■尽管对有效AT供应的需求高度未满足,不同国家的多种服务交付模式,缺乏在这一领域受过训练的人员,目前尚无广泛使用和接受的辅助技术(AT)服务提供指南。这篇综述旨在提供有关AT服务提供指南的文献概述,以告知全球可用AT提供指南的发展,与当代全球倡议保持一致,以改善对AT的访问。
■快速范围审查方法使用了两层方法来识别相关出版物:(1)对学术数据库的系统搜索(Medline,CINAHL,Scopus,和谷歌学者);(2)咨询国际AT组织和专家。搜索于2023年3月进行,没有日期限制。分析由TIDE资助的HEART研究指导,该研究涉及欧洲的质量AT提供和服务交付流程,以及世卫组织-GATE5P框架,以加强对AT的获取。
■确定了来自不同国家的35种出版物,针对不同的辅助产品,人员,和供应环境。目前没有AT服务提供的既定准则。然而,尽管背景多种多样,辅助产品的范围和准则所针对的利益相关者的范围,确定了几个关键的服务交付步骤,这些步骤可能构成此类指南的一部分。
■本评论为制定AT供应指南以满足全球需求提供了一个强有力的起点。仔细考虑词汇,process,并建议在系统化全球适用指南时应用辅助产品的多样性。
指南为临床实践提供了公认的基准。循证指南确保一致和适当的干预措施,包括辅助技术规定。证据表明需要全球指导,并且可以利用大量证据来制定此类准则。
UNASSIGNED: Despite the high unmet need for effective AT provision, multiple service delivery models across different countries, and a shortage of personnel trained in this field, no widely useable and accepted Assistive Technology (AT) service provision
guidelines currently exist. This review aims to provide an overview of the literature regarding AT service provision
guidelines to inform the development of globally useable AT provision guidance, aligned with contemporary global initiatives to improve access to AT.
UNASSIGNED: The rapid scoping review method used a two-tiered approach to identifying relevant publications: (1) systematic search of academic databases (Medline, CINAHL, SCOPUS, and Google Scholar); (2) consultation with international AT organisations and experts. The search was conducted in March 2023 with no date limitations. Analysis was guided by the TIDE-funded HEART research on quality AT provision and service delivery processes in Europe, as well as the WHO-GATE 5 P framework for strengthening access to AT.
UNASSIGNED: 35 publications were identified from various countries, and directed at differing assistive products, personnel, and provision contexts. No established
guidelines for AT service provision currently exist. However, despite the variety in contexts, the range of assistive products and the range of stakeholders to whom guidelines are directed, several key service delivery steps were identified that may form part of such
guidelines.
UNASSIGNED: This review offers a strong starting point for developing guidance for AT provision to meet global needs. Careful consideration of vocabulary, process, and application to the diversity of assistive products is recommended in systematizing globally applicable guidance.
Guidelines offer accepted benchmarks for clinical practice.Evidence-based
guidelines ensure consistent and appropriate interventions, including assistive technology provision.The evidence suggests global guidance is required, and a substantial evidence base can be drawn upon to formulate such guidelines.