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An investigation of the educational needs of health sciences library manpower. II. Health-related institutions and their library resources.

As part of an investigation of health sciences library manpower, the universe of health-related institutions and programs (excluding hospitals) was surveyed by postcard questionnaire to produce an inventory and description of libraries providing services to these institutions and programs. Seventysix percent (5,215) of the institutions reported access to library resources, indicating usage of some 2,207 non-hospital libraries. Eighty percent (2,431) of the institutions reported that the library used was "within" their own institution; 20 percent (608) noted that the library was "outside" of their institution. The distribution of health-related institutions and libraries is shown by RML districts, together with relevant census data. A classification of libraries, based on the degree of involvement of the libraries' facilities, resources and personnel in supplying services to health-related institutions, was developed. It is concluded that projections of manpower needs should take into account institutions and programs not at present possessing health sciences libraries as well as documented demand in existing health sciences libraries.

Health Occupations↗

Dial-in access to CD-ROM databases: beyond the local area network.

Although it has meant additional work, CDLink has enhanced the productivity and effectiveness of the library's public services program. CDLink enables the library to offer dial-in access to databases, either in CD-ROM or other MS-DOS formats. The VAX MS-DOS connection is a cost-effective way to combine the benefits of remote access and multiple simultaneous use. From the user's perspective, CDLink provides free, twenty-four-hour remote access to databases in a friendly, menu-driven environment. For the library staff, the CDLink service represents the achievement of a long-awaited goal.

CD-ROM↗

The use of jargon in medical school libraries.

The public services divisions of forty-seven medical school libraries participated in a survey to document jargon used by library staff and users in referring to information sources in the health sciences. The survey yielded 624 unique instances of jargon, 54% of which were acronyms of initialisms. Examples of problems created by the use of jargon are given and the importance of the librarian as a facilitator of communication, even in the presence of automated information systems, is discussed. Implications of the study for novice librarians are suggested. The body of jargon appears to serve as an effective cross-professions communications device.

Catalogs, Library↗

The value of information supplied to clinicians by health libraries: devising an outcomes-based assessment of the contribution of libraries to clinical decision-making.

The Value project, a study funded by the British Library Research and Development Department and a group of postgraduate medical deans, has examined the effectiveness of NHS library and information services. Clinicians at 11 hospital library sites were asked to describe the purposes for which they needed information, the steps they took to obtain it, and to assess the value of the information obtained from interlibrary loan requests, database searches and end-user searches. A sample of non-library users and of users of the BMA Dial-Up MEDLINE service were also asked similar questions. Results show that information did, or would in the future, assist in personal clinical decision-making and which kinds of decisions were most supported. Information new to clinicians was often provided. Follow-up interviews provided illustrations of the ways in which developments aimed at more cost-effective patient care were supported by information obtained from the library. Results are being used to guide the production of a quality assurance toolkit to help libraries audit their services and improve the delivery of information to clinicians.

Clinical Medicine↗

Continuing education in cancer for the community physician: design and evaluation of a regional table of contents service.

The Arnold Library of the Fred Hutchinson Cancer Research Center offered two groups of practicing physicians in nonmetropolitan areas of the Pacific Northwest an opportunity to review regularly their choice of eighteen cancer journal tables of contents with the added provision (in compliance with federal copyright laws) of being able to receive any articles of interest at no charge from the library. Forty-nine (38.9%) of the 126 physicians selected chose to participate in the program. Of these, 20 (40.8%) actually requested articles from the service. After six months of the service, all of the original 126 physicians were queried by questionnaire. Those who used the service felt it helped in their practice of medicine and that it should be continued. Those who chose not to receive the service generally had access to the eighteen journals elsewhere or saw very few cancer patients. A majority of the articles which had been requested emphasized patient treatment. Approximately 25% of one library technician's time and $360 for photocopy and mailing costs were required to operate the service for forty-nine physicians for six months. The service seemed to identify a select audience of regular users who perceived a benefit from its use.

Community Medicine↗

Library research.

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Abstracting and Indexing↗

The hospital library.

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Hospital Design and Construction↗