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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
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
‘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
                           3
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
                                   4
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
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。




                                   6
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%

               7
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




                          8
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

                               9
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
                              10
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
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

                                                               12
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



                    13
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

                                              14
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

                      15
Thank You!
谢谢!

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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 3
  • 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 4
  • 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。 6
  • 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% 7
  • 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 8
  • 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 9
  • 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 10
  • 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 12
  • 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 13
  • 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 14
  • 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 15

Notes de l'éditeur

  1. AR has the citation information to hand when going through this slide to kick off the presentation.
  2.  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.
  3. 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.
  4. 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?
  5. 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?