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Development of methodologic tools for planning and managing library services. II. Measuring a library's capability for providing documents.

A method of measuring a library's capability for providing the documents its users need has been developed. The library is tested with a representative sample of such documents to determine how long would be required for users to obtain these documents. Test results are expressed in terms of a Capability Index, which has a maximal value of 100 only if all the sample documents are found "on shelf." Specific tests employing samples of 300 documents have been developed that are appropriate for academic and for "reservoir" biomedical libraries. Realistic field trials have demonstrated that these two tests are practical to administer and that test results are adequately reproducible. When strict comparability is not important, a library can test itself. In assessing a reservoir library, test results are supplemented by data on its typical processing time for interlibrary loan requests. Currently these tests are being used in a national survey. The general method is applicable to other types of libraries, provided appropriate test samples are established. If their limitations are clearly understood, these "Document Delivery Tests" can be valuable tools for planning and managing library services.

Information Services↗

Developing of methodologic tools for planning and managing library services: 3. Standardized inventories of library services.

A standardized procedure was developed for eliciting those details of a library's service policies that are important to its users and for recording the data by checking appropriate categories on a form. This inventory procedure covers the entire spectrum of user services and accommodates a wide range of policies. The inventory was originally designed for use by trained interviewers in largescale surveys of academic medical libraries. However, it is also suitable for other kinds of libraries, and the Interview Guide and Checklist can be used for a self-survey by library staff. In addition to survey use, the inventory has a variety of educational, administrative, managerial, and research applications. A method for weighting the categorical inventory data to reflect the relative desirability of different policies makes it possible to calculate scores indicating how a library's policies compare with those of an "optimal" library. An analogous inventory of the services a library provides to other libraries was developed for surveying major backup resources in the medical library system.

Consumer Behavior↗

Measures of effectiveness: a methodology of integrating planning, measurement, and continuous improvement.

In this article we discuss a management construct, called Measures of Effectiveness (MOEs), used by executive leadership at the National Naval Medical Center in its performance of its oversight functions. Three case studies are presented illustrating the usefulness of MOEs for planning, for performance measurement, and for making determinations regarding initiation of formal quality improvement efforts.

Hospitals, Military↗

Identifying Opportunities for Decision Support Systems in Support of Regional Resource Use Planning: An Approach Through Soft Systems Methodology.

/ Regional resource use planning relies on key regional stakeholder groups using and having equitable access to appropriate social, economic, and environmental information and assessment tools. Decision support systems (DSS) can improve stakeholder access to such information and analysis tools. Regional resource use planning, however, is a complex process involving multiple issues, multiple assessment criteria, multiple stakeholders, and multiple values. There is a need for an approach to DSS development that can assist in understanding and modeling complex problem situations in regional resource use so that areas where DSSs could provide effective support can be identified, and the user requirements can be well established. This paper presents an approach based on the soft systems methodology for identifying DSS opportunities for regional resource use planning, taking the Central Highlands Region of Queensland, Australia, as a case study.

Journal Article↗

An alternative methodological approach for studies in family planning.

"An alternative to the methodological approach traditionally used in studies on family-planning practices was developed and applied in a retrospective investigation of the decision making of a sample of women [in South Africa] regarding their adoption of contraceptive sterilization. The approach is based on the premise of an interparadigmatic overlap and makes provision for integrating analytical levels and employing a combination of quantitative and qualitative research methods in a research design.... The results of the investigation showed the respondents' perceptions of the most important reasons for their decision to be sterilized. The findings provided insight into the interdependence of the sample's fertility behaviour and societal modernism within the particular institutional and socio-cultural setting." The data are from a survey carried out in the Cape Peninsula. (SUMMARY IN AFR)

Africa↗

Use of Q methodology for hospital strategic planning: a case study.

This study was designed to illustrate how Q Methodology can be used as a tool for strategic planning. Potential plans for the future of a small Indiana hospital were formulated and Q sorted to determine support or resistance by key leaders from within hospital management, the board, and the medical staff. The hospital was able to identify stakeholder perceptions that resulted in strong consensus that integration should be a priority for the hospital. This exercise provided a list of objectives for hospital leadership and the results were also used to justify the cessation of several programs that the hospital leadership had been pursuing.

Attitude of Health Personnel↗

Feasibility analysis of a personalized training plan for learning research methodology.

OBJECTIVES: To determine the performance in learning clinical research methodology (CRM) by means of the Keller Plan (KP), to assess its impact on attitudes towards research (AR) and to estimate its acceptability. DESIGN: An educational intervention trial was employed with control group (CG) and random assignment. SETTING: The Family and Community Medicine Teaching Unit in Valencia, Spain, 1997. SUBJECTS: Third-year family residents. RESULTS: In the KP both specific written self-teaching material and interactive computer programme were used, focusing on the tutored resident, with compulsory assessments to continue. In the CG a conventional course was followed. Knowledge of CRM and the AR test (previously validated in another study) were measured at the start. Four tests of successive knowledge, time spent studying, tutorials, final AR test and acceptability were conducted. Non-parametric tests were used. Forty (89%) residents participated, 22 were assigned to KP and 18 to CG. Similar basic characteristics, with exception of AR test (medians 55 Keller, 58 control). KP knowledge tests significantly higher (P = < 0.05) than the CG (medians 101, 88) along with time spent studying (medians 53, 23.4 h). There were no significant differences in AR test, although there was an improvement in both groups, significant in KP but not in CG (median increase of 4.5 and 2). Nine residents used and positively assessed the computer programme. Better acceptability was obtained by the KP in overall evaluation, recommendation of the method and learning dynamic. CONCLUSIONS: The KP obtained better knowledge, motivated studying and was positively accepted.

Computer-Assisted Instruction↗

The use of computerized need projection methodologies to implement health planning policies.

The Maryland Health Resources Planning Commission has developed a substantial proportion of its planning effort since 1982 to the development of need projection methodologies that fulfill the policy direction established in the State Health Plan. Because each service for which need is projected has a unique set of problems, policy direction leads to service-specific approaches to forecasting need. Each methodology takes into consideration appropriate minimum sizes and distribution of services, appropriate rates of growth, and appropriate reallocation of use from overserved to underserved areas. Examples from acute medical/surgical, acute psychiatric, comprehensive rehabilitation, and institutional longterm care services are given.

Data Collection↗

Medical workforce planning in Australia: process, methodology and technical issues.

This article describes the process, methods and technical issues associated with national level planning of the medical workforce in Australia. In Australia, workforce planning is also undertaken for the nursing and allied health workforces using largely similar processes and methods outlined below, with obvious modifications for differences in data sources, structures and practice. In Australia, the focus is also switching to a more integrated planning approach along care group lines, for example emergency care, diabetes care. This approach is still in its infancy and some technical and methodology issues are unresolved. Much of the health workforce planning in Australia is undertaken at the national level through the research team at the National Health Workforce Secretariat, although some work is also undertaken by individual jurisdictional health departments and other stakeholders. Information about the national health workforce agenda and the outcomes of the research and analysis is available through the Health Workforce Australia website at http://www.healthworkforce.health.nsw.gov.au. It should be acknowledged that the main sections of this article have been summarised from the 2003 publication Specialist Medical Workforce Planning In Australia, prepared by the Australian Medical Workforce Advisory Committee and the National Health Workforce Secretariat.

Adult↗