Are Your Doctors Addicted to UpToDate?
Recently there has been some discussion on MEDLIB-L regarding the cost of providing institutional access to UpToDate. This discussion along with UpToDate's heavy handed tactics always seems to crop up every couple of months. Currently the discussion seems to be centered around two things. Their heavy handed license agreements and the cost.
Apparently there are some institutions starting to consider eliminating institutional access leaving their physicians to pay for the product on their own. UpToDate bases their prices on the institution's total number of outpatient and inpatients. No wonder some very big and successful institutions are rethinking the cost of UpToDate. It is not unheard of for small community hospitals to pay $10,000 -$15,000 for online access. I have heard of larger institutions paying $80,000 - $100,000 for access (which of course can't be used at home).
Coincidentally three recent physician blog posts have commented about UpToDate dependency among doctors. (Thanks to Halyna on MEDLIB-L for finding the posts.)
While I think UpToDate is a useful tool, it is not the best tool for every situation. Their business tactics in my opinion are questionable. Any company that does not address the positives of their competitors is bound for problems eventually. UpToDate's competitors (FirstConsult, DynaMed, eMedicine, etc.) all provide home access to institutional users at no additional cost. Both DynaMed and FirstConsult can easily integrated into a hospital's EMR. Talk about true point of care resources.