School of Allied Health, Faculty of Education and Health Sciences, Health Research Institute, Health Implementation Science and Technology (HIST), University of Limerick, V94 T9PX Limerick, Ireland.
School of Health and Sport Science, University of the Sunshine Coast Locked Bag 4, Maroochydore, QLD 4558, Australia.
Int J Environ Res Public Health. 2021 Mar 24;18(7):3338. doi: 10.3390/ijerph18073338.
Appropriate wheelchairs are often essential for the health and wellbeing of people with mobility impairments to enhance fundamental freedoms and equal opportunity. To date, provision has mainly focused on just delivering the wheelchair instead of following an evidence-based wheelchair service delivery process. In addition, many governments have not committed to a national wheelchair provision policy. To prepare this position paper, a systemic development model, founded on the sustainable human security paradigm, was employed to explore the global challenges to accessing appropriate wheelchairs. Positions: I: Consideration of key perspectives of wheelchair provision across the life course is essential to meet the needs to children, adults, older people and their families; II: Comprehensive wheelchair service delivery processes and a competent workforce are essential to ensure appropriate wheelchair service provision; III: Evaluations on wheelchair product quality development, performance and procurement standards are key as wheelchair product quality is generally poor; IV: Understanding the economic landscape when providing wheelchairs is critical. Wheelchair funding systems vary across jurisdictions; V: Establishing wheelchair provision policy is a key priority, as specific policy is limited globally. The vision is to take positive action to develop appropriate and sustainable wheelchair service provision systems globally, for me, for you, for us.
合适的轮椅对于行动不便者的健康和福祉至关重要，有助于增强他们的基本自由和平等机会。但迄今为止，轮椅的供应主要集中在交付轮椅本身，而不是遵循循证的轮椅服务提供流程。此外，许多政府尚未承诺制定国家轮椅供应政策。为了准备这份立场文件，我们采用了一个系统发展模型，该模型基于可持续人类安全范式，旨在探讨全球在获取合适轮椅方面所面临的挑战。立场：I：考虑整个生命周期中轮椅供应的关键观点对于满足儿童、成人、老年人及其家庭的需求至关重要；II：全面的轮椅服务提供流程和有能力的劳动力对于确保适当的轮椅服务提供至关重要；III：评估轮椅产品质量开发、性能和采购标准至关重要，因为轮椅产品质量普遍较差；IV：了解提供轮椅时的经济情况至关重要。轮椅资金系统在不同司法管辖区有所不同；V：制定轮椅供应政策是当务之急，因为全球范围内具体政策有限。愿景是采取积极行动，在全球范围内制定适当和可持续的轮椅服务提供系统，为了你，为了我，为了我们大家。
