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Wheeled Mobility (Wheelchair) Service Delivery
Comparative Effectiveness Technical Briefs, No. 9
Investigators: Nancy Greer, PhD, Michelle Brasure, PhD, MSPH, MLIS, and Timothy J Wilt, MD, MPH.
Author Information and AffiliationsStructured Abstract
Background:
Wheeled mobility service delivery is the process by which mobility impaired individuals are matched to wheeled mobility devices and provided service. Matching patients with mobility limitations with the most appropriate wheeled mobility device, avoiding under- and over-prescribing, is important for functional ability and quality of life, especially for patients with complex rehabilitation needs (i.e., long-term wheelchair users with complex medical conditions).
Purpose:
To describe the wheeled mobility service delivery process for patients with complex rehabilitation needs, survey the available literature on service delivery, and identify issues and areas for future research.
Methods:
A search of published, peer-reviewed and grey literature and interviews with selected Key Informants. An evidence map was developed with characteristics of studies pertaining to the wheeled mobility service process identified in the bibliographic databases through March 2011.
Findings:
Based on textbooks, guidelines, and published literature, the recommended service delivery process typically includes patient evaluation, equipment selection and delivery, and postdelivery training and followup. However, there is a lack of research on the effectiveness of the recommended approaches. Existing studies are primarily observational, exploratory studies designed to determine consumer use of and satisfaction with the wheeled mobility service delivery process. Additional research is needed on the topic of wheeled mobility service delivery to establish an evidence base that will allow for the development of standards and guidelines necessary for evidence-based service delivery.
Contents
Prepared for: Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services1, Contract No. 290-07-10064-1, Prepared by: Minnesota Evidence-based Practice Center, Minneapolis, MN
Suggested citation:
Greer N, Brasure M, Wilt TJ. Wheeled Mobility (Wheelchair) Service Delivery. Technical Brief No. 9. Prepared by the University of Minnesota Evidence-based Practice Center under Contract No. 290-07-10064-I.) AHRQ Publication No. 11(12)-EHC065-EF. Rockville, MD: Agency for Healthcare Research and Quality. January 2012.
This report is based on research conducted by the Minnesota Evidence-based Practice Center (EPC) under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD (Contract No. 290-07-10064-1). The findings and conclusions in this document are those of the authors, who are responsible for its contents; the findings and conclusions do not necessarily represent the views of AHRQ. Therefore, no statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.
The information in this report is intended to help clinicians, employers, policymakers, and others make informed decisions about the provision of health care services. This report is intended as a reference and not as a substitute for clinical judgment.
This report may be used, in whole or in part, as the basis for development of clinical practice guidelines and other quality enhancement tools, or as a basis for reimbursement and coverage policies. AHRQ or U.S. Department of Health and Human Services endorsements of such derivative products may not be stated or implied.
None of the investigators has any affiliation or financial involvement that conflicts with the material presented in this report.
- 1
540 Gaither Road, Rockville, MD 20850; www
.ahrq.gov
- Wheeled Mobility (Wheelchair) Service DeliveryWheeled Mobility (Wheelchair) Service Delivery
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