Comparison

UpToDate vs Access

Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.

Head to head
About

UpToDate

This clinical decision support tool provides healthcare professionals with evidence-based guidance to improve patient care. It features AI-powered conversational answers, continuously updated medical content, and tools for drug reference, calculations, and patient education.

Highlights
  • Expert AI conversational guidance
  • Gold standard clinical content
  • Practice-changing updates
  • Patient education materials
  • Drug reference and interactions
  • Clinical calculators
  • Kidney dosing guidance
Features
Currently charting
Read full description

UpToDate is the clinical decision support solution trusted by over 3M healthcare professionals to help improve care delivery and patient outcomes. Now powered by UpToDate Expert AI, a generative AI experience built on rigorously maintained UpToDate clinical intelligence to delivers fast, clinically grounded answers through a conversational interface. Expert AI, available in select packages and applications, brings together the latest evidence and real-world clinical expertise and provides transparent sourcing, embedded guardrails, and oversight, supporting clinical reasoning and helping clinicians make confident, informed decisions. Key features include: • Expert AI: Conversational guidance that mirrors how clinicians think. • Gold Standard Clinical Content: Clinician-authored clinical intelligence and graded recommendation, enriched with clinical algorithms, graphics, videos, and continuously updated to reflect the latest evidence and clinical care experience. • Practice-Changing Updates: Timely insights that reflect the latest evidence and how it impacts patient care. • Patient Education: Thousands of patient education leaflets in up to 19 different languages to improve patient understanding and support care plan adherence. • Key Points Panels: Quick, clinically actionable guidance to help clinicians avoid common diagnostic and treatment errors embedded in UpToDate search results. • Drug Reference & Interactions: Evidence-based drug monographs and interaction analysis to support safe and informed prescribing decisions. • Clinical Calculators: Over 200 tools to support dosing, risk scoring, and patient assessments. • Rx Transitions: Step-by-step support for switching antidepressants safely. • Kidney Dosing: Drug dosing guidance for patients with renal impairment. Available on mobile, desktop, and integrated into EHRs, ensuring you can access UpToDate’s trusted guidance where and when you need it. Access to features will vary depending on your UpToDate account. Expert AI is now available in personal trainee subscriptions and UpToDate Pro Plus subscriptions in the US, and through select Enterprise Edition accounts. To get access, explore personal subscription options on the UpToDate website or contact your Enterprise account lead. This app is designed for use by medical professionals. If you are not a medical professional, please consult a qualified healthcare provider before making any medical decisions.

About

Access

Access medical learning resources like videos, podcasts, and textbooks on the go. Search for specific topics, save content to collections, and personalize your dashboard. Offline viewing and specialty-specific content are available for subscribed institutional users.

Highlights
  • Search diverse medical resources
  • Save and organize content
  • Refine by content type
  • Offline viewing
  • Personalized dashboard
  • Specialty-specific content
Features
Read full description

Learn when you want, where you want, and how you want. Access is your personal medical resource that makes studying easier and more efficient. Search across a number of medical resources such as videos, podcasts, images, infographics, and textbooks, including Harrison’s Principles of Internal Medicine or Tintinalli’s Emergency Medicine, so that you can learn in a way that suits your style and time constraints. • Find and save resources - search anything from symptoms to procedures and then favorite, or save to a collection. • Refine by content type - get the type of content you want to suit your learning style or time constraints. • Search within content - find the fine details you need. • View figures and tables - view content in its entirety, or just the images and tables. • View content offline - whether it’s a case of bad wifi, or you are traveling, you can always take your content with you. • Curate new collections - save content into your own personal reference library, so you always know where your favorite resources are. • Personal dashboard - create and personalize your own dashboard, allowing you to tailor the Access experience to your needs. • Caters to your specialty - This app has content from the full Access suite of sites, which cater to the following specialties; general medicine, anesthesiology, biomedical science, cardiology, dermatology, emergency medicine, hematology medicine, neurology, advanced practice nursing, ObGyn, pediatrics, pharmacy, physiotherapy, and surgery. This app's content is only fully accessible to users that are linked to an institution that subscribes to a McGraw Hill Access product. All users are offered seven days to link their profile to their subscribing institution.

Screenshots

UpToDate4 screens
Access4 screens

Verdict

The call

The clearest difference is rating: Access at 4.2 against UpToDate's 3.6. Access also leads on monetization model (free vs subscription). UpToDate's advantage is review sentiment (28% vs 8%) and chart position (#204 vs unranked). On price, update cadence, ads and in-app purchases there is nothing between them.

Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS

CostPrice · In-app purchases · Ads · Monetization

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

ReceptionRating · Positive reviews · Number of ratings

Access holds the better App Store score, 4.2 against 3.6. Both are backed by a comparable volume of ratings — 583 and 134 respectively. Written reviews complicate that: 28% of UpToDate's written reviews are positive against 8% of Access's, so the app with the better star average is not the one people write more warmly about.

UpkeepUpdate frequency

UpToDate ships an update every 5 weeks, Access monthly. The most recent releases landed on October 24, 2026 and October 25, 2026 respectively.

Scorecard6 real differences · 5 level
UpToDate versus Access: the parameters behind the verdict, then further details
ParameterUpToDateAccess
PriceFreeFree
Rating3.6 (583 ratings)4.2 (134 ratings) — better
Positive reviews28.2% of reviews — better8.3% of reviews
Number of ratings583 — better134
Update frequencyEvery 5 weeksMonthly — better
AdsNoNo
In-app purchasesNoNo
MonetizationSubscriptionFree — better
Best chart rank#204 — better—
DevicesiPhone, iPadiPhone, iPad
Requires iOS18.0 — better26
Further details — not scored
Size56 MB59 MB
Age rating17+17+
DeveloperUpToDate, Inc.McGraw-Hill

Customer experience

UpToDate

All ratings579 ratings
Positive60.4%
Neutral10.4%
Negative29.2%
Written reviews386 reviews
Positive28.2%
Neutral9.6%
Negative62.2%

Access

All ratings132 ratings
Positive80.3%
Neutral3.0%
Negative16.7%
Written reviews36 reviews
Positive8.3%
Neutral13.9%
Negative77.8%

User reviews

UpToDate

From 583 App Store ratings

What we love

  • 💎 Invaluable medical resource
  • 🚀 Quick and easy to use
  • 🔍 Comprehensive and up-to-date content

Room to improve

  • 🐛 Frequent crashes and freezing issues
  • 🔌 Unreliable offline functionality
  • 💰 Expensive subscription cost

Access

From 134 App Store ratings

What we love

  • 👍 Useful for quick reads
  • 👍 Good for reading on the go
  • 👍 Allows downloading chapters
  • 👍 Can favorite books/chapters/figures
  • 👍 Great idea for an app

Room to improve

  • 🐛 Infinite login loop
  • 🐛 App broken or glitched
  • 🐛 Unable to access content
  • 🐛 Chapters missing (appendix, intro)
  • 🐛 Cannot search all chapters

Bugs and requests

UpToDate

Reported bugs

3 issues
  • Inability to download offline content
  • Constant need to re-authenticate
  • Incompatibility with recent iOS updates

Requested features

3 requests
  • Highlight and annotate content
  • Improved institutional login support
  • Dark mode and font size options

Access

Reported bugs

32 issues
  • Infinite login loop
  • App won't log in
  • App broken or glitched
  • Unable to access content
  • Appendix and introduction absent
Show 27 more
  • Cannot search all chapters at once
  • Cannot access last sections of chapters
  • Text-to-speech mispronounces words
  • Text-to-speech requires app to be open
  • Does not remember last read position
  • Search function unusable
  • Accounts do not sync properly
  • Books, collections, and favorites not added appropriately
  • Crashes and logs out
  • Hard to navigate within textbook
  • Flash cards won't load
  • Cannot open books
  • Search bar shows technical difficulties
  • Cannot log in after password reset
  • App crashes when highlighting content
  • Copying text crashes the app
  • Lost highlight data after update
  • Lost keyword search ability after update
  • Favorites are erased
  • Books show error message of item not available
  • Search function won't find books
  • Favorites don't sync from desktop
  • Top bar heading obstructs reading
  • Book does not appear in the whole screen
  • Cannot find books by author or ISBN
  • No robotic audio option
  • Username difficult to find

Requested features

10 requests
  • Option to search all chapters at once
  • Improve text-to-speech functionality
  • Allow text-to-speech to continue when app is in background
  • Remember last read position
  • Sync favorites across devices
Show 5 more
  • iPad optimization
  • Browse all books by subscribed module
  • Toggle option for top bar heading
  • Full screen book display
  • Implement robotic audio option

In-app purchases

None

UpToDate

No in-app purchases

None

Access

No in-app purchases

Questions

Is UpToDate free?
UpToDate is free to download, with no in-app purchases.
Is Access free?
Access is free to download, with no in-app purchases.
Which has better reviews, UpToDate or Access?
Access is rated higher. UpToDate averages 3.6 out of 5 from 583 ratings, while Access averages 4.2 from 134 ratings.
Do UpToDate or Access have ads?
Neither UpToDate nor Access shows ads.
Which is updated more often, UpToDate or Access?
UpToDate ships an update every 5 weeks, and Access monthly. Most recently, UpToDate was updated on October 24, 2026 and Access on October 25, 2026.

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