The World Health Organization 8-steps wheelchair service
The world health organization (WHO) has devised an 8-step prescription process. The process has shown to have improved satisfaction compared to waiting list individuals. But more hours need to be spent on training skills, as less than half of the subjects were able to go up a step or curb.
Wheelchairs come in many shapes and sizes and proper prescription of the correct wheelchair with the correct settings can improve quality of life and what is considered a basic human right. The way to assess this, especially in location where resources are limited, can make a marked difference in the usability post prescription.
1: Community involvement; including physical skills, independence and economic and social factors.
2: Quality of life and self perception; including self belief and perception of physical ability and goals.
3: Wheelchair skills questionnaire that assessed independent skills in normal functions or the skills of their care-giver where relevant.
4: Wheelchair working conditions.
5: Functional mobility and ability to independently perform tasks.
6: Technology questionnaire about repairs positive and negative questions.
The trial assessed participants physically and with a questionnaire. Once the chair most appropriate to the individual’s needs was decided, it was delivered and fitted to the individual. Basic wheelchair handling was trained in the delivery process.
Although no significant difference was found in many of the intrinsic factors of wheelchair health and rehabilitation, there was significant improvement in overall satisfaction with the wheelchairs prescribed in this manner.
Video: Looking beyond the standard wheelchair
Is a ‘one-size-fits-all’ approach an efficient and cost effective manner of ensuring more people get prescribed something that is of benefit, or is investing time in the right fit for fewer individuals preferred?
> From: Toro et al., BMC Health Serv Res 16 (2016) 26. All rights reserved to The Author(s). Click here for the Pubmed summary.