轮椅维修:延误、原因和相关结果。

IF 3.6 2区 医学 Q1 REHABILITATION Archives of physical medicine and rehabilitation Pub Date : 2024-10-18 DOI:10.1016/j.apmr.2024.10.001
Lynn A Worobey, Daniel Canter, Denise Fyffe, Chloe Slocum, Thomas N Bryce, Chad Swank, Kimberly Monden, Candace Tefertiller, Allen Heineman, Rachel Cowan, Theresa Berner, Michael L Boninger
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引用次数: 0

摘要

目的研究完成轮椅维修所需的时间长度,以及负面结果与阻止或决定由谁进行维修的因素之间的关系:调查,横断面:九个脊髓损伤(SCI)示范系统中心:报告至少进行过一次维修的 SCI 轮椅使用者(N=301):主要结果测量:与轮椅维修相关的不良后果发生率、已完成的所需维修以及轮椅维修前的时间:76%的参与者报告已完成所有必要的维修,7%的参与者表示已完成部分维修,14%的参与者报告未完成任何维修。未完成维修的最常见原因(30%)是供应商在联系后未能完成维修。在成功完成的维修中,56%是由供应商完成的。维修时间的中位数为 14 天,不同部件的维修时间没有明显差异。最常见的后果是被迫使用备用轮椅或被限制在家中。除受伤外,由供应商完成维修的参与者中经历过各类后果的比例都较高:未完成轮椅维修的比例很高,这给用户带来了很大的风险,而供应商处理故障的时间过长则加剧了这种风险。供应商服务不尽如人意的情况很普遍,需要供应商进行维修而导致后果的参与者比例明显更高。这似乎表明维修过程中存在结构性缺陷,需要采取干预措施来解决这些问题。
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Wheelchair Repairs: Delays, Causes, and Associated Outcomes.

Objective: To examine the length of time to complete wheelchair repairs and the relationship between negative outcomes and the factors that prevented or determined who performed the repairs.

Design: Survey, cross-sectional.

Setting: Nine spinal cord injury (SCI) Model Systems Centers.

Participants: Wheelchair users with SCI reporting at least 1 repair (N=301).

Interventions: Not applicable.

Main outcome measures: Prevalence of adverse consequences associated with wheelchair repairs, repairs completed of those needed, and time elapsed before wheelchair repair.

Results: Of the participants, 76% reported all necessary repairs were completed, 7% indicated that some repairs were addressed, and 14% reported none of the repairs were completed. The most common reason for incomplete repairs (30%) was the vendor's failure to complete the repair after being contacted. Among the repairs that were successfully completed, 56% were performed by vendors. The median time elapsed before repair was 14 days, with no significant difference observed in the time taken for repairs across different components. The most common consequences were being forced to use a backup wheelchair or being confined at home. A greater percentage of participants experienced each type of consequence, except injury, for repairs completed by vendors.

Conclusions: The high percentage of uncompleted wheelchair repairs poses a significant risk to users, and this risk is compounded by prolonged time taken by vendors to address breakdowns. Unsatisfactory vendor service was common, with a significantly larger proportion of participants experiencing consequences for repairs that required a vendor. This seems to indicate structural inadequacies within the repair process and the need for interventions to address these issues.

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来源期刊
CiteScore
6.20
自引率
4.70%
发文量
495
审稿时长
38 days
期刊介绍: The Archives of Physical Medicine and Rehabilitation publishes original, peer-reviewed research and clinical reports on important trends and developments in physical medicine and rehabilitation and related fields. This international journal brings researchers and clinicians authoritative information on the therapeutic utilization of physical, behavioral and pharmaceutical agents in providing comprehensive care for individuals with chronic illness and disabilities. Archives began publication in 1920, publishes monthly, and is the official journal of the American Congress of Rehabilitation Medicine. Its papers are cited more often than any other rehabilitation journal.
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