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Benchmarking in health care: using the Internet to identify resources.

Benchmarking is a quality improvement tool that is increasingly being applied to the health care field and to the libraries within that field. Using mostly resources assessible at no charge through the Internet, a collection of information was compiled on benchmarking and its applications. Sources could be identified in several formats including books, journals and articles, multi-media materials, and organizations.

Computer Communication Networks↗

Reference activity and the external user: confluence of community needs at a medical school branch library.

The allocation of reference services between primary and secondary users constantly challenges academic medical libraries. Routine statistics at a medical school branch library suggested that over 40% of its reference transactions involved persons not affiliated with the university. To investigate this finding, a survey of reference activity was conducted using measurement techniques unobtrusive to the user. Fifteen data items were recorded, including user status, type of question, intended use of information requested, status of staff taking request, and staff time spent. Survey results showed that nonaffiliates accounted for 51% of reference activity. Based on this documented data, definitive reference guidelines addressing hours, priority of requests, charges, and staffing patterns can now be developed. Findings will also assist in evaluating the library's regional role, in formulating marketing strategies, and in determining library objectives.

Community-Institutional Relations↗

Legal considerations for document delivery services.

Health sciences libraries that provide fee-based information services must consider and develop policies and procedures for complying with legal requirements. This paper reviews the provisions of copyright law that pertain to document delivery, including two court decisions concerning copyright. Also discussed are recent actions by publishers to reinforce their view of libraries' responsibilities for royalty fees for articles copied and their use of licenses to impose additional restrictions on the use of and reproduction of materials.

Copyright↗

An experimental study of the feasibility of substituting Chemical Abstracts on-line for the printed copy in a medium-sized medical library.

The reference staff of the Washington University School of Medicine Library, in an attempt to consider an alternative way of providing the information contained in the printed Chemical Abstracts, designed a study to examine whether the on-line version of Chemical Abstracts could be substituted for the hard copy. For a thirteen-week period, all patrons using the printed index were offered a free computer search of Chemical Abstracts in exchange for evaluating the searches. Only 39.6% of those offered a free search chose to do so. Of these patrons, 62% still planned to refer to the abstracts later, which are only available in the printed index. The hypothesis that the on-line version could be substituted for the printed index was not confirmed.

Abstracting and Indexing↗

Circuit librarian serves five hospitals in shared program.

There is increasing emphasis on continuing education of hospital personnel, who need and want access to information in order to be aware of advances in health care. Small hospitals cannot afford to duplicate extensive collections. Personnel of hospitals that are remote from urban centers often do not have opportunities to visit a resource library on a regular basis and do not have experience in searching the medical literature through the use of reference tools. It is increasingly evident that the circuit librarian program has served as a catalyst in establishing relationships between the hospitals and the university health sciences center. The director of the CHSL has consulted with the deans of the nursing and the medical schools and with various professors. They have promised that the schools will try to address identifiable continuing education needs or requests from the hospitals. Moreover, the circuit librarian meets with individual hospital personnel and then obtains information for them from the CHSL and its staff. The circuit librarian program is one way to meet community hospitals' needs for access to health sciences literature and to initiate peer interaction for information exchange.

Education, Continuing↗

How to create successful partnerships-a review of the literature.

This literature review covers a wide range of publications (articles, books, reports and government publications) that provide an overview of the wider topic of partnership working. It is not a systematic review, but the authors' personal review, drawing largely on the resources available in the King's Fund Library. Partnership working is a key component of the UK government's modernization agenda, particularly in the health field. However, the principles of achieving successful partnership are generally applicable. The review therefore concentrates on literature that can provide guidance for people planning to set up a partnership, or re-evaluating an existing partnership. The sections of this review comprise: definition of partnership working; types of partnership; partnership initiatives; drivers; critical success factors; barriers; benefits; the process of partnership working; evaluation and assessment tools; demolishing the Berlin Wall: government policy on partnership working; exemplars of library information service partnerships.

Cooperative Behavior↗

A selected, annotated list of materials that support the development of policies designed to reduce racial and ethnic health disparities.

Research documents the existence of racial and ethnic health disparities. As a result, policy makers are seeking to address these disparities. This list is a starting point for building or updating a collection that supports this policy development process. It is written for health policy librarians and researchers and includes annotated recommendations for books, periodicals, government publications, and Websites. Entries for print publications are primarily from 1998 to 2003.

Book Selection↗

A first class knowledge service: developing the National electronic Library for Health.

With the introduction of clinical governance and the move towards evidence-based practice, there is a growing need to provide health professionals and patients, and the public, with high quality information. Developments in the health service have added weight and urgency to this need. The National electronic Library for Health (NeLH) has a key role to play in providing health professionals with a core knowledge base of accredited and evaluated information. The Pilot NeLH was launched in November and this article outlines the progress and achievements made during this time. The NeLH is based around a central website featuring core resources and links to commissioned specialist collections. Over 70 information resources, including bibliographic databases and full text publications, are accessible via the NeLH, which aims to act as a one-stop shop to support evidence-based decision-making. Much work has been undertaken on national procurement and licensing, particularly in partnership with National Health Service (NHS) libraries. Partnerships as a whole are crucial to ensure true seamless access for health professionals. Key partners include NHS libraries, NHS Direct Online and the electronic Library for Social Care. A short glossary is included for those readers less familiar with current health service developments in the UK.

Cooperative Behavior↗