Eiring, Ø. et al.:Implementation of Web 2.0-services in the Norwegian Electronic Health Library

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Implementation of Web 2.0-services in the Norwegian Electronic

Health Library

Medicine 2.0

Øystein Eiring, Runar Eggen, Hans Petter Fosseng, Magne Nylenna

The Norwegian Knowledge Centre for

the Health Services

Founded 2004

Organised under The Directorate for Health

No authority to develop og implement health policy

120 employees

The Norwegian Knowledge Centre for

the Health Services Gathers and disseminates

– Systematic reviews

– HTA reports

Improve the quality of patient information

Surveys of patients and employees

– experiences with health services

The Norwegian Knowledge Centre for

the Health Services

Host of the National Council for Quality and Prioritization

Host of The National Electronic Health Library

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Access to knowledge has varied widely

National Hospital

Rural hospital

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National access through one

website

National access through one

website

Why does the Health Library exist?

Equality: Equality of health services implies equal access to knowledge

Quality: Quality assessment of knowledge can foster better quality of health services

Economy: National subscriptions and licenses save time and money

The Health Library -keypoints

Government funded

Serves health workers in Norway– 4.6 mill inhabitants

Editorial office in Oslo

Internet access only

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The Health Library in numbers

Budget CAD 8 mill.

20 employees– 10 full-time

150 - 200 000 page downloads/month– + use of licenced resources

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Principles…

Made for health personnel and students

Open to the public

Norwegian language (on the surface)

Editorial independency

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JournalsJournals

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DatabasesDatabases

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Systematic reviews

Systematic reviews

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Clinical guidelinesClinical guidelines

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Reference booksReference books

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Specialist librariesSpecialist libraries

2007: a web 1.0, static, one-to-

many portal

Minimal interaction

Content not dynamic

Remote workers

50 % of health workers unaware of

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2008: Survey of 2.0 services

Benefits and limitations

International examples

Norwegian examples

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Survey: lessons

Few norwegian Medicine 2.0 services in health sites

Unresolved issues– ownership, quality, accountability, privacy, ”chronic temporariness”

Potential benefits

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1: Using social media to

collaborate internally

Remote workers and external collaborators

Need to collaborate on documents

Inadequate in-house ICT solutions

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1: Using social media to

collaborate internally

Experiences: Widespread use of Google Docs and Spreadsheets

Blogging and Flickr keep record of meetings and conferences

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2: Using social media to

communicate externally

Why? Marketing tool Governmental bodies should take pro-active stance

Powerful way of delivery

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2: Using social media to

communicate externally

Slideshare.net Official blog RSS YouTube Flickr Social networking sites

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2: Using social media to

communicate externally

Results Modest amount of visitors, members, downloads

Few use possibility to give feedback

Increased competence among staff

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3: Developing services on the

website

Clinical protocol developed as wiki

Collaboration with a Health Trust

Process in accordance with Agree principles

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3: Developing services on the

website

Tailored Google Coop searches in different contexts

Example: Patient information

Quality assessment of websites with the LIDA tool

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3: Developing services on the

website

Tailored news services within specific fields using different RSS tools– From Google News– Creating and aggregating feeds using i.e. Feedity

– Directly from our journals

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4: Improving services outside the

website: Norwegian Wikipedia

Why? One of the main sources of patient information

Low quality in many norwegian entries

Possibility of participation

Lack of responsibility

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Project 4: Improving services

outside the website: Norwegian

Wikipedia Information on website

Participation from students and professionals

Follow-up and language improvement done by the Health Library

..and other users

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Project 4: Improving services

outside the website: Norwegian

Wikipedia Results: 37 articles witihin mental health improved

Participation from professionals hesitant without payment

Users go to the Health Library

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Discussion

Usage increasing slowly

Our services are not confined to what can be found on the website

Will what drives amateurs apply to experts?

What can a small language community achieve?

Vision for the future

If important sources used more modern technology…

…we could much easier pull content to our website

…offer better searches

…and give more in return

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Discussion!

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Norwegian Electronic Health Library

Norwegian Electronic Health Library