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www.bmjgroup.bmj.com www.bmjgroup.bmj.com
www.bmjgroup.bmj.comwww.bmjgroup.bmj.com
November 2006
Agenda
• Evidence Based Medicine• Product overview• Features and benefits• New projects
November 2006
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 ? ...
November 2006
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 DON’T work, or shows there is not enough information to support a decision
November 2006
Product overview…
November 2006
Mission
• We publish a number of journals covering major We publish a number of journals covering major specialties and a growing number of online specialties and a growing number of online products for doctors and patientsproducts for doctors and patients
• Continuous product development ensures that Continuous product development ensures that our products and services are of constant our products and services are of constant importance to the medical profession.importance to the medical profession.
• The BMJ Publishing Group Ltd (BMJPG) is the The BMJ Publishing Group Ltd (BMJPG) is the innovative publishing division of the British innovative publishing division of the British Medical AssociationMedical Association
November 2006
What we do?
November 2006
Product overview
• The British Medical Journal – BMJ.com• The Group’s Flagship Journal• Weekly general medical journal, 120.000 copies
printed each week• Publishes rigorous, accessible & entertaining material
to help Dr’s 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
November 2006
BMJ.com
November 2006
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
November 2006
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
November 2006
November 2006
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• Journal of Epidemiology and Community Health• Injury Prevention• Tobacco Control
Evidence Based
PublicHealth
Specialist
November 2006
•Knowledge Products…
November 2006
Knowledge Products
• Clinical Evidence• BMJ Learning• Best Treatments (Not available in INLM)
• 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
November 2006
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
November 2006
•Clinical Evidence…
November 2006
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 RCT’s– 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
November 2006
BMJ Clinical Evidence on PDA
• Complete Clinical Evidence content on PDA
• Updates available on synchronization• Browse, search and bookmarks for quick
navigation• Tables and charts included• Personal & site licenses available• Discounts when purchased with
www.clinicalevidence.com online
November 2006
BMJ Clinical Evidence on PDA
November 2006
•BMJ Best Treatments…
November 2006
BMJ 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
November 2006
•BMJ Learning…
November 2006
BMJ Learning
• CME or learning tool for professionals in primary and hospital care
• Hospital Doctors, GP’s, 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
November 2006
BMJ Learning appraisal
November 2006
BMJ Learning Certificates
November 2006
•New Projects
November 2006
New Projects
November 2006
New Projects
November 2006
Comorbidities
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
• When a patient has one or more conditions…
November 2006
Evidence-based recommendations for patients with comorbidities
• diabetes• heart failure• asthma• COPD• coronary artery disease• hypertension• lipid disorders
November 2006
Flexible care plans
Doctor
Coach/case manager
Patient
November 2006
Contact Us
• Any access problemPlease inform us via the below [email protected]
• Any training issuesPlease contact us via the below [email protected]
November 2006
www.bmjgroup.bmj.comwww.bmjgroup.bmj.com
