21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student

Assistive technology to support everyday life -

Description of the service delivery systemsMARIANNE KYLBERG1, PHD STUD, REG OT

Co-authors: C. Löfqvist1, Z. Liepina2, S. Tomsone2, J. Phillips3, Susanne Iwarsson1

1 Lund University, Department of Health Sciences, Centre for Aging and Supportive Environments

2 Riga Stradins University, Department of Rehabilitation3 Centre for Innovative Ageing, Swansea University, Wales, UK

.

21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student

Background for the study

• Ageing population

• European Union

– Improved health for all citizens

– Active ageing

• Member states of EU

• Latvia

• Sweden

• Differences in use of assistive technology

21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student

Outdoor use of cane

Sweden n=67Latvia n=59

Available10

In use30

No need

27

In need5

No need22

In use23

Available9

21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student

Outdoor use of wheeled walking frame

Sweden n=67Latvia n=59

In need5

No need 49

In use64%

Available4

In use1 Available

6

No need17

In need1

In use43

21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student

How does the service delivery systems for assistive

technologies work?in Latvia and Sweden

21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student

What did we do to find out?

21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student

Reading and interviewing

• Laws

• Regulations

• Policies

• Key actors were interviewed about their perception of how these laws, regulations and policies work in praxis

21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student

Findings

21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student

Laws and regulations

Law on Social Services and Social Assistance

Cabinet of Ministers

National Rehabilitation Centre Vaivari

Health and services act

Regions/municipalities

Latvia Sweden

21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student

Two cases – Janis and Carl

Photo: Grozz, flickr.com Photo: Michael Coghlan , flickr.com

21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student

Janis from Latvia

• Referral

• Application

• Registration

• Assessment

• Waiting list

• Costs

Photo: Grozz, flickr.com

21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student

Carl from Sweden

• Home visit

• Needs assessment

• Rehabilitation plan

• Evaluation

• Waiting time

• Costs

Photo: Michael Coghlan , flickr.com

21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student

What does this tell us?

21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student

Similarities and differences between the countries

why who

what when

21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student

Consequences for the ageing population

• Where you live have consequences for the kind of ATs that are available

• Professional assessments affect opportunities for the use of ATs

• Opportunities for activity and participation are different

• There is a risk for social and occupational injustice

21 May 2013 Home and Health Workshop / Marianne Kylberg PhD Student

Thank you all for your attention!

I would also like to thank the participants for their time and interest in taking part in this study. My supervisors, Professor Susanne Iwarsson, Professor Judith Phillips, PhD Charlotte Löfqvist and co-authors Reg. OT Zane Liepina, PhD Signe Tomsone for creative supervision.