At a recent seminar at the Peking Union Medical College, Andrew Richardson, VP Business Development & General Manager Europe, Wolters Kluwer Medical Research, discussed how mobile technology is transforming the industry and user behaviors in terms of content.
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The Next Frontier in Health Information Delivery
1. The Next Frontier in Information
Delivery
信息传播的新前沿
Andrew Richardson
Managing Director Europe & VP Business Development
欧洲执行董事兼全球业务发展副总裁
2. Discussion Points 概要
• Global proliferation of medical research
全球医学研究的增长
• Mobile technology - transforming our industry and
user behaviors with content
移动科技 ---产业结构与用户行为随内容变化得以重塑
• Wolters Kluwer – trusted information and solutions
威科集团 --- 值得您信赖的信息与解决方案提供者
2
3. ‘A Medical Paper is Published Every 30 Seconds’
每30秒就有一篇医学论文出版问世
Worldwide there are:
全球有:
• 2000+ publishers 2000多家出版机构
• 26,000 journals 26,000种期刊
• 1.5m papers per year 每年发表150万篇文章
• 10m+ readers in 10,000+ institutions
一千多万读者和一万多家研究机构
• 1.5 billion downloads per annum
每年15亿次下载
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4. 10-12 years of EMB to become practice
10-12年的循证医学研究转化为临床实践
• IOM Report – Crossing the Quality Chasm (2001):
美国国家医学研究院2001年报告《跨越质量鸿沟》:
• An average of about 17 years is required for new
knowledge generated by randomized, controlled trials to
be incorporated into practice, and even then application
is highly uneven (Balas and Boren, 2000)
随机对照实验研究所得出的新观点平均需要大约17年才得
以在临床实践中应用,而且应用范围还极不广泛。
- Source: Balas, E. Andrew and Suzanne A. Boren. Managing Clinical Knowledge
for Health Care Improvement. Yearbook of Medical Informatics. National Library
of Medicine, Bethesda, MD: 65-70, 2000
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5. How Physicians Get Information to Diagnose and Treat Patients
医生如何获取信息来协助患者诊疗
Physicians today access a wide range of resources for information to help diagnose
and treat patients. Professional journals and colleagues top the rankings followed by
general browsers such as Google and Yahoo.现代医生通过各种渠道获取信息,协助诊治患者。
专业期刊和同事是最主要信息来源,Google、Yahoo等搜索引擎排在第三位。
5
6. The Changing Doctor-Patient Relationship
医患关系的变化
Survey findings show that physicians are challenged by limited time with patients
as well as a change in the doctor-patient relationship brought on by increased
access to more online medical information 调查表明,与病人相处时间太短是医患
关系的最大挑战,其次就是由于网络上医学信息大量涌现导致医患关系产生变化。
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7. 10 Year CAGR in R&D Spend…
10年来R&D投资的复合年增长率
US – 0.71%
India 2%
China 9%
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8. As Research Shifts Globally, Native Language Content and
Search is Required…
随着科学研究的全球化,用母语检索和阅读的需求开始增长
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9. And More Clinicians Need Trusted Tools to Search the Evidence-based
Resources, Quickly…
越来越多的医生需要可靠的循征医学检索工具,这个要求非常迫切……
OvidMD
• Only clinical tool bridging UpToDate with OvidSP
唯一将UpToDate与OvidSP整合起来的临床信息检索
工具
• Find answers quickly
能够迅速找到答案
• Comprehensive, evidence-based research
全面的循证医学研究
• Trusted sources
可靠的信息来源
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10. The Development of Mobile Devices is Driving Convergence….
移动终端的发展推动信息一体化
Book Readers Smart Phones Tablets
Amazon Kindle (Fire) iPhone, Android, iPad, Samsung Galaxy, HP
B&N Nook, Kobo Blackberry Slate, Blackberry Playbook
Reading content Receiving alerts Reading content 阅读内容
接收新内容提醒 Receiving alerts 接收新内容提醒
阅读内容 Scanning full text 浏览全文
Reviewing abstracts
Interactive work product
阅读摘要
交互式产品
Scanning full text Electronic health records
浏览全文 电子健康档案
Workflow tools
工作流工具
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11. Physician Adoption of Tablets & Digital Media is
Evolving at Faster Rates than Anticipated
医生采用平板电脑和数字媒介的速度超出预期
68% physicians own a
tablet device for work use;
up 35% from 2011
12% of professional 59% use their 4 in 10 use
time is spent on a tablet/smartphone for tablet between Half use the iPad
tablet work 6x or more a day patient professionally
consultations
Source: Manhattan Research Taking the Pulse US, 2012
Wolters Kluwer Health – Journal iPad app user evaluations, 2012
11
12. Online Journals Rank As Top Source Of Information Between
Patient Consultations
在接诊患者的间隙,在线期刊是最主要的信息获取途径
Desktop/laptop Tablet
Using device between patient consultations
~ 9 in 10 physicians ~ 4 in 10 physicians
Top sources accessed Top sources accessed
Among physicians owning a desktop/laptop
Among physicians owning a tablet
My EHR system Online journals
Online journals Drug reference databases
Physician portal resources Physician portal resources
Source: Manhattan Research, Taking the Pulse® U.S. 2012
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13. LWW iPad Apps – evolution of print
LWW系列期刊iPad应用程序 —— 印刷版之革新
• Enriched content,
multimedia
内容更丰富,多媒体
• Fully mobile
完全移动化
• Greater user engagement
用户参与互动更多
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14. The iPad and other tablets are accelerating EMR adoption, improving
workflow and patient contact
iPad等平板电脑令电子病历系统发展更快,改善医院工作流程和与患者的联系
16% of physicians with 59% of physicians are
an EMR access their interested in accessing
system through a tablet an EMR via a tablet
“I bought an iPad with 3G access so that I can access
my EMR system from it when I’m on the move.”
Source: Manhatta nResearch - Dr. Jonas, a PCP/family medicine physician CA
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15. At the Point of Research:
Ovid, LWW and Medknow - Unparalleled Global Reach
在医学研究方面:Ovid、LWW和Medknow --- 空前全球化
Combined customer reach
in 186 countries .
OvidSP platform:
13 million users in
12,500 institutions
worldwide
1.3 billion pages
views/year
Continues to rank as the
world’s number one
medical research tool
Partners with more than
150 of the world’s
leading publishers
Used in 6 languages
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AR has the citation information to hand when going through this slide to kick off the presentation.
Q: What do you consider to be the most important findings from 2011? Why?A: The most important finding is that physicians see progress in the medical field when it comes to critical areas like technology and clinical decision support tool adoption, easier access to clinical information and more informed patients. This progress is due in large part to the advanced clinical decision support tools and resources that are now available to physicians at the point of care. While the progress in these areas is very encouraging, it’s equally important to understand the barriers to further adoption in order to effect real industry change. For this reason, our survey also focuses on uncovering the top challenges and barriers for physicians when it comes to areas like technology adoption and communication with patients. One of the top findings from this year’s survey is that physicians are overwhelmingly challenged by a lack of time with patients. This underscores the need for the adoption of more resources at the point of care that help physicians become as efficient as possible so that they can devote more time to communicating with patients. Another critical finding that underscores the importance of good clinical decision support tools is the information on how often physicians change an initial diagnosis based on new information that they access via online resources or support tools. Results showed that 63 percent of physicians change an initial diagnosis based on information they access remotely. This is a crucial finding in terms of illustrating how important it is that the online tools and resources that physicians are accessing are evidence-based and delivered in the right context to help physicians make informed decisions.
Shift from US markets to Asia / increase in R&D spend – major growth markets , introduction of local language platforms on next slide. AR to highlight citation if needed on percentage outlined above.
What does OvidMD do helps physicians see the entire problem space by not limiting their view to a single perspective and how does it do that?
What does OvidMD do helps physicians see the entire problem space by not limiting their view to a single perspective and how does it do that?