title: Comparison of mobility device delivery within Department of Veterans Affairs for individuals with multiple sclerosis versus spinal cord injury.
abstract: Individuals with multiple sclerosis (MS) report decreased satisfaction with their mobility devices compared with individuals with spinal cord injuries (SCIs). This study (1) investigated the demographic differences between veterans with MS (V-MS) and veterans with SCI (V-SCI) who were issued a wheelchair by the Veterans Health Administration (VHA) and (2) described differences in mobility device prescription. We merged two VHA databases to obtain demographic and wheelchair information for all V-MS and V-SCI in 2000 and 2001. Descriptive information for issued wheelchairs was available for 2,154 V-MS and V-SCI. We found that V-MS were significantly less likely to receive higher quality wheelchairs (manual or power) compared with V-SCI (p < 0.001). The disparity in VHA wheelchair prescription between these two groups indicates a need for further research regarding the assistive device prescription process in these populations.
authors.affiliation: Department of Rehabilitation Sciences and Technology, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA, USA.
authors.forename: Fabrisia
authors.initials: F
authors.lastname: Ambrosio
authors.forename: Michael L
authors.initials: ML
authors.lastname: Boninger
authors.forename: Shirley G
authors.initials: SG
authors.lastname: Fitzgerald
authors.forename: Sandra L
authors.initials: SL
authors.lastname: Hubbard
authors.forename: Steven R
authors.initials: SR
authors.lastname: Schwid
authors.forename: Rory A
authors.initials: RA
authors.lastname: Cooper
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003258:Consumer Behavior; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009103:Multiple Sclerosis / Q000534:rehabilitation*; D055656:Prescriptions / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012656:Self-Help Devices / Q000600:supply & distribution*; D013119:Spinal Cord Injuries / Q000534:rehabilitation*; D014481:United States; D014493:United States Department of Veterans Affairs / Q000706:statistics & numerical data*; D014728:Veterans; D055815:Young Adult