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1.
Phys Med Rehabil Clin N Am ; 30(4): 847-865, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31563175

RESUMO

Access to appropriate and affordable assistive technology is a human right, and a public health and development priority. This article elaborates on these aspects and illustrates the various opportunities and barriers to achieving equitable access to assistive technology through 4 specific country snapshots. In Brazil, mobility aids are provided through universal health coverage in rehabilitation reference centers in urban areas. A community-based rehabilitation pilot project in Argentina demonstrates how to reach an excluded indigenous community. A rapidly developing national legal framework in Colombia with imminent implementation challenges is showcased, as is a technology transfer model in India.


Assuntos
Países em Desenvolvimento , Pessoas com Deficiência/reabilitação , Planejamento em Saúde , Política de Saúde , Acessibilidade aos Serviços de Saúde , Tecnologia Assistiva/tendências , Humanos , Inovação Organizacional , Tecnologia Assistiva/economia
2.
Disabil Rehabil Assist Technol ; 13(5): 445-453, 2018 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-29772939

RESUMO

BACKGROUND AND METHODS: This paper reviews the current capacity of personnel in enabling access to assistive technology (AT) as well as the systems and processes within which they work, and was reviewed, discussed, and refined during and following the Global Research, Innovation, and Education in Assistive Technology (GREAT) Summit. FINDINGS: Key concepts addressed include a person-centred team approach; sustainability indicators to monitor, measure, and respond to needs for service design and delivery; education, research, and training for competent practice, using the six rehab-workforce challenges framework; and credentialing frameworks. We propose development of a competence framework and associated education and training programs, and development and implementation of a certification framework for AT personnel. CONCLUSIONS: There is a resolve to address the challenges faced by People globally to access assistive technology. Context specific needs assessment is required to understand the AT Personnel landscape, to shape and strengthen credentialing frameworks through competencies and certification, acknowledging both general and specific skill mix requirements. Implications for Rehabilitation Personnel in assistive technology (AT) provision should be trained using a person-centred team approach, which emphasizes appropriate skill-mix to address multiple needs within the community. Sustainability indicators should be used which allow personnel to monitor, measure and respond to needs for service design and delivery. A competence framework with associated education and training program, coupled with the development and implementation of a certification framework for AT personnel needs, will promote quality in AT personnel training globally.


Assuntos
Pessoas com Deficiência/reabilitação , Acessibilidade aos Serviços de Saúde/organização & administração , Equipe de Assistência ao Paciente/organização & administração , Assistência Centrada no Paciente/organização & administração , Tecnologia Assistiva , Desenho de Equipamento , Saúde Global , Ocupações em Saúde/educação , Mão de Obra em Saúde , Humanos , Equipamentos Ortopédicos , Educação de Pacientes como Assunto/organização & administração , Pesquisa/organização & administração
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