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WONCA 2009 Basel Rabady, Kunnamo,Rebhandl,Sönnichsen EbM-Guidelines online Dissemination and usage of an online compendium in 4 European countries.

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Presentation on theme: "WONCA 2009 Basel Rabady, Kunnamo,Rebhandl,Sönnichsen EbM-Guidelines online Dissemination and usage of an online compendium in 4 European countries."— Presentation transcript:

1 WONCA 2009 Basel Rabady, Kunnamo,Rebhandl,Sönnichsen EbM-Guidelines online Dissemination and usage of an online compendium in 4 European countries

2 WONCA 2009 Basel Rabady, Kunnamo,Rebhandl,Sönnichsen The Project developed in Finland, disseminated internationally, translated into several languages developed in Finland, disseminated internationally, translated into several languages first adaptation for different health systems done in German speaking countries, producing first adaptation for different health systems done in German speaking countries, producing The first online version outside Finland The first online version outside Finland

3 WONCA 2009 Basel Rabady, Kunnamo,Rebhandl,Sönnichsen The Aim To learn about dissemination and usage by comparison: To learn about dissemination and usage by comparison: Same projectSame project Different health systemsDifferent health systems Different methods of disseminationDifferent methods of dissemination Different preconditionsDifferent preconditions

4 WONCA 2009 Basel Rabady, Kunnamo,Rebhandl,Sönnichsen

5 WONCA 2009 Basel Rabady, Kunnamo,Rebhandl,Sönnichsen

6 WONCA 2009 Basel Rabady, Kunnamo,Rebhandl,Sönnichsen Comparing Dissemination

7 WONCA 2009 Basel Rabady, Kunnamo,Rebhandl,Sönnichsen

8 WONCA 2009 Basel Rabady, Kunnamo,Rebhandl,Sönnichsen Comparing Usage

9 WONCA 2009 Basel Rabady, Kunnamo,Rebhandl,Sönnichsen

10 WONCA 2009 Basel Rabady, Kunnamo,Rebhandl,Sönnichsen What‘s in Common? Most read articles 1.1.2007 - 20.8.09 Lyme-Borreliose1896 Antibiotikatherapie1253 Impfungen1066 Therapie beim Harnwegsinfekt1041 Halsschmerzen und Tonsillitis1010 Herpes zoster830 Tonsillitis und Pharyngitis Kind788 Tiefe Venenthrombose771 Akute Otitis beim Kind738 Diabetes mellitus: Definition, Differentialdiagnostik725 Lumbalgie725

11 WONCA 2009 Basel Rabady, Kunnamo,Rebhandl,Sönnichsen What`s in Common?

12 WONCA 2009 Basel Rabady, Kunnamo,Rebhandl,Sönnichsen What`s in Common - Discussion Those who have it, use it. Those who have it, use it. EbM-Guidelines are being used mainly during office hours. EbM-Guidelines are being used mainly during office hours. Frequent and typically GP - topics are frequently searched for. Frequent and typically GP - topics are frequently searched for.

13 WONCA 2009 Basel Rabady, Kunnamo,Rebhandl,Sönnichsen What`s the difference? In the German speaking countries few GPs have access to the online version In the German speaking countries few GPs have access to the online version Germany has by far the lowest percentage of users, compared with Austria and Switzerland Germany has by far the lowest percentage of users, compared with Austria and Switzerland German doctors open more articles per login – and per user - than any of the others German doctors open more articles per login – and per user - than any of the others

14 WONCA 2009 Basel Rabady, Kunnamo,Rebhandl,Sönnichsen What makes the difference - facts Finland provides free access for every GP in public health system Finland provides free access for every GP in public health system Integrated in Health portal Integrated in Health portal Electronic tools are commonly used by Finnish doctors Electronic tools are commonly used by Finnish doctors

15 WONCA 2009 Basel Rabady, Kunnamo,Rebhandl,Sönnichsen What seems to make little difference Big differences in working conditions Big differences in working conditions Role of primary careRole of primary care Referral thresholds Referral thresholds Number of patient contactsNumber of patient contacts result in little difference in the number of articles opended result in little difference in the number of articles opended

16 WONCA 2009 Basel Rabady, Kunnamo,Rebhandl,Sönnichsen What makes the difference - discussion Are doctors in German speaking countries less interested? Are doctors in German speaking countries less interested? Is it the price… Is it the price… …or the effort? …or the effort? What`s the role of an „electronic culture“? What`s the role of an „electronic culture“? …. ….

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