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Analysis of satisfaction with assistive device adaptation among people with disabilities in Shanghai, China: a
Zhe Yang1, Xiaoman Deng2,3, Shaohua Wan1
1Shanghai YangZhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), School of Medicine, Tongji University, Shanghai, China.
Objective:
This study assessed levels of satisfaction with assistive device adaptation among people with certified disabilities in Shanghai, China, and identified key influencing factors to inform policy improvements.
Methods:
A cross-sectional study was conducted from July to August 2024 using quota sampling of 2032 people with certified disabilities in Shanghai. Data were collected through household surveys with an adapted version of the WHO Rapid Assistive Technology Assessment (rATA) tool. Binary logistic regression was used to analyse satisfaction levels and associated factors.
Results:
The overall satisfaction rate was 90.45%. Significant predictors of lower satisfaction included hearing disability (OR = 0.27, 95% CI: 0.12-0.55); urban residence (OR = 0.56, 95% CI: 0.37-0.83); cost-sharing payment mode (OR = 4.29, 95% CI: 2.50-7.53) relative to full subsidies; service cycle >15 days (OR = 3.76, 95% CI: 1.58-8.45); infrequent device use (OR = 0.11, 95% CI: 0.07-0.18); and mild environmental barriers (OR = 0.54, 95% CI: 0.34-0.85).
Conclusions:
These findings highlight critical areas for policy intervention, particularly regarding hearing-specific services, urban-suburban disparities, financing modes and service efficiency. Targeted strategies should address these multidimensional factors to increase satisfaction with assistive device adaptation.
