[Milan: how a great university makes up for the lack of a central biomedical library].
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Libraries in health care settings reflect their parent institutions, which, in turn, are affected by environmental changes. The economic climate of the 1980s, unleashing competitive forces and threatening the survival of some institutions, has had a major impact on both hospitals and academic health centers. The challenge to libraries of these institutions calls for reassessment of programs and realignment in their power structures. It is argued that libraries which position themselves to capitalize on the current economic environment will create a future with new opportunities.
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The development of the Nursing Information Consortium of Orange County (NICOC) is traced over time, and reasons for the crises encountered are explored. Based on the experiences of NICOC, recommendations for other consortia are included, as well as for the consortium grant process.
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The history and evolution of clinical medical librarianship are analyzed and traditional and modified approaches, including LATCH, are reviewed. Cost and evaluation methods are outlined, indicating benefits and disadvantages of clinical medical librarian (CML) programs. The future of CMLs is explored.
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In its search for an objective overall diagnostic evaluation, the University of Illinois Library of the Health Sciences' Program Evaluation Committee selected a book availability measure; it is easy to administer and repeat, results are reproducible, and comparable data exist for other academic and health sciences libraries. The study followed the standard methodology in the literature with minor modifications. Patrons searching for particular books were asked to record item(s) needed and the outcome of the search. Library staff members then determined the reasons for failures in obtaining desired items. The results of the study are five performance scores. The first four represent the percentage probability of a library's operating with ideal effectiveness; the last provides an overall performance score. The scores of the Library of the Health Sciences demonstrated no unusual availability problems. The study was easy to implement and provided meaningful, quantitative, and objective data.
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