Biomedical Engineering Reference
In-Depth Information
d.
The multidisciplinary team evaluates the data and user's request.
i. If the data provided by the user are not sufficient for a “matching process,”
the user is requested to convey more information and the process returns
to point b.
ii. If the data provided by the user is sufficient for a “matching process,” the
multidisciplinary team proceeds by setting and scheduling an appoint-
ment for a meeting with the user.
e. The multidisciplinary team arranges a suitable setting for the matching
assessment.
f.
The multidisciplinary team, along with the user, assesses the assistive solution
proposed, tries the solution, and gathers outcome data.
g.
The multidisciplinary team evaluates the outcome of the matching assessment.
i. If successful, the team proposes an assistive solution to the user and sched-
ules a new appointment.
ii. If not successful, the team restarts at point d.
iii. When the proposed assistive solution requires an environmental evalua-
tion, the team initiates the environmental assessment process.
h.
The multidisciplinary team proposes the assistive solution to the user (efficacy).
i. If not a good match (temporary), the user does not agree with the proposed
solution and requires a new one. The process restarts at point d.
ii. If not a good match and an alternative solution does not exist or cannot be
found, then the user/client may choose to exit the process. If a good match,
the team provides the assistive solution.
if
Assistive solution provision.
j.
When the technological aid is delivered to the user/client, follow-up and ongo-
ing user support is activated (effectiveness).
AT Abandonment: The Service Delivery System in Different Countries
The most relevant studies on AT abandonment (Philips and Zhao 1993; Scherer 1996; Kittel
et al. 2002; Scherer et al. 2004, 2005; Dijcks et al. 2006; Verza et al. 2006; Federici and Borsci
2011) have been effected in different contexts with different national service delivery sys-
tems* (Stack et al. 2009; Estreen 2010; Mathiassen 2010). In some cases, such national ser-
vice delivery systems have been divided according to the model underlying the service
delivery itself: medical-oriented model, social-oriented Model, or client-oriented Model
(Stack et al. 2009). On the other hand, the service delivery process has been analyzed by
others from the public or private health service point of view so that we can distinguish
among private insurances, donations, and direct acquisition (Estreen 2010). As an example,
Table I.1 quotes the service delivery systems and models of some countries from which the
previously mentioned works originate.
* “Service delivery” refers to professional advice and treatment activities, as well as the physical delivery of the
technical aid to the person with a disability, including training and setup if required. In the AT industry, the
term service delivery is used to identify the facilities, procedures, and processes that act as intermediaries
between the AT product manufacturers and AT end-users” (Stack et al. 2009, p. 28).
 
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