BMJ Publishing Group

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BMJ Publishing Group

• Nick Turner Head of Sales

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Agenda

• Evidence Based Medicine
• Product overview
• Features and benefits
• New projects
• Offer for ULAKBIM

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Let me ask you a question

• New medical studies are published every day. How
  do you sort through the mountain of research to
  find facts you can trust? And once you find a
  study, how do you understand its findings and
  judge how good it is ? ...

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Evidence Based Medicine aims to assist

• The Practice of Evidence Based Medicine is the
  conscientious, explicit and judicious use of
  current best practice in making decisions about
  the care of patients.
• Contains clinical expertise, skills and judgment
  combined with the best available current research
• Clinically lead information rather than research
  lead
• Looks at the evidence and decides how certain
  treatments best work, or DONT work, or shows
  there is not enough information to support a
  decision

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Product overview
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Product urls

• www.bmjpg.com
• www.bmjjournals.com
• www.bmj.com
• www.clinicalevidence.com
• www.besttreatments.co.uk
• www.bmjlearning.com

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Product overview

• The British Medical Journal BMJ.com
• The Groups Flagship Journal
• Weekly general medical journal, 120.000 copies
  printed each week
• Publishes rigorous, accessible entertaining
  material to help Drs and Medical students in
  daily practice, learning and international debate
  on health
• Scientific studies reviews, educational
  articles, papers commenting on clinical,
  scientific, social, political, and economic
  factors affecting health

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Product overview BMJ.com
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BMJ Specialist Journals

• www.bmjjournals.com
• 22 journals in specialist areas, public health
  evidence based medicine
• Mainly clinical titles, focussing on helping
  doctors improve their day to day practice
• International editors and associate editors from
  all over the world USA, Australia, Canada, Hong
  Kong, Europe, South East Asia
• Innovative Educations sections, case-based
  learning, Patient columns
• Influential many are at the top of their
  specialty

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BMJ Specialist Journals

• All journals have individual websites and
  full-text hosted by HighWire Press
• Full-text from 1997
• Abstracts TOC earlier
• Adding Full-text to volume 1, issue 1
• Current year paid for subscriptions, previous
  years free of charge
• All available in print online
• Reference links included
• CiteTrack alerting service, author and citations
• Ability to search across all journals via
  HighWire

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BMJ Specialist Journals

• Gut
• Heart
• Journal of Clinical Pathology
• Journal of Medical Ethics
• Journal of Medical Genetics
• Journal of Neurology, Neurosurgery and Psychiatry
• Postgraduate Medical Journal
• Quality and Safety in Health Care
• Sexually Transmitted Infections
• Thorax
• Archives of Disease in Childhood
• Annals of the Rheumatic Diseases
• BJO British Journal of Ophthalmology
• British Journal of Sports Medicine
• Emergency Medicine Journal
• Evidence-Based Medicine
• Evidence-Based Mental Health
• Evidence-Based Nursing
• Occupational and Environmental Medicine

Specialist
Evidence Based
Public Health
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• Knowledge Products

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Knowledge Products

• Clinical Evidence
• Best Treatments
• BMJ Learning
• Evidence Based to support decision making
• Patient and Doctor information from the same
  source
• Point of care information to reduce information
  overload
• Content fits into workflow needs of clinicians
  and patients

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Advantages of using BMJ Knowledge products

• Encouraging best practice by preventing overuse
  and misuse of treatments
• Increasing the quality of care for patients
• Allows shared decisions by offering the same
  source of information for doctors and patients
• Quality information from a rigorous search and
  appraisal process
• Trusted based on an internationally recognised
  evidence-based editorial process
• Clinically lead information rather than research
  lead

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• Clinical Evidence

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Clinical Evidence

• A compendium of the best available research
  evidence findings on common and important
  clinical questions (systematic reviews)
• Originally in print now also online PDA
• Covers over 500 topics and over 2000 treatments
• These topics are the most important common
  conditions seen in primary and hospital care
• Describes the questions, summary and background
  of a condition then benefits harms of
  preventative and therapeutic interventions
• Emphasis on the outcome for patients
• Findings based on expert knowledge evidence
  collected from detailed research using Cochrane
  Library, Medline, Embase and evidence based
  journals
• Contributors, advisors and editors are all
  specialist expert clinicians

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How is Clinical Evidence put together ?

• Select Topics common conditions
• Review data on consultation rates, morbidity,
  mortality
• Advice and suggestions from clinicians and
  patient groups
• Topic Planning select the questions
• Relevance to actual practice
• Detailed and systematic appraisal of material
• Quality check of EBM material and guidelines
• Search appraise literature systematic reviews
  and RCTs
• Where no evidence observational studies
• Done by in-house specialists contributions from
  external clinical specialists
• Summarise the evidence peer review and edit
• Peer reviewed by at least 2 expert clinicians
• Edited and compared with original papers
• Consistancy and quality measures also monitored
• Feedback, error corrections and user responses

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• Best Treatments

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Best Treatments

• Database for doctors patients to use evidence
  to decide on a certain treatment
• To inform and initiate a dialogue between doctors
  and patients at a level a Patient can understand
• Written for patients in an easy to use and clear
  format
• Covers the top conditions, which treatments work,
  the drugs that may be used and any possible side
  effects
• Advice on operations and tests
• Helps patients balance benefits and risks of
  treatments
• Leads to informed joint decisions between
  patients and doctors
• Unbiased and up to date and links to reference
  articles and studies

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Patient Handout
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• BMJ Learning

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BMJ Learning

• CME or learning tool for professionals in primary
  and hospital care
• Hospital Doctors, GPs, Nurses, other clinical
  staff, practice managers, and receptionists
• Assess needs, plan then take online learning
  modules, courses and interactive case studies and
  tests (300 modules)
• Quick up to date facts on evidence based
  conditions
• Record your progress and create certificates
  online
• Read, reflect and correspond with other users
  online
• Integrate learning into your appraisal system to
  continue professional personal development
• Constantly updated with new or withdrawn drugs
• New case studies added weekly also from user
  suggestions

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BMJ Learning Plan
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BMJ Learning appraisal
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BMJ Learning Certificates
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New Projects
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New Projects
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New Projects
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Comorbidities

• When a patient has one or more conditions

For purchasers For doctors For patients
Increasing incidence of chronic disease in an aging population Many patients living with more than one condition Unscheduled hospital admissions High healthcare spending Guidelines and studies that usually deal with individual conditions separately Difficulty identifying optimal care plans Obstacles to finding good research evidence about comorbidities Drug interactions that may lead to adverse events Care fragmented between specialists Polypharmacy leading to poor adherence and side effects Self-care designed for individual conditions Quality of life, values and preferences possibly not taken into account
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Evidence-based recommendations for patients with
comorbidities

• diabetes
• heart failure
• asthma
• COPD
• coronary artery disease
• hypertension
• lipid disorders

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Flexible care plans
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Offer for ULAKBIM
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Current offer and trial for Hospitals

• Test access is currently activated for all 47
  research hospitals and is available to 31
  December 2006
• To access BMJ sites, click
• www.bmj.com, www.bmjjournals.com
• www.clinicalevidence.com, www.bmjlearning.com,
  www.besttreatments.org
• BMJ PG will work with ULAKBIM to provide a
  discounted offer for access to the BMJ PG package
  in 2007
• Discounted consortia prices multi-year
  agreements with price cap available

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Thanks

• For more information or an interactive online
  demo contact
• Pauline Dilworth (main contact person)
• PDilworth_at_bmjgroup.com
• Telephone [phone]
• Nick Turner
• NTurner_at_bmjgroup.com
• Telephone [phone]