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- 검색키워드
- 저자 : Munoz Collado, Rosanny Araysy (검색결과 1 건)
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Current state of the access to mobility assistive devices and its services in the Dominican Republic
Munoz Collado, Rosanny Araysy Graduate School, Yonsei University 2024 국내석사
In many low and middle-resource settings, the Assistive Technology (AT) provision is highly fragmented and almost nonexistent, with limited purchasing and no service delivery systems. Despite the existence of a legal framework on disability in the Dominican Republic, there is no comprehensive source of data on the availability of mobility assistive technology (MAT), and there is a significant capacity gap between public and private service providers. The purpose of this study was to investigate the current status of access to mobility assistive devices and related services in both private and public rehabilitation centers in Cibao Norte, Dominican Republic. To this end, a self-administrated survey was conducted targeting people with physical disabilities, who were currently outpatients of 2 public rehabilitation centers and 2 private rehabilitation centers, in other to gather information about the use, unmet needs, barriers to access and level of satisfaction with the mobility assistive devices and related services. A total of 102 individuals were surveyed. As a result of the study, there was a statistically significant difference between the prevalence of self-reported unmet need for mobility assistive devices and the overall use between the two samples (p=0.003 and p=0.007, respectively), with the Public sample reporting both more unmet needs and less use. Canes/ sticks and manual wheelchairs were the most frequently reported mobility assistive devices (MADs) in both samples. Regardless of the group, the most common source of funding for mobility devices was the private sector, with the cost being borne by the users or a family member. Those who received services from the private institution exhibited higher levels of satisfaction across all categories compared to those who received services at the public institution. Furthermore, the Mann-Whitney test yielded significant findings indicating notable variations in satisfaction levels across: satisfaction with the mobility assistive device (p=0.000), satisfaction with the assessment and training (p=0.001), satisfaction with the repair, maintenance and follow-up (p=0.001), AT is suitable for your home and surroundings (p=0.004) and AT helps you to do what you want (p=0.039). Currently, the accessibility, the user’s satisfaction, and the metneeds for mobility devices and services in the Dominican Republic vary depending on the nature of financial resources. In particular, the lower satisfaction and usage rates for public services compared to private services is a factor limiting universal accessibility to mobility devices for disabled users. Therefore, the establishment of a national-level strategy and action plan to improve accessibility and usability of mobility assistive devices is required.
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