Characteristics of assistive technology service delivery models: stakeholder perspectives and preferences.

PURPOSE: The purpose of this study was to identify the key characteristics of an assistive technology service delivery model preferred by the various stakeholders in Manitoba, Canada. METHODS: A descriptive, exploratory approach consistent with qualitative research design was used to explore this issue. Three focus groups were held using a semi-structured interview guide and a hypothetical case study to guide the discussion. Eighteen adults participated in the study, each representing one of three groups of stakeholders (assistive technology service providers, funders and users). Interviews were audiotaped, transcribed and analysed using an inductive process to develop categories and themes. RESULTS: Three primary themes emerged from the data: the user of assistive technology is a unique individual; a decision-making process exists; and, assistive technology devices and services are complex. Based on the study results, recommendations for the delivery of assistive technology services are outlined. CONCLUSIONS: The results of this study may be useful for developing funding guidelines, supporting the importance of assistive technology in enabling meaningful activities, and examining current delivery of services in different contexts.

Consultant assessment and appraisal: an outline in practice.

AIMS: To demonstrate a practical method to address new Department of Health requirements for assessment and appraisal. METHOD: This process was developed within the department to incorporate workload, clinical incidents and 360 degrees questionnaires to assess performance and working with departmental staff as preliminaries to an appraisal interview. CONCLUSION: Review of 2 years' process has resulted in minor amendments but there was general agreement that the parameters encompassed were practical and useful.