placed within both societies towards equality and participation. Common components to address included: advocacy; wheelchair service infrastructure; capacity building; education; training and research. Research process facilitation supported by affiliate coordinator is important. : Understanding contextual dimensions, which sharp a countries wheelchair service, is essential. Member states should take action by conducting in-country wheelchair sector analysis, to create wheelchair provision strategies for sustainable development, to meet personal posture and mobility needs, primary for daily living, as a basic human right. Implications for rehabilitation Understanding the complexity of providing appropriate wheelchairs within different countries is essential to meet the diverse needs of citizens. Conducting situational analysis of the wheelchair sector involving key stakeholders in the process is important to understand different perspectives and develop strategic priorities towards sustainable development. Producing context specific wheelchair sector reports and strategic plans strengthens the evidence base when informing governments regarding the importance of developing sustainable wheelchair provision infrastructures. The affiliate coordinator role is important to support affiliates to produce robust documentation that clearly and objectively outlines the wheelchair sector issues and plans, to provide solutions.
在国家层面实现适当的轮椅供应是复杂的，需要政府制定法规、提供资金和政策。了解不同国家的轮椅供应情况是关键。本文描述了用于支持罗马尼亚和菲律宾轮椅服务战略计划制定的过程。它考虑了在两种不同背景下制定战略重点时的影响、意义、挑战和发展情况。
国际轮椅专业人员协会（ISWP）赞助了其附属机构罗马尼亚动机基金会和菲律宾轮椅专业人员协会（PSWP），以开展以组织民族志混合方法为基础、以利益相关者为中心的研究，从而制定强有力的战略计划。一位负责资源较少地区轮椅供应的附属协调员支持了这一过程。
两个附属机构所在地之间的差异很明显，这影响了两个社会对平等和参与的重视程度。需要解决的共同问题包括：宣传；轮椅服务基础设施；能力建设；教育；培训和研究。附属协调员提供的研究过程促进很重要。
了解塑造一个国家轮椅服务的背景因素至关重要。成员国应采取行动，对国内轮椅部门进行分析，制定可持续发展的轮椅供应战略，以满足个人的姿势和行动需求，主要是为了满足日常生活需求，这是一项基本人权。对康复的影响了解在不同国家提供合适轮椅的复杂性对于满足公民的多样化需求至关重要。在这一过程中对涉及关键利益相关者的轮椅部门进行情况分析，对于理解不同观点并制定可持续发展的战略重点很重要。编写针对具体情况的轮椅部门报告和战略计划，在向政府通报发展可持续轮椅供应基础设施的重要性时，可加强证据基础。附属协调员的作用对于支持附属机构编写强有力的文件很重要，这些文件应清晰、客观地概述轮椅部门的问题和计划，并提供解决方案。
