Framework for Wheelchair Service Delivery

Currently, inadequate wheelchair provision has forced many people with disabilities to be trapped in a cycle of poverty and deprivation, limiting their ability to access education, work and social facilities. This issue is in part because of the lack of collaboration among various stakeholders who need to work together to design, manufacture and deliver such assistive mobility devices. This in turn has led to inadequate evidence about intervention effectiveness, disability prevalence and subsequent cost- effectiveness that would help facilitate appropriate provision and support for people with disabilities.

The Comparative Effectiveness Research Sub-committee (CER-SC) within the International Society of Wheelchair Professionals comprises wheelchair professionals and researchers from across the globe, and acts as the core support group for studies that evaluate effectiveness of wheelchair provision. The expertise of the CER-SC spans a wide range of disciplines, including biology, rehabilitative engineering, health economics, social medicine and global health. The CER-SC used its own familiarity with the literature and undertook a scoping literature search (using Google Scholar, PubMed and PsycInfo) to  develop a conceptual framework.

This paper published in the African Journal of Disability, describes the novel conceptual framework that can be tested across the globe to study and evaluate the effectiveness of wheelchair provision.