In a world where technology increasingly shapes every aspect of our lives, assistive technology (AT) remains a vital, yet often overlooked, tool for millions of people with disabilities. From hearing aids to mobility devices, these technologies empower users to live independently, engage fully in society, and improve their overall quality of life. Yet, across the World Health Organization (WHO) European Region, a significant gap exists between those who need these devices and those who actually have access to them.

A recent scoping review sheds light on this issue, highlighting both the barriers to AT access and the steps needed to bridge this gap. This article breaks down the key findings of the study and explains what needs to be done to make assistive technology more accessible across Europe.

The Scope of Assistive Technology Needs in Europe

Across the 53 countries in the WHO European Region, it is estimated that over 135 million people could benefit from assistive technology. The demand is growing, driven by an aging population and increasing rates of noncommunicable diseases, which lead to functional impairments. However, the study found that access to these essential tools varies significantly from country to country. High-income countries like the UK, Sweden, and Germany are generally better equipped, but even they face challenges. Lower-income countries often lack the resources, infrastructure, and policy frameworks to ensure widespread access to AT.

Who Needs Assistive Technology?

Assistive technology is not just for people with disabilities. It is crucial for older adults, people recovering from serious illnesses, individuals with chronic health conditions, and even those with temporary impairments. This wide-ranging user base means that the demand for AT will likely continue to grow in the coming years.

Understanding the Barriers to Access

The review identified three main barriers that limit the reach of assistive technology: accessibility, affordability, and acceptability. Each of these factors presents its own challenges that need to be addressed to improve AT coverage.

1. Accessibility

One of the biggest obstacles to AT is simply the lack of available devices and services. Many countries have fragmented systems that make it hard for users to navigate and access the technology they need. For example, a lack of training among healthcare professionals means that AT is not always recommended when it should be. Moreover, inconsistent assessment procedures can lead to delays and misallocations, leaving some without essential tools.

The review calls for more streamlined processes, better training for healthcare providers, and a single point-of-access system to make AT more user-friendly. Additionally, creating national and international standards for AT procurement can help improve availability by ensuring consistent quality and distribution practices.

2. Affordability

Cost remains a significant barrier. Many assistive products are expensive, and in some cases, users have to cover these costs out of pocket. This can be a huge financial burden, especially in countries where AT is not covered by insurance or national health services. Repair, maintenance, and modifications add to these costs, further complicating long-term use.

The review suggests that government subsidies, loan schemes, and bulk procurement by public health organizations could help reduce costs and make AT more affordable. These measures would not only benefit individuals but also make the provision of AT more sustainable.

3. Acceptability

Even when AT is available and affordable, it is not always accepted by users. The stigma associated with using assistive devices can deter people from adopting them, as can concerns over comfort, design, and functionality. Negative past experiences or a lack of awareness about the benefits of AT also play a role.

To counter these issues, it is important to promote positive portrayals of AT users and offer opportunities to trial different devices before committing to a purchase. Increasing education and awareness among users, their families, and healthcare professionals can also help change perceptions and encourage more widespread use.

The Importance of Data in Driving Change

One of the key takeaways from the scoping review is the need for better data. Currently, information on AT needs and coverage across Europe is sparse and inconsistent. This makes it hard to identify where the gaps are and what solutions will be most effective. Collecting comprehensive, disaggregated data on AT usage would provide a clearer picture and enable more targeted policy-making.

The WHO’s rapid Assistive Technology Assessment (rATA) tool is an example of how data collection can be improved. This tool can be used to assess needs at a national level, providing essential information that can guide resource allocation and policy development.

A Call for Policy Action

Improving access to assistive technology requires coordinated efforts across multiple sectors, including healthcare, education, and social services. In 2018, the World Health Assembly passed a resolution urging member states to develop stronger policies for AT. The scoping review supports this resolution, emphasizing the need for comprehensive national policies that make AT a priority.

Countries should aim to establish robust AT systems that address all aspects of provision—from awareness and assessment to procurement and follow-up services. By doing so, they can ensure that people who need assistive technology have the opportunity to live independently and participate fully in society.

The Road Ahead

The WHO European Region has the potential to lead the way in making assistive technology universally accessible. The benefits of doing so extend far beyond the individuals who use these devices. Accessible AT can lead to broader societal gains, including increased workforce participation, reduced healthcare costs, and a more inclusive society.

By tackling the barriers of accessibility, affordability, and acceptability, and by improving data collection and policy coordination, European nations can take meaningful steps toward closing the assistive technology gap. The road ahead may be challenging, but the benefits of universal AT access are clear: a more inclusive, equitable, and thriving society for all.