implementation of web 2.0 services in the norwegian 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