My understanding is that 60% or more of hospitals or point-of-care locations in the U.S. use UpToDate, and the rest use other solutions. Why isn't it 100% UpToDate? Is it because some places can't afford UpToDate, or do some find other solutions more tailored to their specific needs? For example, maybe ClinicalKey is better for a specific specialty that UpToDate doesn't cover. I'm trying to understand that better.

There are areas where the expertise and high quality of content are sometimes unnecessary. I speak from personal experience, having debated with friends and neighbors who didn't feel the need for a higher premium product due to their unwillingness to pay. This is mostly because they deal with less complex patients. For practices seeing a specific subset of patients, such as in outpatient facilities, they may not be concerned about the nuances and need for a higher quality product.

My understanding is that 60% or more of hospitals or point-of-care locations in the U.S. use UpToDate, and the rest use other solutions. Why isn't it 100% UpToDate? Is it because some places can't afford UpToDate, or do some find other solutions more tailored to their specific needs? For example, maybe ClinicalKey is better for a specific specialty that UpToDate doesn't cover. I'm trying to understand that better.

In contrast, if you're a health system with higher levels of complexity, it's non-negotiable. Clinicians accustomed to using UpToDate cannot live without it. I've heard that ClinicalKey is excellent for research, particularly pharmaceutical research, and research professionals generally find it suitable.