HERL, VA Pittsburgh Healthcare System, Pittsburgh, PA, USA.
Rehabilitation Science and Technology, University of Pittsburgh, Pittsburgh, PA, USA.
Disabil Rehabil Assist Technol. 2023 Nov;18(8):1357-1363. doi: 10.1080/17483107.2021.2008027. Epub 2021 Nov 30.
Assistive Technology (AT) devices provide essential means of mobility, employment, communication, social engagement for older adults and people with different disabilities, if prescribed correctly to match users' needs and goals. Regardless of the setting or location, a successful AT service delivery model includes the multidisciplinary collaboration of the people with disabilities and the specialists who have knowledge and expertise in the design and application of AT. In Saudi Arabia, unfortunately, the availability of AT devices is mainly limited to basic mobility and daily living aids such as wheelchairs and seating systems, prosthetics and orthotics, communication devices, low-vision devices, and adapted transportation equipment. The aim of this perspective is to provide clinicians and healthcare professionals in Saudi Arabia with a model for the optimisation of the provision of AT devices decision making regarding AT devices for people with disabilities by adhering to a user-centered team approach throughout the service delivery process.
The policy, human, activity, assistance, technology, and environment (PHAATE) model is used as a conceptual framework and guideline for this paper.
The PHAATE components could serve as a guideline for a wide range of stakeholders in Saudi Arabia (e.g., researchers, product developers, practitioners, clinicians, third-party reimbursement entities, consumers, and educators) when developing service delivery systems.IMPLICATION FOR REHABILITATIONDespite the support and funding resources of AT devices by the Saudi government, there is still the needs to increase awareness and knowledge about AT application and services, as well as optimal service delivery models of AT devices.AT service delivery provision models such as PHAATE model may help clinicians and other medical professionals in Saudi Arabia to make informed decisions about the provision of AT device services.
辅助技术 (AT) 设备为老年人和有不同残疾的人提供了基本的移动、就业、交流和社交参与手段，如果正确地为用户的需求和目标进行适配，这些设备将发挥关键作用。无论在何种环境或地点，成功的 AT 服务交付模式都包括残疾人和具有 AT 设计和应用知识与专业技能的专家之间的多学科合作。遗憾的是，在沙特阿拉伯，AT 设备的可用性主要限于基本的移动和日常生活辅助设备，如轮椅和座椅系统、假肢和矫形器、通讯设备、低视力设备和适配的交通设备。本文的目的是为沙特阿拉伯的临床医生和医疗保健专业人员提供一种模式，通过在整个服务提供过程中坚持以用户为中心的团队方法，优化 AT 设备的提供，为残疾人士做出有关 AT 设备的决策。
本文采用政策、人员、活动、辅助、技术和环境（PHAATE）模型作为概念框架和指导原则。
PHAATE 组件可以作为沙特阿拉伯广泛利益相关者（例如研究人员、产品开发人员、从业者、临床医生、第三方报销实体、消费者和教育工作者）在开发服务提供系统时的指导方针。
尽管沙特政府为 AT 设备提供了支持和资金资源，但仍需要提高对 AT 应用和服务的认识和了解，以及优化 AT 设备的服务提供模式。PHAATE 等 AT 服务交付模式可能有助于沙特阿拉伯的临床医生和其他医疗专业人员做出有关 AT 设备服务提供的明智决策。
