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Consumer health information partnerships: the health science library and multitype library system.

The University of Illinois Library of the Health Sciences at Rockford (LHS-Rockford) long has honored a commitment to serving the health information needs of the greater Rockford community. Utilization data collected over the past five years indicate that approximately 50% of reference transactions involve persons not affiliated with the university. In early 1994, LHS-Rockford submitted a proposal to the Northern Illinois Library System (NILS), a multitype system spanning twelve counties in northwestern Illinois, asking to serve as a resource library for improving medical and health information services provided by the 138 NILS member libraries. The NILS funded this pilot project as part of an effort to implement a new strategic plan, which encouraged member libraries to form networks to provide reference back-up service. LHS-Rockford acquired InfoTrac's Health Reference Center, a consumer health information database, and set up a dedicated workstation near the information and circulation desk. Referral guidelines were established and the project was promoted among NILS member libraries. Activities were documented in order to track project success in terms of referrals and outcomes. The demonstration project was very successful, and it proves public consumers seeking health information can benefit greatly from this type of cooperative arrangement.

CD-ROM↗

Comparison of fixed-fee Grateful Med database use and searching success rates given the continued availability of MEDLINE in other formats.

This study compared in-house Grateful Med database use and searching success rates for four-month periods at four sites of the Library of the Health Sciences of the University of Illinois at Chicago. Data were collected from Grateful Med workstation uselogs and analyzed. Database use patterns and searching success rates were fairly consistent across the four sites. Though MEDLINE was available in other formats and use in these other formats remained high, 65.48% of all Grateful Med searching was done by using MEDLINE, and an additional 21.34% was done by using the MEDLINE Backfiles. In-house use patterns were similar to the overall use pattern for the University of Illinois, with the exception of MEDLINE Backfiles. Overall, 54.30% of searches were successful.

CD-ROM↗

Cyber health care.

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Brain Neoplasms↗

Information-seeking behavior of health professionals in Hong Kong: a survey of thirty-seven hospitals.

Shortly after the establishment of Hong Kong's Hospital Authority (HA) in 1990, ten library service networks supported by the Library Information Systems (HALIS) were established to pool resources. A survey was undertaken to investigate the information-seeking behavior of health professionals working in thirty-seven public hospitals, examine their information needs, assess user satisfaction with and the impact of library services (including HALIS), and examine why hospital libraries sometimes fail to meet user needs. The findings revealed disparate use patterns among different groups of health professionals and confirmed that medical staff were most satisfied with the library collections and services. The nurses and hospital executives were found to be underserved. They needed information not only for work-related reasons but also to support self-study and development. The new HALIS service was neither well known nor widely used, especially among nurses. The findings provided valuable measures of performance for comparing different hospitals and assessing changes over time. Survey results also highlighted areas in which improvements are needed, such as collection enhancement, promotion and user training, and assessment of the impact of library service on patient care. Subsequent developments in these directions have led to increased awareness and use of library services and confirmed the direction of strategic plans for growth.

CD-ROM↗

SPIRS, WinSPIRS, and OVID: a comparison of three MEDLINE-on-CD-ROM interfaces.

Three MEDLINE-on-CD-ROM interfaces are compared: SPIRS (version 3.11) and WinSPIRS (version 1.0) from SilverPlatter and OVID (version 3.0, DOS and Windows interfaces) from CD Plus Technologies. Though the database is the same, there are substantial differences among the interfaces in the way these data are presented and can be searched. These different approaches are discussed, and a detailed comparative table is included. It is obvious that all three interfaces are quite good yet none of them is perfect; each has desirable and unfortunate features. Together, they offer an enormous range of possibilities. Users would benefit if most of the better features (e.g., easy menu, free-text retrieval, pre-exploded thesaurus terms) were implemented in future versions of these interfaces and if system operators were given greater latitude to determine the system defaults appropriate to their specific situations and customers.

CD-ROM↗

Document management and scanning in the physician's office.

A popular PC magazine recently conducted a survey asking readers whether a paperless office or Santa Claus was more believable. Santa Claus won. Health care professionals would make that same choice. They come from an educational process that teaches, if it is not on paper, it never happened. However, the necessity for fast and easy access to medical documents, particularly in managed care networks, is causing the paperless office to rush forward at breakneck speed.

CD-ROM↗

Multimedia instruction of cardiac auscultation.

The cardiac physical examination is in itself a multimedia experience. It is an amalgamation of visible, palpable, and audible sensations, preceded by the collection of an appropriate historical context in which to place these multiple sensations. It is unlikely that any electronic media could ever replace the real life experience of admitting, examining, diagnosing, and effectively treating a patient with mitral stenosis who has decompensated because of the onset of atrial fibrillation with rapid ventricular response, or a patient with sudden, severe aortic regurgitation due to endocarditis. These potentially fatal conditions can be effectively treated only if the suspicion of their presence is seriously raised. Although there is no substitute for first-hand experience, attempts to provide an effective surrogate experience are worth pursuing.

Acoustics↗

RCN nurse ROM.

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CD-ROM↗