背景:严重受伤后的残疾患者需要长期护理。导致长期残疾的最常见损伤是脊髓和获得性脑损伤。虽然长期影响很难预测,而且个体之间会有所不同,护理和康复的费用远远超过初始治疗阶段,包括长期护理。随着技术的可用性以及成本和功能的进步,长期护理正在发生变化,比如家庭自动化。“家庭自动化”是指自动化或远程控制家庭功能的技术。家庭自动化成本差异很大,但是家庭自动化有可能对残疾人的生活产生积极影响。然而,缺乏有关家庭自动化对残疾人影响的证据,对成本和投资回报的严格评估也很少。
目的:这项研究的目的是通过案例研究来描述家庭自动化对严重伤害(例如机动车事故)后长期残疾的人的影响,通过对个人的成本和结果进行评估,家庭,和更广泛的社区使用社会投资回报(SROI)方法。
方法:SROI是一种经济评价形式,它发展了一种变革理论,以检查投入之间的关系,输出,和结果,近年来,在国际上越来越受欢迎,包括在澳大利亚。SROI有六个阶段:(1)确定范围和利益相关者,(2)地图结果,(3)证据结果并赋予其价值,(4)建立影响,(5)计算SROI,(6)报告调查结果。使用家庭自动化的残疾人和主要利益相关者将接受采访。利益相关者将是参与残疾人家庭自动化的个人,例如专职医疗专业人员,医生,设备供应商,工程师,和维护专业人员。家庭自动化的用户将是严重受伤后有残疾的人,有能力提供同意,并有一个或多个家庭自动化的元素。家庭自动化的影响将通过财务代理和适当的折扣来确定,以避免高估社会回报。将计算SROI比率,并将报告调查结果。
结果:该项目由终身支持管理局于2021年11月资助。招聘正在进行中,数据收集预计将于2022年10月完成。该研究的最终结果将于2023年3月公布。
结论:据我们所知,这项研究代表了澳大利亚和国际上第一项采用SROI来估计社会,个人,以及严重受伤后残疾人家庭自动化的社区成果。这项研究将为资助者提供有价值的信息,消费者,研究人员,和公众来指导和告知未来的决策。
UNASSIGNED:DERR1-10.2196/42493。
BACKGROUND: People with disability following a serious injury require long-term care. The most common injuries resulting in long-term disability are spinal cord and acquired brain injuries. While the long-term effects are difficult to predict and will vary between individuals, the costs of care and recovery span well beyond the initial treatment phase and include long-term care. Long-term care is changing with the availability and advances in cost and function of technologies, such as home automation. \"Home automation\" refers to technology that automates or remotely controls household functions. Home automation costs vastly differ, but home automation has the potential to positively impact the lives of people with disabilities. However, there is a dearth of evidence relating to the impact of home automation for people with a disability and few rigorous evaluations about the costs and return on investment.
OBJECTIVE: The purpose of this study is to describe the impact of home automation for people with long-term disability following a serious injury (such as a motor vehicle accident) using case studies, and by conducting an evaluation of the costs and outcomes for individuals, families, and the wider community using a Social Return on Investment (SROI) approach.
METHODS: SROI is a form of economic evaluation that develops a theory of change to examine the relationship among inputs, outputs, and outcomes and, in recent years, has gained popularity internationally, including in Australia. SROI has six phases: (1) identify scope and stakeholders, (2) map outcomes, (3) evidence outcomes and give them value, (4) establish impact, (5) calculate the SROI, and (6) report findings. Individuals with a disability who use home automation and key stakeholders will be interviewed. Stakeholders will be individuals involved in home automation for people with disabilities, such as allied health professionals, medical practitioners, equipment suppliers, engineers, and maintenance professionals. Users of home automation will be people who have a disability following a serious injury, have the capacity to provide consent, and have 1 or more elements of home automation. The impact of home automation will be established with financial proxies and appropriate discounts applied to avoid overestimating the social return. The SROI ratio will be calculated, and findings will be reported.
RESULTS: The project was funded in November 2021 by the Lifetime Support Authority. Recruitment is underway, and data collection is expected to be completed by October 2022. The final results of the study will be published in March 2023.
CONCLUSIONS: To our knowledge, this study represents the first study in Australia and internationally to employ SROI to estimate the social, personal, and community outcomes of home automation for people with a disability following a serious injury. This research will provide valuable information for funders, consumers, researchers, and the public to guide and inform future decision-making.
UNASSIGNED: DERR1-10.2196/42493.