Study on assistive technology service model for persons with disability in Shenzhen

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Study on assistive technology service model for persons with disability in Shenzhen


Author: Zhong, Lei
Title: Study on assistive technology service model for persons with disability in Shenzhen
Degree: M.Sc.
Year: 2011
Subject: People with disabilities -- Rehabilitation -- China -- Shenzhen (Guangdong Sheng : East)
Self-help devices for people with disabilities -- China -- Shenzhen (Guangdong Sheng : East)
Rehabilitation technology -- China -- Shenzhen (Guangdong Sheng : East)
People with disabilities -- Government policy -- China -- Shenzhen (Guangdong Sheng : East)
Hong Kong Polytechnic University -- Dissertations
Department: Dept. of Health Technology and Informatics
Pages: xiv, 102 leaves : ill. ; 30 cm.
Abstract: Background: With population of China is aging, we are confronting how to maintain satisfying life for those who experience an accumulation of infirmities or disabilities. Both medical care and assistive technology services play important roles in maintaining functioning in the community for older persons and individuals with disabilities. Reviews of the literature indicate that in any areas, the procedure of assistive technology service (ATS) remains complex and confusing. Shenzhen was regard as one of Special Economic Zone in China since 1980. Its' economy and society developed very fast during last 30 years. Services for PWDs in Shenzhen are also developing very fast, especially in ATS field. Shenzhen has established a network of assistive technology service for PWD since 2008. And Shenzhen government is increasing subsidies on career of PWD. But there are also many problems on ATS in Shenzhen, such as (1) Many persons with disabilities can't get ATS subsidy; (2) ATS subsidy is lack of consistency; (3) Government ATS subsidy is limited in narrow scope. Objective: The study tries to analyze fundamental requirements and determine the current status of ATS in Shenzhen. Thus current problems of ATS in Shenzhen are identified. It tries to explore a suitable Assistive Technology Service Model for persons with disability in Shenzhen and facilitates making policy of ATS and transfers this model to other cities in China. Methodology: Both Qualitative and quantitative methods are used in the study. The study generates and summarize fundamental framework by retrieving literature and policy. The basic data of requirements on ATS are acquired by PWDs' survey. To master the relationship PWDs' type and level and AD classification, AT assessment database was analyzed. The study also carries out survey on social AT service providers in Shenzhen. The ATS model is formed by systematical analysis based on above surveys. Results: The study carries out ATS fundamental situation survey in Shenzhen. It surveyed seven hundred and twenty six PWDs in Shenzhen. Only 16.8% PWDs got ATS compared with 47.5% PWDs demand for ATS and 54.4% PWDs recommended by practitioners proposal. Persons with visual and hearing disability are the two groups whose ATS rate is far below average level and that of PWDs demand and practitioner's proposal. 8.57% of persons with visual disabilities got ATS compared with 38.57% PWDs' demand and 15.71% practitioner's proposal. 7.72% of persons with hearing disabilities got ATS compared with 69.85% PWDs' demand and 93.75% practitioner's proposal. PWDs above 60 years old obtain ATS are far below than other groups compared with their personal demand and practitioners proposal. Different type of disabilities has great difference on ATS demand. Persons with physical, hearing, visual and multiple disabilities have greater demand for ATS. While persons with speech, mental retardation and mental disorder disabilities have less demand for ATS. Compared with their needs, the persons with physical disability got the most ATS among all PWDs. The persons with visual disability are in the second place. Persons with hearing and multiple disabilities are the worse.
The study also analyzes AT assessment data. Total one thousand five hundred and thirty five PWDs have applied for ATS. Thirty three PWDs were rejected by AT assessment. Only one thousand and five hundred and two PWDs got ATS at last. The study analyzes that PWDs. Different type of disability demand for different type of AD according to AD classification. Persons with physical disability demand greater for ADs of Personal Mobility and Transportation, Daily Living and modification of building for private use. But persons with visual and hearing disabilities demand greater for communication ADs. 52.69% persons with physical disability demand for Daily Living ADs. While 54.05% persons with visual disability demand for communication ADs. 87.09% persons with hearing disabilities demand for communication ADs. PWDs above 60 years old are the group which ATS is not greatly satisfied compared with their demands. The study also made survey on AT service providers. There are twenty two AT service providers in Shenzhen according to survey results. But 55% of service providers are for persons with hearing disability. Service provider for persons with visual disability is very few. 18% AT service providers are non-government organization. It is very inspiring. The study makes analysis of current project, procedure, and organization resource of ATS in Shenzhen. And some problems about ATS are identified. Conclusions: At last the study proposes to constitute ATS model in Shenzhen. The model comprises four factors, AT Assessment Centralization, Service Resources Admitting, ATS Subsidy Institutionalization and ATS Procedure Reengineering. The four factors are interrelated and interact on each other. They constitute a complete and comprehensive ATS system for PWDs. Some recommendations are also put forward to improve ATS.

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