Gatekeepers or advocates? Occupational therapists and equipment funding schemes

Barbara, Anita; Curtin, Michael

doi:10.1111/j.1440-1630.2007.00683.x

Cited by 16 publications

(19 citation statements)

References 3 publications

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“…As prescribers are often complicit with the administration of discriminatory government funding policies, they may represent a barrier to attaining needed mobility resources (27). This suggests that there needs to be a re-alignment of the power relationship that exists between prescribers and device users, so that more collaborative relationships can be fostered, congruent with our commitment to client-centred practice.…”

Section: Discussionmentioning

confidence: 99%

The power of power wheelchairs: Mobility choices of community-dwelling, older adults

Mortenson

Hammell

Luts

et al. 2015

Scandinavian Journal of Occupational Therapy

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Section: Discussionmentioning

confidence: 99%

The power of power wheelchairs: Mobility choices of community-dwelling, older adults

Mortenson

Hammell

Luts

et al. 2015

Scandinavian Journal of Occupational Therapy

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“…Even occupational therapists' own research reveals evidence of therapists who "prescribe" activities (25), who are willing gate-keepers to the equipment, resources, and services clients need (41,46), who are detached and superior (37), sarcastic, disinterested, and indifferent (40), and who use such strategies of professional dominance as persuasion, coercion, and intimidation (47): expressions of power incompatible with client-centred protestations.…”

Section: Introductionmentioning

confidence: 98%

Client-centred practice in occupational therapy: Critical reflections

Hammell

2012

Scandinavian Journal of Occupational Therapy

103

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“…Significantly, 18.6% of the AT device categories listed in the ISO are present on the State funding equipment list. The implications of this more than 80% shortfall is that, where users cannot self-fund, prescribers are substantially limited in the AT devices they can provide [31]. …”

Section: Resultsmentioning

confidence: 99%

Barriers and Facilitators to Community Mobility for Assistive Technology Users

Layton

2012

Rehabilitation Research and Practice

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Mobility is frequently described in terms of individual body function and structures however contemporary views of disability also recognise the role of environment in creating disability. Aim. To identify consumer perspectives regarding barriers and facilitators to optimal mobility for a heterogeneous population of impaired Victorians who use assistive technology in their daily lives. Method. An accessible survey investigated the impact of supports or facilitators upon actual and desired life outcomes and health-related quality of life, from 100 AT users in Victoria, Australia. This paper reports upon data pertaining to community mobility. Results. A range of barriers and enablers to community mobility were identified including access to AT devices, environmental interventions, public transport, and inclusive community environs. Substantial levels of unmet need result in limited personal mobility and community participation. Outcomes fall short of many principles enshrined in current policy and human rights frameworks. Conclusion. AT devices as well as accessible and inclusive home and community environs are essential to maximizing mobility for many. Given the impact of the environment upon the capacity of individuals to realise community mobility, this raises the question as to whether rehabilitation practitioners, as well as prescribing AT devices, should work to build accessible communities via systemic advocacy.

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Gatekeepers or advocates? Occupational therapists and equipment funding schemes

Cited by 16 publications

References 3 publications

The power of power wheelchairs: Mobility choices of community-dwelling, older adults

The power of power wheelchairs: Mobility choices of community-dwelling, older adults

Client-centred practice in occupational therapy: Critical reflections

Barriers and Facilitators to Community Mobility for Assistive Technology Users

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