assistive technology to support everyday life - description of the service delivery systems
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21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student
Assistive technology to support everyday life -
Description of the service delivery systemsMARIANNE KYLBERG1, PHD STUD, REG OT
Co-authors: C. Löfqvist1, Z. Liepina2, S. Tomsone2, J. Phillips3, Susanne Iwarsson1
1 Lund University, Department of Health Sciences, Centre for Aging and Supportive Environments
2 Riga Stradins University, Department of Rehabilitation3 Centre for Innovative Ageing, Swansea University, Wales, UK
.
21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student
Background for the study
• Ageing population
• European Union
– Improved health for all citizens
– Active ageing
• Member states of EU
• Latvia
• Sweden
• Differences in use of assistive technology
21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student
Outdoor use of cane
Sweden n=67Latvia n=59
Available10
In use30
No need
27
In need5
No need22
In use23
Available9
21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student
Outdoor use of wheeled walking frame
Sweden n=67Latvia n=59
In need5
No need 49
In use64%
Available4
In use1 Available
6
No need17
In need1
In use43
21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student
How does the service delivery systems for assistive
technologies work?in Latvia and Sweden
21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student
Reading and interviewing
• Laws
• Regulations
• Policies
• Key actors were interviewed about their perception of how these laws, regulations and policies work in praxis
21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student
Laws and regulations
Law on Social Services and Social Assistance
Cabinet of Ministers
National Rehabilitation Centre Vaivari
Health and services act
Regions/municipalities
Latvia Sweden
21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student
Two cases – Janis and Carl
Photo: Grozz, flickr.com Photo: Michael Coghlan , flickr.com
21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student
Janis from Latvia
• Referral
• Application
• Registration
• Assessment
• Waiting list
• Costs
Photo: Grozz, flickr.com
21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student
Carl from Sweden
• Home visit
• Needs assessment
• Rehabilitation plan
• Evaluation
• Waiting time
• Costs
Photo: Michael Coghlan , flickr.com
21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student
Similarities and differences between the countries
why who
what when
21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student
Consequences for the ageing population
• Where you live have consequences for the kind of ATs that are available
• Professional assessments affect opportunities for the use of ATs
• Opportunities for activity and participation are different
• There is a risk for social and occupational injustice
21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student
Thank you all for your attention!
I would also like to thank the participants for their time and interest in taking part in this study. My supervisors, Professor Susanne Iwarsson, Professor Judith Phillips, PhD Charlotte Löfqvist and co-authors Reg. OT Zane Liepina, PhD Signe Tomsone for creative supervision.
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