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The Policies of Provision of Assistive and Welfare Technology—A Literature Review
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. (PRILIV, HV3D)
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.ORCID iD: 0000-0002-0510-2458
Mälardalen University, School of Business, Society and Engineering, Industrial Economics and Organisation.ORCID iD: 0000-0002-2514-2297
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.ORCID iD: 0000-0002-9821-9945
2020 (English)In: Societies, E-ISSN 2075-4698, Vol. 10, no 1Article, review/survey (Refereed) Published
Abstract [en]

Background: Due to the increasing ageing population worldwide, humanity is facing global demographic challenges. For many people, their later years are often lived with changed functioning and the need for support in daily living activities. Assistive technology and welfare technology (AT/WT) constitute a partial solution to the demographic challenges. Objectives: The purpose of this literature review is to identify the policy features, such as decision models and guidance for the provision of AT/WT as reported in the current scientific literature. Methods: A literature review with a deductive approach using the structure of the Global Cooperation on Assistive Technology (GATE) model was conducted. The data were searched from the databases: PubMed, Cinahl Plus, and the Web of Science, resulting in nine included articles. Results: The findings are presented according to the structure of the eight domains from the GATE model— policy, assessment, procurement, technology, environment, usability, sustainability and rights— which are further grouped into categories exploring the variations in every domain. Conclusion: The review reveals a nascent and growing interest in the area; however, evidence-based decision models and other guidance on AT/WT are lacking. Recent scholarships and policy reforms can form the basis of stronger guidance to organise complex AT/WT systems, but further and future research is needed.

Place, publisher, year, edition, pages
2020. Vol. 10, no 1
Keywords [en]
assistive technology, welfare technology, telemedicine, telehealth, decision making/decision-making process, health policy, policy making
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-47496DOI: 10.3390/soc10010022ISI: 000530216300021Scopus ID: 2-s2.0-85103884514OAI: oai:DiVA.org:mdh-47496DiVA, id: diva2:1422929
Available from: 2020-04-09 Created: 2020-04-09 Last updated: 2021-11-09Bibliographically approved
In thesis
1. Assistive technology and welfare technology explorations: Aspects of perception, utilisation and decision-making
Open this publication in new window or tab >>Assistive technology and welfare technology explorations: Aspects of perception, utilisation and decision-making
2021 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Aims: The overall aim of this thesis was to explore decision makers’ and professionals’ perceptions, utilisation, and decision-making about assistive technology (AT) and welfare technology (WT) within the interprofessional field of care for older adults. Methods: A literature review was conducted, including nine peer-reviewed scientific articles (I), analysed with a qualitative descriptive method. A web-based questionnaire, answered by 393 officials and health care providers in municipal eldercare (II and III), was analysed using content analysis of the open-ended answers (II) and descriptive and inferential statistics of the closed-ended answers (III). A semi-structured interview with 24 decision makers was also conducted and analysed with thematic reflexive analysis. Results: The studies revealed a lack of evidence-based decision models to support assistive and welfare technology decisions, partly due to the context being complex and multifaceted. The technology was perceived as progressive and cutting-edge, while organizational structure and culture were perceived as regressive and resistant to change. The results revealed personnel working with WT were generally very positive toward new technology, although there were age, gender, participation, and professional differences. Study IV results revealed that supportive aspects, technology aspects, patient aspects, and knowledge aspects influence AT-organizations' decision-making. Although AT/WT has been portrayed to have the potential to solve the challenges of an aging population, the decision-making regarding AT/WT is complex and evolving. Increased communication between government, regions, and municipalities to support the development of guidelines would enhance the goal of a person-centred care. Conclusion: This thesis contributes to knowledge of decision-making models, focusing on GATE´s model (Khasnabis et al., 2015) applicable in AT/WT. Further development and deepen knowledge in the area of AT/WT appears as needed due to results showing that there is a lack of structured knowledge about the decision-making processes and evaluations of effects of AT/WT.

Place, publisher, year, edition, pages
Stockholm: E-print AB, 2021
Series
Mälardalen University Press Dissertations, ISSN 1651-4238 ; 333
Keywords
assistive technology, welfare technology, older adults, health care providers, content analysis, cross-sectional, thematic analysis, interdisciplinary health care professionals, decision-making, managers, utilisation, perception
National Category
Health Sciences
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-53888 (URN)978-91-7485-505-0 (ISBN)
Public defence
2021-05-28, sal C1-007 och digitalt via Zoom, Mälardalens högskola, Eskilstuna, 09:15 (English)
Opponent
Supervisors
Projects
HV3D
Available from: 2021-04-15 Created: 2021-04-15 Last updated: 2021-05-07Bibliographically approved

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Baudin, KatarinaMüllersdorf, MariaSundström, AngelinaGustafsson, Christine

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