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Evaluating IAIMS at Yale: information access.

OBJECTIVE: To evaluate use of information resources during the first year of IAIMS implementation at the Yale-New Haven Medical Center. The evaluation asked: (1) Which information resources are being used? (2) Who uses information resources? (3) Where are information resources used? (4) Are multiple sources of information being integrated? DESIGN: Measures included monthly usage data for resources delivered network-wide, in the Medical Library, and in the Hospital; online surveys of library workstation users; an annual survey of a random, stratified sample of Medical Center faculty, postdoctoral trainees, students, nurses, residents, and managerial and professional staff; and user comments. RESULTS: Eighty-three percent of the Medical Center community use networked information resources, and use of resources is increasing. Both status (faculty, student, nurse, etc.) and mission (teaching, research, patient care) affect use of individual resources. Eighty-eight percent of people use computers in more than one location, and increases in usage of traditional library resources such as MEDLINE are due to increased access from outside the Library. Both survey and usage data suggest that people are using multiple resources during the same information seeking session. CONCLUSIONS: Almost all of the Medical Center community is using networked information resources in more settings. It is necessary to support increased demand for information access from remote locations and to specific populations, such as nurses. People are integrating information from multiple sources, but true integration within information systems is just beginning. Other institutions are advised to incorporate pragmatic evaluation into their IAIMS activities and to share evaluation results with decision-makers.

Academic Medical Centers↗

Development of SDI services from a manual current awareness service to SDILINE.

The Reference Department of The Milton S. Hershey Medical Center Library has offered SDI service to the faculty for over three and one-half years. This study traces the development of SDI services from a manual Current Awareness Service (CAS), with the incorporation of Index Medicus photocopies, to the National Library of Medicine's SDILINE (Selective Dissemination of Information On-LINE). Over 24% of the Medical Center's faculty currently receive SDILINE service. Through questionnaires, the two systems are evaluated and compared. There was 100% return on both questionnaires. Both the manual CAS and SDILINE were favorably received by the faculty, but SDILINE was chosen unanimously as the preferred service. A subscription fee for SDILINE did not significantly affect the system's use. Conclusions reached through the questionnaires indicate that constant evaluation of subject profiles and interaction between the librarian and the user are necessary for optimum use of any SDI service.

Costs and Cost Analysis↗

A user study of manual and MEDLINE literature searches in the hospital library.

To determine possible uses for MEDLINE in the hospital library, health practitioners requesting literature searches were provided with both a manual and a MEDLINE search. Patron receptivity to MEDLINE was good, but the manual search was more often preferred. The health practitioners responding to a questionnaire apparently had delegated literature searching and evaluation of material to the hospital librarians, especially when clinically related information was needed. In the community hospitals where both the search and the selection of material are the responsibility of the librarian, MEDLINE can be used as the primary search tool or to supplement material provided.

Evaluation Studies as Topic↗

Transitioning to the Internet: results of a National Library of Medicine user survey.

In late 1995, several months prior to the introduction of Internet Grateful Med, the National Library of Medicine (NLM) conducted a customer survey as part of its efforts to make a transition from Grateful Med to new forms of electronic information access and retrieval. A questionnaire survey was mailed to a sample of 2,500 online users randomly selected from domestic users (excluding fixed-fee users) who searched NLM databases during the second quarter of 1995. The final response rate was nearly 83% of eligible respondents. About 70% of NLM customers responding already had access to the Internet, and of those, more than 90% had access to the World Wide Web. However, only 26% of customers with Internet access were using the Internet to access NLM databases. Health care providers account for about 46% of NLM customers but, as a group, search NLM databases relatively infrequently even though they have higher-end equipment. Librarians and information professionals represent about one-fifth of NLM customers and are by far the most intensive users, but tend to have lower-end equipment. Overall, the survey results provide a strong basis for the transition to Internet-based delivery of NLM online database services, including Internet Grateful Med and the NLM family of World Wide Web sites. However, Internet access is uneven, especially in rural areas and at hospitals. This reinforces the need for continuing special outreach efforts directed at improving access for rural and hospital-based users and rural libraries, upgrading computer equipment for medical librarians, and training health care providers in more effective use of Internet-based biomedical information resources.

Chi-Square Distribution↗

Library services.

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Economics↗

The MEDLARS demand search quality control program.

A Quality Control Unit was established at the National Library of Medicine to provide preventive quality control on a continuing basis for MEDLARS. This unit provided analyses of retrievals and made recommendations for improvements based upon these analyses. For the period January 1969 to June 1970, 21,000 MEDLARS searches were released in the United States. Appraisals were returned by 24.4% of the users. They reported that 55% of the citations retrieved were relevant and that 47% of the citations were new to them; 70.6% of the users reported recall of 50% or higher.

Information Systems↗

A survey of organizational practices in North Carolina schools of nursing libraries.

Prompted by the apparent unavailability of published information regarding the cataloging practices in North Carolina schools of nursing libraries, this study was conducted using a questionnaire sent to the thirty-eight schools of nursing in the state. The "average" North Carolina school of nursing library is an autonomous facility administered by nonprofessional personnel or by a person with an undergraduate degree in a nonlibrary field. The materials are organized by the National Library of Medicine Classification and Medical Subject Headings in combination with the Library of Congress classification and subject headings, except for bound journals which are shelved alphabetically by exact title. It is recommended that separate school of nursing and hospital or medical school libraries be consolidated under a trained librarian in order to standardize and unify cataloging practices on the local level and to gain the advantages available through regional and national cooperation of health sciences libraries.

Cataloging↗

Communicating the results of NLM grant-supported library projects.

National Library of Medicine research, resource project, and resource improvement grant-related communication activity was measured and examined as an initial task in exploring information exchanges in health sciences librarianship. Grantees were generally found to be reporting results extensively in a variety of written formats and oral presentations. Ways to improve the transfer and utilization of research and development activity results are presented.

Financing, Government↗

Evaluation of MEDLINE service by user survey.

The use of MEDLINE at the Calder Memorial Library of the University of Miami School of Medicine has grown so substantially over the past one and one-half years that we felt an evaluation of the service was appropriate. A one-page questionnaire was sent to 350 patrons who had requested MEDLINE searches in 1973. The response validated many of our assumptions about the user group and their reasons for using MEDLINE. Most surprising were the degree of enthusiasm, the willingness to pay out of personal funds, the apparent lack of knowledge about SDILINE, and the small number of critical comments. We expect that the experience gained from this assessment will enable us to make improvements in some aspects of our service, as well as to undertake more subject-specific evaluations at shorter intervals in the future.

Evaluation Studies as Topic↗

Service providers and users discover the Internet.

Although the Internet has evolved over more than twenty years, resources useful to health information professionals have become available on the Internet only recently. A survey conducted by the Regional Medical Libraries of the National Network of Libraries of Medicine in the fall of 1993 indicates that libraries at academic institutions are much more likely to have access to the Internet (72%) than are libraries in hospital environments (24%). Health information professionals who take on the challenge and exploit the Internet's resources find rewards for themselves and their clients. The basic electronic mail capability of the Internet allows colleagues to collaborate, communicate, and participate in daily continuing education. Internet terminal and file-transfer capabilities provide improved access to traditional resources and first-time access to new electronic resources. Through the Internet, online catalogs are available worldwide, and document delivery is faster, cheaper, and more reliable than ever before. Institutions can make organizational, full-text, online, and publication information available through Internet tools such as direct file-transfer protocol (FTP), menu-based Gopher, and hypertext-based Mosaic. The National Library of Medicine (NLM) is among organizations finding new ways to provide service through the Internet. NLM now uses electronic mail to communicate with users, FTP service to distribute publications, and tools such as Gopher and Mosaic to distribute publications and graphics and connect users to online services. The Internet allows service providers and health sciences information professionals to work in a rich, new medium whose potential is just beginning to be explored. At the same time, its characteristics--including lack of formal organization, standards, quality control, and permanence--pose a challenge.

Computer Communication Networks↗

A biomedical engineer's library.

A survey resulted in a list of the 101 textbooks used by 62 biomedical engineering educational programs. A second list shows the textbooks used by each school. A third list shows the 27 textbooks used at two or more schools and the number of times each is used. This selected compilation should be useful to (a) biomedical engineering curriculum committees considering program revision, (b) teachers considering course revision, (c) university and industrial librarians updating their collections, (d) individuals building a personal library, and (e) students desiring information about the emphasis of various educational programs.

Bibliographies as Topic↗

Health sciences libraries in the United States: II. Medical school libraries, 1960-1980.

Surveys of medical school libraries made over a twenty-year period (1960-61 through 1980-81) were analyzed. As indicated by growth in both number and support, medical school libraries have evolved from a period of stability through expansive growth and subsequent leveling off. Expenditures and resource development have been affected by historical developments, especially recent massive federal and state aid to medical education.

Libraries, Medical↗