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Evaluation of medical center support for rural physicians.

Professional isolation remains a problem for rural physicians. To address the problem, a university medical center established a Physician Support Office (PSO). The PSO offered rural physicians toll-free telephone access to patient referral, patient follow-up, library reference, and drug information services. A newsletter was also published. The service was evaluated using a quasi-experimental design. Physicians in the experimental area felt there was improvement in several medical center services, compared to physicians in the control area. Provision of library services, referral services and a newsletter contributed significantly to the usefulness of the PSO program. Nevertheless, the PSO did not produce a significant improvement in rural physicians' overall feeling of general medical center support.

Appalachian Region↗

Small medical libraries can help also.

The Regional Medical Library program of the Dana Medical Library (Burlington, Vermont) is described. Practical problems of a regional program are discussed. A plea is made for providing regional service, however little or much, without waiting for surveys and large grants.

Information Services↗

A successful cross-training experience of reference service at UCLA.

This paper describes a successful cross-training and reference librarian exchange experience involving two librarians at UCLA, one based at the Louise M. Darling Biomedical Library and the other based at the College Library, which primarily serves undergraduates. The experience has increased the reference skills and expertise of both librarians by introducing them to new sets of reference tools and databases, and has broadened their network of colleagues within the UCLA Library system. The participating libraries have also benefited from the exchange, and the program is expanding to include other UCLA libraries.

Inservice Training↗

Information services for primary care: the organizational culture of general practice and the information needs of partnerships and primary care groups.

In a primary-care led National Health Service it is imperative for librarians not only to develop user-centred services for health professionals based in the community but also to facilitate information management within Primary Care Groups. In this article recent research in the field is discussed, and challenges intrinsic to delivering information services to primary care are identified. Drawing on the experience of one Practice Librarian in the Aylesbury area, the importance of organizational culture is considered, along with its implications for making successful approaches to partnerships. Five factors that motivated these practices to contract the services of an independent librarian are identified. The information needs of Primary Care Groups are discussed and the essential characteristics of future service provision are noted.

Cooperative Behavior↗

Evaluation of the KA24 (Knowledge Access 24) service for health- and social-care staff in London and the south-east of England. Part 1: quantitative.

AIMS AND OBJECTIVES: This two-part paper aims to identify the main transferable lessons learned from both the quantitative and qualitative evaluations of the Knowledge Access 24 (KA24) service of online databases and selected full-text journals for health and social care staff in London and the south-east of England. The quantitative evaluation analysed usage rates and user registration with the objective of measuring uptake by previously disadvantaged staff, and to inform the subsequent qualitative survey. METHODS: User and usage data were analysed by type of NHS Trust, by type of user, and by what was being used. The evaluation assessed development in user registration and usage of both databases and journals over a 2-year period. Data were aggregated and analysed both monthly and quarterly. RESULTS: Usage levels increased, but uptake in both the mental health and primary care sectors was comparatively slow. Nurses and allied professionals used the service more than doctors. The increase in usage of full-text journals over the usage of databases was marked. CONCLUSIONS: Previously disadvantaged staff used electronic resources. A qualitative survey was needed to identify the main enablers and barriers to uptake.

Community Health Services↗