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Governmental perspective on fair and equitable provision of boneanchored prostheses: Barriers and facilitators
Abstract   Open access   Peer reviewed

Governmental perspective on fair and equitable provision of boneanchored prostheses: Barriers and facilitators

Laurent Frossard, Debra Berg, Gregory Merlo, Tanya Quincey and Brendan J Burkett
16th International Society of Prosthetics and Orthotics World Congress Book of Abstracts, p.360
International Society of Prosthetics and Orthotics (ISPO) World Congress, 16th (Cape Town, South Africa, 08-May-2017–11-May-2017)
2017
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Abstract

Human Movement and Sports Science bone-anchored prosthesis amputation osseointegration prostheses economic evaluation reimboursement procedure
Background: Individuals with lower limb amputation fitted with conventional artificial limbs often experience continuous socket-related discomfort leading to a dramatic decrease in quality of life. Most of these functional issues can be overcome by replacing the socket with a surgically implanted bone-anchored prosthesis attached directly to the residual bone using an osseointegrated fixation.[1-31] Government organizations are facing challenges in adjusting procedures to accommodate the emergence of bone-anchored prostheses.[32-35] This study shares the knowledge gained by the Queensland Artificial Limb Service (QALS) an Australian State government organization, while implementing a procedure for fair and equitable provision of bone-anchored prostheses care. Aim: The aim of this study was to share some insights drawn from QALS' experience with strong emphasis on barriers and facilitators encountered when implementing procedure for provision of bone-anchored prostheses care in Queensland, Australia. Method: Barriers and facilitators were identified over nearly 3 years following typical phases of action research led by QALS' management team and researchers who consulted key stakeholders (e.g., 18 Queensland - based consumers, 3 prosthetists, 2 multidisciplinary clinical teams).

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