I have nothing to disclose. - ESC | Congresses | Acute Cardiac

I have nothing to disclose.

European Society of Cardiology 2012

25 - 28.August, 2012

Impact Factors and Electronic Journals:

Publishing at the Speed of Light

Application of Electronic Journals in Patient Care

Raimund Erbel, Sofia Churzidse

Department of Cardiology

West-German Heart Center Essen

University Duisburg-Essen

Germany

[email protected]

www.wdhz.de


eJournal

Research in Medline eJournal

Until 2000 296

Until 2005 395

Until 2010 733

Until 8/2012 11.136

WWW hits for eJournal in Medicine: 1.310.000


Content of the Presentation

- Definition

- History of eJournals

- Role of Association of Research Libraries (ARL)

- Data of the Association of Academic

Health Sciences Libraries (AAHSL)

- Data from the library in Essen

- Changes in patient care based on eJournals

- Personal view

- Summary


eJournal

Before we go in more detail,

we have to define – eJournal!

eJournal used in Boston

meaning EHR = electronic health record

eJournal ≠ eHealth


Electronic Journal (Boston eJournal)

- patient response

before office visit

- connected internet patient portal

at Partners HealthCare Boston, US

- Patients used it for

- clinical information

- answer /questions in preparation

for a face – to – face visit

Wald JS et al J Am Med Inform Assoc 17: 502 506, 2010

Use of patient gateway (PG) secure electronic healths record (EHR)

developed by Partners HealthCare, Boston, USA

11 primary care study practices – 121.045 pts

21.533 pts with PC account invited


Electronic Journal (e Journal)

Wald JS et al J Am Med Inform Assoc 17: 502 506, 2010

Future of the Boston eJournals

- Improvement of flow of

structured and unstructured data

Advanced eJournal capabilities

- Tailored chart information

- Instructional reference information

- Communication tools

- Display of items like family history

Numbers: ARL Directory 7/91

• 27 electronic magazines & journals

Innovation: Paul Ginsparg preprint server for physics (arXiv) in

part to supersede a multinational email distribution list for

preprints that had been operated manually by Joanne Cohn for

about two years. It started in August 1991 as a repository for

preprints in physics and later expanded to include astronomy,

mathematics, computer science, nonlinear science, quantitative

biology and, most recently, statistics.[5]

It soon became obvious that there was a demand for long term

preservation of preprints. The term e-print was adopted to

describe the articles. Ginsparg was awarded a MacArthur

Fellowship in 2002 for his establishment of arXiv.

A Okerson, Yale, EBSCO Seminar, Jerusalem, 2000

http://en.wikipedia.org/wiki/ArXiv

History of eJournals: story of Association of

Research Libraries (ARL)

It was originally hosted at the Los Alamos

National Laboratory and called the LANL

preprint archive. Its original domain name

was xxx.lanl.gov. It is now hosted and

operated by Cornell University,[6] with 14

mirrors around the world.[7] It changed its

name and address to arXiv.org in 1999 for

greater flexibility.


http://en.wikipedia.org/wiki/ArXiv


History of eJournal

Association of Research Libraries (ARL)

All significant STM journals on the WWW

All significant STM journals linked & interlinked

• A&I services are primary gateways

Significant enrichment beyond print

The library expected to be (and is) everywhere

Librarians customize information for their users

and so do publishers

Archiving solutions sought by publishers and

librarians together - the barrier to dropping print


Development


Total electronic journals added 1999–2002, medical school libraries,

Association of Academic Health Sciences Libraries (AAHSL) statistics

Burrows S J Med Libr Assoc 94: 67-74, 2006


Use of eJournals in Libraries

Louis Calder Memorial Library (LCML) journal subscriptions, 1999–2002


Use of eJournals in comparison to print versions


LCML photocopies, 1999/2000–2003/04 Usage of LCML electronic journals,

1999/2000–2003/04


Use of eJournals in Health Science Libraries


Application of Electronic Journals in Patient Care for Example in the Medical Library in Essen, Germany

K Wibker, Essen 2012

Nearly 200.000/year



Nearly 200.000/year

Results for the Medical Library in Essen, Germany

- 100 % eJournal since 2010

- 99 % of the faculty library use from the office

- eJournal use getting popular for students

- On-line titles can be printed

- print journals only are neglected by the users

- 52.000 Euro saved by avoiding print journals

- 8 % increased cost per year for eJournals



A. - Publisher save money for print and delivery

- Users get no profit from the reduced costs

- Profit margin of scientific publisher even

better than Apple. Rossbauer M taz, 18.8.2012

B. - Price increase from 1990 to 2012 > 500 percent

paying no honorarium for authors and reviewers,

manuscripts perfect submitted.

Marquardt W FAZ 8.8.2012



Problems related to eJournals

- Long term availability unclear

- Long term archiving

- Updating of computer hard and soft ware

- National Library in Leipzig stores printed version

and E-only journals and scientific weblogs and

scientific Internet pages

- Medical library in Cologne (ZB MED) stores a printed

version from all available print journals

Application of Electronic Journals in Patient Care Electronic Access and Hospital Libraris: timely access

A. For hospital libraries in Rochester:

It changes diagnosis, diagnostic tests,

drugs and therapies with avoidance of adverse events

Marshall JG Bull Med Libr Assoc 80: 169-178, 1992

B. Reduction in hospital stay and costs

early versus late access at or near-time of decision making

Klein MS et al Acad Med 69: 489-495, 1994

A. Medline improves resolution of diagnostic and treatment problems

Lindberg DA et al JAMA 269: 3124 – 3129, 1993

B. 40 % of information in a clinical encounter at the time

of visit direct impact on patient care

Gorman PN et al Bull Med Libr Assoc 82: 140-146, 1994

Application of Electronic Journals in Patient Care Electronic Access and Hospital Libraris: timely access


How often is Medline used?

De Groote SL and Dorsch JL J Med Libr Assoc 91: 231 – 240, 2003


Where people use online resources?



Which journal by which group?



Why are online databases used?



Electronic Access: Impact on Rural Health Care Outcomes

Physicians Impression

A. – 57 % Medline and journals

33 % 24 %

- 13 % guidelines

B. – 59 % system use from home

- 26 % use from office

- 15 % use from local hospitals

C. – 36 % patient care

- 25 % personal education

- 13 % patient education

McGowan JJ, Richwine M Proc AMIA Symp. 565-9, 2000

Application of Electronic Journals in Patient Care Typical example of reason to use electronic resources

A patient needs anticoagulation due to atrial fibrillation

Needed: guidelines and scores


What is the quickest way?

Most rapid access


What is needed!

Most rapid access,

but the answer is incomplete,

because I have to assess

the risk score.


What is needed?


What is needed?

Most rapid access

but also incomplete!


What is needed!

Modern Internet providers

point to Appstore and

Android Market


Summary

Advantages of e-journals

- Easily accessible

- On-line submission

- On-line editing

- Time saving

- On spot access

- Download with/without payment

Trivedi M, A Joshi J Health Inf Dev Countr 3: 13-14, 2009

Advantages of Print journals

- Easily accessible

- Personified copy

- Legibility

- No dependency on electricity

- Read at your leasure

- No need of link/continuity

- Print version to eyesight at a blance


Summary

Disadvantages of e-journals

- Lack (in part) full text

- Subscription

- Poor quality of visualization

- No peripheral access

- Continuity in reading

- Download problems

Trivedi M, A Joshi J Health Inf Dev Countr 3: 13-14, 2009

Disadvantages of print journal

- Increased time in searching

- Non availability of indexes in some journals

- Expenses in number of copies

- Require more space

- Copy for colleagues and fellows

- Require more space


Directory of Electronic Journals,

Newsletters and Academic Discussion Lists

TRENDS IN E-SERIALS

E-Journals and E-Newsletters

Year 1991 1992 1993 1994 1995 1996 1997

Total 110 133 240 443 675 1689 3414

Peer-

Review 7 15 29 73 139 417 1049

Fee 2 2 6 29 72 168 912

Association of Research Libraries (ARL)


Development

http://publications.arl.org/ARL_Statistics

http://www.arl.org/bm~doc/dej.pdf

Documents

I have nothing to disclose. - ESC | Congresses | Acute Cardiac