Providing Access to Evidence-based Clinical Decision Support By Land – And By Sea

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<li class="breadcrumb-navigation__item home"> <a class="breadcrumb-navigation__link" href="/en-ca/expert-insights"><span class="breadcrumb-navigation__backtotext">Back to </span> Expert Insights </a> <span class="breadcrumb-navigation__separator separator">></span> </li> <li class="breadcrumb-navigation__item home"> <span class="breadcrumb-navigation__link">Providing access to evidence-based clinical decision support...</span> </li> </ol> </nav> </div> </div> </div> </div> </div> </div> </div> <div class="container-fluid"> <div > <div class="row"></div> </div> </div> </div></div></div> </div> </header>   <main> <div id="content" class="container"> <div class="row"> <div class="row"><div class="component article-header col-12"> <div class="component-content"> <div class="image field-image"></div><div class="container no-padding"><div class="col-lg-10 offset-lg-1 no-padding"><div class="eyebrow"><span class="interest-area field-name">Health</span><span class="date field-editorial-publish-date">August 02, 2022</span></div><h1 class="title field-title">Providing access to evidence-based clinical decision support by land – and by sea</h1><div class="author-section"></div></div></div> </div> </div> <div class="row component column-splitter"> <div class="col-12 col-md-8 col-lg-1 sticky-wrapper"> <div class="row"> <div class="component social-share vertical col-12"> <div class="component-content"> <div class="share-sticky"><div class="share-wrapper"><div class="share-btn share-btn-linkedin" aria-label="Share on Linkedin"></div><div class="share-btn share-btn-twitter" aria-label=" Share on Twitter"></div><div class="share-btn share-btn-facebook" aria-label="Share on Facebook"></div><div class="share-btn share-btn-mail" aria-label="Share with Mail"></div><div class="share-btn share-btn-print" aria-label="Print"></div><div class="share-btn share-btn-link" aria-label="Copy Link"></div></div></div> </div> </div> </div> </div> <div class="col-12 col-md-8 col-lg-6"> <div class="row"> <div class="component row-splitter"> <div class="container-fluid"> <div > <div class="row"> <div class="component image file-type-icon-media-link col-12 indent-bottom indent"> <div class="component-content"> <a title="Header Image" href="#"><image stylelabs-content-type="Image" src="https://assets.contenthub.wolterskluwer.com/api/public/content/dac7702761f7463e995a398402af2b48?v=27610306" height="1024" thumbnailsrc="https://contenthub.wolterskluwer.com/api/gateway/849004/thumbnail" stylelabs-content-id="849004" width="1536" alt="Mercy Ships" srcset="https://assets.contenthub.wolterskluwer.com/api/public/content/dac7702761f7463e995a398402af2b48?v=27610306&t=w507l 507w,https://assets.contenthub.wolterskluwer.com/api/public/content/dac7702761f7463e995a398402af2b48?v=27610306&t=w628l 628w,https://assets.contenthub.wolterskluwer.com/api/public/content/dac7702761f7463e995a398402af2b48?v=27610306&t=w634l 634w,https://assets.contenthub.wolterskluwer.com/api/public/content/dac7702761f7463e995a398402af2b48?v=27610306&t=w735l 735w,https://assets.contenthub.wolterskluwer.com/api/public/content/dac7702761f7463e995a398402af2b48?v=27610306&t=w768l 768w" loading="lazy" data-variantitemid="{92EC7588-B16D-483D-9EFE-33D194D38744}" sizes="(max-width:539px)507px,(max-width:767px)735px,(max-width:991px)634px,(max-width:1199px)628px,(max-width:1440px)768px,768px" format="" data-variantfieldname="Image"></image></a> </div> </div> </div> </div> </div> <div class="container-fluid"> <div > <div class="row"> <div class="component rich-text article-text"> <div class="component-content"> <p><span class="abstract">Through Mercy Ships, volunteer clinicians armed with donated clinical decision support tools from Wolters Kluwer can impact global communities and advance health equity.</span></p> <p>Access to quality, evidence-based care and robust health infrastructure remains a challenge in many developing countries. The impacts can have far-reaching implications both from a health equity and quality of life perspective, but also in delayed economic development.</p> <p> </p> <p>To <a href="/en-ca/know/best-care-everywhere">address health equity challenges</a>, it's key to understand the wider scope of the state of care as well as targeted opportunities for impact.</p> <h2>Quality of care challenges in developing countries</h2> <p>A 2018 Lancet article studied the current state of <a href="/en-ca/news/wolters-kluwer-helps-mercy-ships-provide-healing-and-state-of-the-art-care-for-the-world-s-poor" target="_self">quality of care in low- and middle-income countries</a> as part of a larger call for sustainable and equitable systemic health system reform. Key findings included:</p> <ul> <li>Providers perform less than half of the recommended evidence-based care actions - less than half of women were examined within one hour after giving birth in a facility</li> <li>Health systems with poor quality of care result in over 8 million deaths per year, resulting in economic welfare losses of $6 trillion in 2015 alone</li> <li>Inadequate platform integrations can undermine health systems’ ability to care for complex and emerging health conditions</li> <li>High-quality health care is unevenly distributed based on class and income, and lack of trust in health systems results in underutilization</li> </ul> <p>By treating these systemic care challenges, the study identifies opportunities to reduce costs and increase economic benefits in addition to the humanitarian need to provide quality care. </p> <p>Additionally, a <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6438256/" target="_blank">2019 study</a> found an estimated 1.7 billion children and adolescents worldwide didn’t have access to surgical care and 453 million children under five years old didn’t have access to basic life-saving surgical care. Patients with these treatable causes, such as injuries, deformities, and surgical conditions, can lead to high mortality rates and lower quality of life.</p> <h2>Targeting health equity from the sea</h2> <p>As many seek to address the largest systemic issues, a number of organizations are looking to provide care in targeted ways, such as <a href="https://www.mercyships.org/" target="_blank">Mercy Ships</a>, a non-profit with the largest civilian hospital ships in the world focused on treating surgical care.</p> <p>Mercy Ship’s mission is to power “floating hospitals”, providing free access to high-quality surgical and medical procedures in a sterile operating environment to patients of low- and middle-income areas near coastlines. Surgeries provided include cleft-lip and palate, cataracts, windswept and bow-legged deformities, twisted knees, tumors, and many other procedures.</p> <p>Additionally, teams provide tools, clinician training, and resources to host countries and local governments to help build <a href="https://www.mercyships.org/what-we-do/lasting-impact/" target="_blank">sustainable health infrastructures</a> and leave behind a more supported and empowered community.</p> <p>By visiting countries from the ocean, they can provide access to the 40% of the world’s population who live within 100 km (60 mi) of a coastline. In the more remote regions of the world, infrastructure and access to electricity can be limited or nonexistent, so providing access to evidence-based, clinical information to volunteer clinicians in remote areas can be a challenge.</p> </div> </div> </div> </div> </div> <div class="container-fluid"> <div > <div class="row"> <div class="component image file-type-icon-media-link col-12"> <div class="component-content"> <a title="Image 2" href="#"><image stylelabs-content-type="Image" src="https://assets.contenthub.wolterskluwer.com/api/public/content/265e78f964f34feb9e59594bc48135c8?v=f4662ba0" height="1024" thumbnailsrc="https://contenthub.wolterskluwer.com/api/gateway/849136/thumbnail" stylelabs-content-id="849136" width="1536" alt="Mercy Ship Clinician with Patients" srcset="https://assets.contenthub.wolterskluwer.com/api/public/content/265e78f964f34feb9e59594bc48135c8?v=f4662ba0&t=w507l 507w,https://assets.contenthub.wolterskluwer.com/api/public/content/265e78f964f34feb9e59594bc48135c8?v=f4662ba0&t=w628l 628w,https://assets.contenthub.wolterskluwer.com/api/public/content/265e78f964f34feb9e59594bc48135c8?v=f4662ba0&t=w634l 634w,https://assets.contenthub.wolterskluwer.com/api/public/content/265e78f964f34feb9e59594bc48135c8?v=f4662ba0&t=w735l 735w,https://assets.contenthub.wolterskluwer.com/api/public/content/265e78f964f34feb9e59594bc48135c8?v=f4662ba0&t=w768l 768w" loading="lazy" data-variantitemid="{1E61B15C-5F80-4812-805E-DA881989A660}" sizes="(max-width:539px)507px,(max-width:767px)735px,(max-width:991px)634px,(max-width:1199px)628px,(max-width:1440px)768px,768px" format="" data-variantfieldname="Image" /></a> </div> </div> <div class="component rich-text article-text col-12 indent-top"> <div class="component-content"> <h2>Access to leading evidence-based clinical decision support anytime, anywhere</h2> <p>To address the need to provide clinicians with access to evidence-based clinical information in more remote countries and in the open sea, Mercy Ships partners with Wolters Kluwer to supply free access to UpToDate, Lexicomp, and Lippincott Procedures – first <a href="/en-ca/news/wolters-kluwer-helps-mercy-ships-provide-healing-and-state-of-the-art-care-for-the-world-s-poor" target="_self">in 2018 on the <em>Africa Mercy</em> ship</a> and <a href="/en-ca/news/wolters-kluwer-supports-second-mercy-ships-floating-hospital">expanding in 2022 to the new <em>Global Mercy</em> ship</a>.</p> <p>With access to a suite of mobile iPad apps on board, clinicians can reliably find the most recent medical research and clinical evidence to support surgical care. </p> <ul> <li><a href="/sitecore/service/notfound.aspx?item=web%3a%7b36295332-3CC2-4114-B9C2-24DBEFECCE81%7d%40en-CA" target="_self">Lexicomp</a> provides clinicians with content on drug dosing, practice guidelines, pharmacogenomics, drug shortages, and more.</li> <li><a href="/sitecore/service/notfound.aspx?item=web%3a%7b7F2A2F40-1091-440F-8CA9-AB677B86A650%7d%40en-CA" target="_self">UpToDate</a> provides clinicians with leading evidence-based clinical information regularly updated by medical experts and specialists</li> <li><a href="/en-ca/solutions/lippincott-solutions/lippincott-procedures" target="_self">Lippincott Procedures</a> focuses on supporting nursing and allied staff with skills and procedures for safe clinical practices, regularly updated by expert nurses and subject matter experts</li> </ul> <p>The impact is significant. The<em> Africa Mercy</em> ship has 80 patient beds in five operating theaters, recovery, intensive care, and low dependency wards. The newly christened <em>Global Mercy</em> ship can accommodate 950 crewmembers and volunteers, and has space for 200 patients, six operating rooms, a laboratory, and clinics for dental, eye, and outpatient services. Mercy Ships anticipates over the next 50 years, <em>Global Mercy</em> can provide over 150,000 patients with life-giving surgery. </p> <p>While there is much to do to <a href="/en-ca/know/best-care-everywhere" target="_self">advance health equity</a>, through Mercy Ships, volunteer clinicians armed with <a href="/sitecore/service/notfound.aspx?item=web%3a%7bB8027CC8-130E-41CA-8F99-2F2C458B6B91%7d%40en-CA" target="_self">donated leading clinical decision support tools</a> can impact individuals and communities around the world.</p> <p><em>Learn how Wolters Kluwer is supporting healthcare professionals globally to advance the <a href="/en-ca/know/best-care-everywhere" target="_self">best care everywhere</a>.</em></p> </div> </div> <div class="component wkbutton primary col-12 reverse indent-bottom"> <div class="component-content"> <div class="wkbutton-link field-link"><a data-variantfieldname="Link" aria-label="Learn About Our Commitment To Health Equity" title="Learn About Our 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