title: A comparison of personal response services in Canada and the UK.
abstract: Personal response services operating over public telephone networks are now widespread in Western Europe and North America. They serve the needs of a million people in the UK and a further two to three million elsewhere. While most clients are elderly, the scope of such services is extending to people with support needs of all ages, especially where there are medical risks or a likelihood of falls. Such services are, therefore, on a convergent course with those concerned with telemedicine. A study of two personal response services was carried out, one based in Ottawa (Canada) and the other in Oldham (UK). The parallels and contrasts were examined through a survey involving personal interviews with samples of clients. Thirty-eight valid personal interviews were completed, 20 in Ottawa and 18 in Oldham, representing 14% and 53% respectively of all service clients in the survey areas. It is concluded that services established within the health sector (such as many in Canada) are better placed to accommodate change. Convergence with telemedicine will, as a result, be facilitated. In the UK, health authorities and trusts are likely to develop their own telemedicine services in competition with current providers of personal response services, thus delaying convergence.
authors.affiliation: Department of City and Regional Planning, University of Wales College of Cardiff, UK.
authors.forename: M J
authors.initials: MJ
authors.lastname: Fisk
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002170:Canada; D003625:Data Collection; D005260:Female; D015277:Hotlines; D006801:Humans; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic; D017060:Patient Satisfaction; D010548:Personal Health Services / Q000379:methods*; D015397:Program Evaluation; D011795:Surveys and Questionnaires; D017216:Telemedicine / Q000295:instrumentation / Q000379:methods*; D013689:Telephone; D006113:United Kingdom