Article

While sparsely researched, funding structures may play an important
role in use of and satisfaction with prostheses and related health services.
OBJECTIVES: The objectives of this study were to (1) quantify the direct costs of
prosthesis wear, (2) explore variations in funding distribution, and (3) describe
the role of affordability in prosthesis selection and wear. STUDY DESIGN: An
anonymous, online cross-sectional descriptive survey was administered. METHODS:
Analyses were conducted of qualitative and quantitative data extracted from an
international sample of 242 individuals with upper limb absence. RESULTS: Access
to prosthesis funding was variable and fluctuated with age, level of limb absence
and country of care. Of individuals who gave details on prosthetic costs, 63% (n
= 69) were fully reimbursed for their prosthetic expenses, while 37% (n = 40)
were financially disadvantaged by the cost of components (mean [SD] US$9,574
[$9,986]) and their ongoing maintenance (US$1,936 [$3,179]). Of the 71
non-wearers in this study, 48% considered cost an influential factor in their
decision not to adopt prosthesis use. CONCLUSIONS: Prosthesis funding is neither
homogeneous nor transparent and can be influential in both the selection and use
of a prosthetic device. CLINICAL RELEVANCE: Inequitable access to prosthesis
funding is evident in industrialized nations and may lead to prosthesis
abandonment and/or diminished quality of life for individuals with upper limb
absences. Increased efforts are required to ensure equitable access to upper limb
prosthetics and related services in line with individuals' needs.

Langue : ANGLAIS