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[Evaluation of a wheelchair recycling program].

Claude Vincent1, François Routhier, Chantal Guérette

  • 1Université Laval, Faculté de médecine Département de réadaptation Pavillon Ferdinand-Vandry Québec, Qc. G1K 7P4. claude.vincent@rea.ulaval.ca

Canadian Journal of Occupational Therapy. Revue Canadienne D'Ergotherapie
|March 7, 2003
PubMed
Summary

Wheelchair recycling shows promise for meeting mobility needs, but faces structural and policy challenges. User satisfaction with refurbished wheelchairs is high, indicating program potential.

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Area of Science:

  • Rehabilitation Engineering
  • Health Services Research
  • Public Health Policy

Background:

  • 11.8% of Quebec's adult population experienced mobility issues in 1998, with unmet needs affecting 2.3%.
  • The Régie de l'assurance-maladie du Québec managed over 4,500 wheelchair distributions and 30,000 repairs annually, costing millions.
  • Wheelchair recycling is proposed as a strategy to address unmet needs and resource allocation inefficiencies.

Purpose of the Study:

  • To evaluate the effectiveness and user satisfaction of a wheelchair recycling program.
  • To identify systemic, operational, and strategic barriers within the wheelchair recycling process.
  • To provide data for policy-makers to improve wheelchair service delivery.

Main Methods:

  • Qualitative research with program personnel (n=9) to assess process efficacy.
  • Quantitative research with community occupational therapists (n=5) and refurbished wheelchair users (n=20).
  • Data collection focused on structural, operational, strategic, and systemic levels, alongside user satisfaction metrics.

Main Results:

  • Qualitative findings indicated inefficacy in resource allocation, lack of recycling norms, absence of return policies, and unclear state accountability.
  • Quantitative results showed high user satisfaction with refurbished wheelchair efficacy, aesthetics, safety, durability, and comfort.
  • High satisfaction was also reported for delivery and follow-up services.

Conclusions:

  • The proposed evaluation framework is adaptable to various contexts.
  • The study highlights the need for policy interventions to optimize wheelchair recycling programs.
  • Findings support the potential of wheelchair recycling to improve service delivery and meet user needs.