選擇輪椅的士時，車輛設計是首要考慮。常見的無障礙車輛會採用較高頂車身和寬闊車門，方便輪椅直接進出。部分車隊會選用如日產NV200這類較適合改裝的型號，透過後尾斜板讓輪椅直上車廂，減少轉彎角度及障礙。對乘客來說，這不單是「能否上到車」的問題，更關乎過程是否順暢、輪椅是否能保持穩定、照顧者是否需要過度費力。對需要長期復康、外出覆診或定期洗腎的人士而言，穩定和可預期的交通安排，往往比一時的便宜更重要。輪椅的士的核心價值，在於它不只是「載人」，而是針對輪椅使用者的需要而設計。一般私家車或普通的士，往往未能方便地讓輪椅直接上落，乘客需要轉移座位，過程既不方便，也可能增加跌倒或受傷的風險。

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