A modified hybrid hub-spoke model for assistive technology: institutional design for procurement, financing, and market-shaping.
Goran Radosavljević, Aleksandra Lazevski
This is a policy design paper proposing how countries should organize their assistive technology delivery systems.
It does not test a clinical intervention or report patient outcomes, so it does not change what a therapist does with a patient.
What this paper is
This is a normative institutional design paper proposing a policy model for national assistive technology delivery, derived from comparative analysis of four European systems (Norway, Italy, Armenia, Ukraine) and a feasibility study in Serbia. It contains no clinical intervention, no patient population, no outcome measures, and no evidence that would change a therapist's clinical practice. Its findings are organizational and policy design recommendations, not clinical results.
Declared interests
The Serbian feasibility study was conducted within a UNICEF Serbia and Ministry of Education project supported by the European Union. Manuscript preparation received no specific external funding.
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