The lived experience of receiving services as a National Disability Insurance Scheme participant in a rural area: Challenges of choice and control.

Autor: Wakely L; Department of Rural Health, University of Newcastle, New South Wales, Tamworth, Australia., Green E; Discipline of Physiotherapy, School of Health Sciences, University of Newcastle, Tamworth, New South Wales, Australia., Little A; Department of Rural Health, University of Newcastle, New South Wales, Tamworth, Australia., Fisher K; Department of Rural Health, University of Newcastle, New South Wales, Tamworth, Australia., Wakely K; Department of Rural Health, University of Newcastle, New South Wales, Tamworth, Australia., Currie K; Department of Rural Health, University of Newcastle, New South Wales, Tamworth, Australia., Wolfgang R; Department of Rural Health, University of Newcastle, New South Wales, Tamworth, Australia.
Jazyk: angličtina
Zdroj: The Australian journal of rural health [Aust J Rural Health] 2023 Aug; Vol. 31 (4), pp. 648-658. Date of Electronic Publication: 2023 Jun 02.
DOI: 10.1111/ajr.13000
Abstrakt: Objective: To explore the lived experience of people with a physical disability residing in a rural area and receiving services under the NDIS.
Setting: Rural areas of New South Wales classified as Modified Monash Categories 3-7.
Participants: Semistructured interviews were conducted with seven purposively sampled participants who self-identified as having a physical disability, were receiving NDIS funding and lived in a rural area of NSW.
Design: Data collection and analysis were guided by hermeneutic phenomenology.
Findings: We interpreted three interrelated themes; Uncertainty of Access, Battling Bureaucracy and Improving Relationships and Independence. The themes articulate the essence of this phenomenon, Challenges to choice and control.
Discussion: The findings of this study suggest that while people with a physical disability living in rural NSW acknowledged positive changes to their everyday lives through the NDIS, there remains a sense of confusion, frustration and disconnection with the system. Burdensome, inconsistent and untimely communication with NDIS staff caused uncertainty with the process and required negotiation to resolve issues such as delays in funding, essential services or equipment modifications. The essence of Challenges to choice and control articulates what the person had to negotiate within their lifeworld. Further guidance and clarity for people with disabilities to access the NDIS system would ensure confidence to navigate the system and receive the essential supports they need.
(© 2023 The Authors. Australian Journal of Rural Health published by John Wiley & Sons Australia, Ltd on behalf of National Rural Health Alliance Ltd.)
Databáze: MEDLINE
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