Chen Panpan, Wang Binglong, Hu Zhimin, Qin Xiaoping, Wang Hujun, Hu Zhiyuan, Liu Xidong, Li Yu
Si Chuan Provincial Rehabilitation Hospital (Si Chuan Provincial BaYi Rehabilitation Center), Chengdu, China.
School of Health Policy and Management, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Disabil Rehabil Assist Technol. 2025 Jul;20(5):1199-1208. doi: 10.1080/17483107.2024.2442711. Epub 2024 Dec 23.
Assistive device non-use among individuals with disabilities is often attributed to issues in service provision and user satisfaction with assistive devices. However, systematic research on the service quality and satisfaction of assistive devices among disabled populations is lacking. Therefore, this study aims to analyze the service delivery and satisfaction of assistive devices among individuals with disabilities.
The Technology Acceptance Model (TAM) was employed in this study to examine the self-reported needs and usage of assistive devices by people with disabilities in China and to explore the relationship between service provision and satisfaction with assistive devices. Additionally, potential mechanisms underlying this relationship were evaluated. The World Health Organization's Rapid Assistive Technology Assessment (rATA) questionnaire was utilized, and stratified sampling was employed. A total of 872 individuals with disabilities living in China were interviewed. Multiple regression analyses were conducted to examine the independent and interactive relationships between service provision and satisfaction.
Self-reported demand for assistive technology was associated with the type of disability. Pre-fitting evaluation and training services were positively correlated with satisfaction (=0.514, <0.05). However, no significant effect of post-fitting maintenance services on product satisfaction was found, and the moderating effect of service convenience was not significant.
Policy formulation can adjust resource allocation based on the composition of its disabled population. Priority should be given to providing mobility aids and other basic equipment for people with multiple disabilities to enhance the effectiveness and pertinence of assistive services. The capacity for post-installation maintenance of assistive technologies and the accessibility of services should be improved to ensure that disabled people can continuously benefit from assistive devices. Extensive educational and publicity activities should be carried out to raise people's awareness of the importance of pre-assembly assessment, training services, and post-assembly maintenance services. The importance of disease prevention, early intervention, and rehabilitation to reduce the disability rate has been emphasized.
残疾人士不使用辅助器具的情况通常归因于服务提供方面的问题以及用户对辅助器具的满意度。然而，针对残疾人群体中辅助器具的服务质量和满意度缺乏系统性研究。因此，本研究旨在分析残疾人士对辅助器具的服务体验与满意度。
本研究采用技术接受模型（TAM）来调查中国残疾人士对辅助器具的自我报告需求和使用情况，并探讨服务提供与辅助器具满意度之间的关系。此外，还评估了这种关系背后的潜在机制。采用了世界卫生组织的快速辅助技术评估（rATA）问卷，并进行分层抽样。共对872名居住在中国的残疾人士进行了访谈。进行了多元回归分析，以检验服务提供与满意度之间的独立和交互关系。
自我报告的辅助技术需求与残疾类型相关。预适配评估和培训服务与满意度呈正相关（=0.514，<0.05）。然而，但未发现适配后维护服务对产品满意度有显著影响，且服务便利性的调节作用不显著。
政策制定可根据残疾人群体构成调整资源分配。应优先为多重残疾人士提供移动辅助器具和其他基本设备，以提高辅助服务的有效性和针对性。应提高辅助技术的安装后维护能力和服务可及性，以确保残疾人能够持续受益于辅助器具。应广泛开展教育和宣传活动，提高人们对预装配评估、培训服务和装配后维护服务重要性的认识。强调了疾病预防、早期干预和康复对降低残疾率的重要性。
