The Danish Hospital Licence Consortium

1
The Danish Hospital Licence Consortium

• Presented by
• Ilse Schødt
• Chief librarian, Documentalist
• Danish Regions
• and
• Danish Institute for Health Services Research/DSI
• Chairman of the Danish Hospital Licence
  Consortium
• IS_at_dsi.dk

2
New Regional Structure in Denmark 2007
Before 1.1. 2007 DK was divided into 15 regions
(counties).
1.298
After 1.1. 2007 DK was divided only into 5
regions. The 5 should mainly manage Health
Services and Hospitals
3.387
5.898
3.374
2.081
3
New regions better quality

• The new regional structure implied
• A new administrative structure
• New institutional quality-indicators
• Better wellfare for the citizens - such as better
  information on preventive medicine
• Better quality for people working in the public
  health services
• More evidence based treatment

4
How librarians can improve quality and evidence
in health care

• Health Information librarians were asked to find
  out how to ensure quality in health care
• - a group was appointed and the aim of our
  project was
• to consider an economically responsible model for
  good and equal access to electronic journals,
  databases, and medical textbooks
• Access for health care personnel in all Danish
  hospitals and in the primary care sector.

5
White spots on the map

• We found that access to electronics ressources
  was concentrated to the three universities with a
  medical faculty
• Two counties had hospital libraries who had
  access
• Outside these, hospitals had limited access to
  e-ressources

Therefore we had to find out how to ensure a
country- wide access to e-ressources
6
DEFF in Denmark

• After looking around for possible partners
• the group contacted DEFF - Denmark's Electronic
  Research Library
• DEFF is established in 1996 to provide a better
  and standardized communication and cooperation
  between research libraries
• DEFF is not a library but a department in the
  Danish Library Agency
• It is an organisational and technological
  partnership between research libraries
• We considered DEFF a natural partner as they have
  10 years experience in negotiating new and
  existing licences to University- and Highschool
  libraries

7
Main demands

• To satisfy the regions claim for quality and
  evidence, the group had the following demands to
  the electronic resources
• No embargo on the products
• The products should direct primarily to health
  professionals and health reseachers
• The products should give access to all health
  professionals in hospitals and in primary care
  (general practitioners)
• Access only by ip-adresses
• Collaboration between University libraries and
  the Hospital Licences Consortium initiated by
  DEFF
• Remote access

8
Results
1.1.2007 the Hospital-Licence Consortium could
welcome danish hospitals and general practice to
the following electronic journals, databases, and
medical textbooks

• Journals
• Blackwell
• BMJ Journals
• Elsevier
• Lippincott
• Oxford UP.
• Springer
• Wiley

• Single journals
• NEJM
• JAMA

9
Results

• Databases
• Amed
• Cinahl
• Cochrane
• Embase
• PubMed
• PsycInfo

• Other products
• Clinical Evidence
• MDConsult
• DEFNet
• Medicinordbogen

10
Access for hospitals

• Demand Access only by ip-adresses
• Hospitals
• We offer one gateway for each region by
  DEFNet/TDNet to all ressources
• Access by the regional Intranet or Internet
• Access via Google or other searchmachines or
  gateways/portals

11
DEFNet/TDNet
12
Access for general practitioners

• Impossible to handle the ip-adresses from each
  general practitioner in DK
• Access by the Danish Sundhed.dk gateway to
• DEFNET/TDNET
• Access with a digital health care professional
  signature

13
Sundhed.dk
14
Sundhed.dk

• For Health Professionals
• Hospital Licences
• Regional Guidelines
• Waiting lists
• National Guidelines (Referenceprogrammer)

• For the citizen
• Have an appointment, e-mail visits
• Look up your own medical record
• Waiting list for treatment
• Health information for Patients
• Patient organisations
• Preventive medicine

15
A future with quality and evidence

• Quality and Evidence based products as
• Cochrane
• Clinical Evidence
• MDConsult
• www.legehandboka.no - on Sundhed.dk
• Planning
• National Referenceprogrammer (clinical
  guidelines) in DEFNet/TDNet

16
Psychiatry

• 2008-2009
• Psychiatry has high priority
• Necessary to have the skills in the group
• Where do psychiatry belong to municipalities or
  to regions?
• New journals and databases on psychiatry

17
The Group

• From 01.01-2008 the Regions Health Directors
• appointed new representatives to the Hospital
  Licence Group
• From being a group of
• 7 librarians
• we are now
• 10 doctors and nurses
• 12 librarians
• Both goups including psychiatry
• Some of the librarians are the same old crowd