Understanding the Global Challenges to Accessing Appropriate Wheelchairs: Position Paper

Area of Science:

• Rehabilitation Engineering
• Public Health Policy
• Assistive Technology

Background:

• Wheelchairs are vital for mobility-impaired individuals' health, wellbeing, and equal opportunities.
• Current wheelchair provision often neglects evidence-based service delivery and lacks national policies.
• Global access to appropriate wheelchairs remains a significant challenge.

Purpose of the Study:

• To explore global challenges in accessing appropriate wheelchairs using a systemic development model.
• To propose key positions for improving wheelchair service provision worldwide.
• To advocate for sustainable and comprehensive wheelchair service delivery systems.

Main Methods:

• A systemic development model based on the sustainable human security paradigm was employed.
• A position paper was developed through the exploration of global challenges.
• Key perspectives across the life course were considered for wheelchair provision.

Main Results:

• Wheelchair provision requires consideration of life-course perspectives, comprehensive service delivery, and a competent workforce.
• Evaluations of wheelchair product quality, performance, and procurement are essential due to generally poor quality.
• Understanding economic factors and establishing clear wheelchair provision policies are critical.

Conclusions:

• Developing appropriate and sustainable wheelchair service provision systems globally is essential.
• Addressing policy gaps, improving service delivery, and ensuring product quality are key priorities.
• A global vision for equitable wheelchair access is proposed.