title: The role of the International Classification of Functioning, Disability, and Health and quality criteria for improving assistive technology service delivery in Europe.
abstract: OBJECTIVE
  People with disabilities are entitled to access assistive technology (AT) to facilitate their full and effective participation in society and may reasonably expect to be central to the decision-making processes of services that provide these technologies. European projects have improved the knowledge and resources available for AT service delivery in many countries, but the outputs are not consistently implemented or published in scientific literature. This article examines European developments in AT service delivery and the barriers to its effective provision. Specifically, it analyzes the role of the International Classification of Functioning, Disability, and Health in service delivery improvement.
  
  
  METHODS
  Published scientific papers, as well as reports from and descriptions of European projects related to AT service delivery, were reviewed. The publications were analyzed in relation to six criteria for AT service delivery described in an earlier, major European project. The findings and recommendations from the publications are synthesized in this article to identify advances and gaps in AT service delivery and to assess the current status and direction of AT service delivery improvement in Europe.
  
  
  RESULTS
  Multicountry projects have brought together AT researchers from across Europe to work together and produced promising results that are contextually relevant. Access to AT information and training of practitioners has improved, and efforts are being made to facilitate user involvement.
  
  
  CONCLUSIONS
  More effort should be put into integrating research and resources from European projects into practice. Use of the International Classification of Functioning, Disability, and Health model and terminology may support coordination of service delivery systems. The AT research and practice communities in Europe may be able to learn from developments in North America, while continuing to work together, sharing resources and strategies, and communicating results internationally.
authors.affiliation: Research Centre for Technology in Care, Zuyd University of Applied Sciences, Heerlen, the Netherlands.
authors.forename: Emily J
authors.initials: EJ
authors.lastname: Steel
authors.forename: Gert Jan
authors.initials: GJ
authors.lastname: Gelderblom
authors.forename: Luc P
authors.initials: LP
authors.lastname: de Witte
mesh_terms: D004185:Disability Evaluation; D006233:Persons with Disabilities / Q000145:classification* / Q000534:rehabilitation*; D005060:Europe; D005260:Female; D006801:Humans; D038801:International Classification of Diseases; D008297:Male; D017063:Outcome Assessment, Health Care; D026741:Physical Therapy Modalities / Q000295:instrumentation; D058996:Quality Improvement; D012656:Self-Help Devices / Q000592:standards* / Q000639:trends