WONCA 2009 BaselWONCA 2009 Basel Rabady, Kunnamo,Rebhandl,SönnichsenRabady, Kunnamo,Rebhandl,Sönnichsen
EbM-Guidelines onlineEbM-Guidelines online
Dissemination and usage of Dissemination and usage of an online compendium in 4 an online compendium in 4
European countriesEuropean countries
WONCA 2009 BaselWONCA 2009 Basel Rabady, Kunnamo,Rebhandl,SönnichsenRabady, Kunnamo,Rebhandl,Sönnichsen
The ProjectThe Project
developed in Finland, disseminated developed in Finland, disseminated internationally, translated into internationally, translated into several languagesseveral languages
first adaptation for different health first adaptation for different health systems done in German speaking systems done in German speaking countries, producingcountries, producing
The first online version outside The first online version outside FinlandFinland
WONCA 2009 BaselWONCA 2009 Basel Rabady, Kunnamo,Rebhandl,SönnichsenRabady, Kunnamo,Rebhandl,Sönnichsen
The AimThe Aim To learn about dissemination To learn about dissemination
and usage by comparison:and usage by comparison:•Same projectSame project•Different health systemsDifferent health systems•Different methods of Different methods of
disseminationdissemination•Different preconditionsDifferent preconditions
WONCA 2009 BaselWONCA 2009 Basel Rabady, Kunnamo,Rebhandl,SönnichsenRabady, Kunnamo,Rebhandl,Sönnichsen
WONCA 2009 BaselWONCA 2009 Basel Rabady, Kunnamo,Rebhandl,SönnichsenRabady, Kunnamo,Rebhandl,Sönnichsen
WONCA 2009 BaselWONCA 2009 Basel Rabady, Kunnamo,Rebhandl,SönnichsenRabady, Kunnamo,Rebhandl,Sönnichsen
Comparing DisseminationComparing Dissemination
Overall Usage
0
20
40
60
80
100
120
Finland Austria Switzerland Germany
country
per
cen
tag
e o
f G
Ps
wit
h
acce
ss
WONCA 2009 BaselWONCA 2009 Basel Rabady, Kunnamo,Rebhandl,SönnichsenRabady, Kunnamo,Rebhandl,Sönnichsen
Use of EBMGA in German speaking Countries 07-09
0
20000
40000
60000
80000
100000
120000
140000
2007 2008 2009est.
year
num
bers
of a
rtic
les
open
ed
WONCA 2009 BaselWONCA 2009 Basel Rabady, Kunnamo,Rebhandl,SönnichsenRabady, Kunnamo,Rebhandl,Sönnichsen
Comparing UsageComparing Usage
articles opended per user 2008
0
50
100
150
200
250
Finland Austria Germany Switzerland
WONCA 2009 BaselWONCA 2009 Basel Rabady, Kunnamo,Rebhandl,SönnichsenRabady, Kunnamo,Rebhandl,Sönnichsen
Logins and articles opened 2008
020406080
100120140160180200
Austria Germany Switzerland
login/user
opened/user
WONCA 2009 BaselWONCA 2009 Basel Rabady, Kunnamo,Rebhandl,SönnichsenRabady, Kunnamo,Rebhandl,Sönnichsen
What‘s in Common?What‘s in Common?Most read articles 1.1.2007 - 20.8.09Lyme-Borreliose 1896
Antibiotikatherapie 1253
Impfungen 1066
Therapie beim Harnwegsinfekt 1041
Halsschmerzen und Tonsillitis 1010
Herpes zoster 830
Tonsillitis und Pharyngitis Kind 788
Tiefe Venenthrombose 771
Akute Otitis beim Kind 738
Diabetes mellitus: Definition, Differentialdiagnostik 725
Lumbalgie 725
WONCA 2009 BaselWONCA 2009 Basel Rabady, Kunnamo,Rebhandl,SönnichsenRabady, Kunnamo,Rebhandl,Sönnichsen
What`s in Common?What`s in Common?
Searches in course of time 4 09
020
4060
80100
120140
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
time of day
nu
mb
er o
f se
arch
es
Wochentags
Wochenende
WONCA 2009 BaselWONCA 2009 Basel Rabady, Kunnamo,Rebhandl,SönnichsenRabady, Kunnamo,Rebhandl,Sönnichsen
What`s in Common - DiscussionWhat`s in Common - Discussion
Those who have it, use it.Those who have it, use it. EbM-Guidelines are being used EbM-Guidelines are being used
mainly during office hours.mainly during office hours. Frequent and typically GP - topics Frequent and typically GP - topics
are frequently searched for.are frequently searched for.
WONCA 2009 BaselWONCA 2009 Basel Rabady, Kunnamo,Rebhandl,SönnichsenRabady, Kunnamo,Rebhandl,Sönnichsen
What`s the difference?What`s the difference?
In the German speaking countries In the German speaking countries few GPs have access to the online few GPs have access to the online versionversion
Germany has by far the lowest Germany has by far the lowest percentage of users, compared with percentage of users, compared with Austria and SwitzerlandAustria and Switzerland
German doctors open more articles German doctors open more articles per login – and per user - than any of per login – and per user - than any of the othersthe others
WONCA 2009 BaselWONCA 2009 Basel Rabady, Kunnamo,Rebhandl,SönnichsenRabady, Kunnamo,Rebhandl,Sönnichsen
What makes the difference - factsWhat makes the difference - facts
Finland provides free access Finland provides free access for every GP in public health for every GP in public health systemsystem
Integrated in Health portalIntegrated in Health portal Electronic tools are commonly Electronic tools are commonly
used by Finnish doctorsused by Finnish doctors
WONCA 2009 BaselWONCA 2009 Basel Rabady, Kunnamo,Rebhandl,SönnichsenRabady, Kunnamo,Rebhandl,Sönnichsen
WhatWhat seems to make little seems to make little differencedifference
Big differences in working Big differences in working conditionsconditions•Role of primary care Role of primary care
• Referral thresholdsReferral thresholds
•Number of patient contactsNumber of patient contacts result in little difference in the result in little difference in the
number of articles opendednumber of articles opended
WONCA 2009 BaselWONCA 2009 Basel Rabady, Kunnamo,Rebhandl,SönnichsenRabady, Kunnamo,Rebhandl,Sönnichsen
What makes the difference - What makes the difference - discussiondiscussion
Are doctors in German speaking Are doctors in German speaking countries less interested?countries less interested?
Is it the price…Is it the price… ……or the effort?or the effort? What`s the role of an „electronic What`s the role of an „electronic
culture“?culture“? ……..