www'terveysportti'fi Password: PICNIC User: PICNIC

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www.terveysportti.fiPassword PICNICUser
PICNIC

• Markku Kallio
• MD, PhD, MBA
• Duodecim Medical Association
• FINLAND

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DUODECIM Medical Publications Ltd.

• Founded 1984
• Approx. 80 headings covering all the major
  specialities
• Annual sales gt 60 000 copies (4
  books/doctor/year)
• Electronic publishing since 1989
• National medical internet-service
  (www.terveysportti.fi)
• Affiliation AS Medicina Ltd. in Estonia

DUODECIM Medical Publications Ltd.
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History

• Idea emerged 1987
• Pilot version on diskettes 1989
• CD-ROM 1991
• Internet 2000
• Mobile 2001

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Technology

• MESH index
• Synonyms
• XML
• Oracle database (text ----video)
• UNIX
• SUN-servers

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Objectives All the relevant information from one
place !

• Access to evidence-based information and
  guidelines
• Access to Medical Databases and Medical Journals
• Fast News and Information Channel
• Pharmaceutical Information Channel
• Medical text- and handbooks
• Classification and coding information

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Evidence-Based Medicine Guidelines

• International version of the Finnish primary care
  guidelines
• 900 articles
• 700 dermatological images
• 2000 evidence summaries linked to the guidelines
  (through evidence codes A, B, C or D)

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Do Finnish doctors read guidelines15 000
working-aged doctors

• During one month (20.12.2002 - 19.01.2003) 106
  445 documents were read from Physicians
  Databases
• All guidelines, total 55077
  51.7
• EBM Guidelines 42418
  40
• Current Care guidelines 6630
  6.2
• Local guidelines
  6029 5.6
• Medical journal databases 33315 31.3
• Pictures (skin, eyes, X-ray) 7742 7.3
  
• Laboratory instructions 2835 2.6
  
• 6 other databases 7476
  7.0

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What was searched from EBMG 10.02. - 12.03.2003

• Hypothyreoidism 294
• Pneumonia 277
• Wrist and hand fractures 274
• Urinary tract infections 259
• Treatment of type 2 diabetes 245
• Maternity care guidelines 240
• Abnormal liver function tests 233
• Lower extremity fractures 231
• Hyperthyreoidism 218
• Examining a patient with arthritis 215
• Oral anticoagulant therapy 212
• Vaginitis 208

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Searches for two infectious diseases

• Jormanainen V, Jousimaa J, Ruutu P, Kunnamo I.
  Physicians' database searches as a tool for early
  detection of epidemics. Emerg Inf Dis 20017(3)

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Strength of evidence in EBM Guidelines

• A. Strong evidence multiple relevant high-
• quality studies with consistent results
• B. Moderate evidence at least one high-
• quality study or multiple adequate studies
• C. Limited evidence at least one adequate
• study
• D. No research-based evidence

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Evidence in Your Pocket !

• Mobile platforms
• Symbian (Nokia 9210 Communicator)
• Palm OS
• Windows CE