Trucking along with Grateful Med.
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Grateful Med↗
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Grateful Med: gateway to world-wide literature.
Grateful Med is a computer software package developed by the National Library of Medicine which provides access to MEDLINE and other medical databases. The program is available for both IBM and Macintosh computers, is inexpensive, easy to install and has excellent documentation. Health professionals in all areas find Grateful Med to be a user-friendly, cost-effective way to search current, world-wide medical literature.
Grateful Med↗
Grateful Med on an institutional local area network.
Grateful Med version 6.0 provides new features very desirable to network users. These include: a single copy of the application resident on a server providing access to many users; a new communications architecture which provides access to Medline via the Internet or local network modems; additional scripting capabilities allowing local customization. These new features reduce the overhead in installing and maintaining Grateful Med (GM), allow much quicker downloading of citations and abstracts from Medline, and remove the requirement of a local modem for each PC accessing Medline.
Grateful Med↗
Promotion of health information access via Grateful Med and Loansome Doc: why isn't it working?
Information gathered from Grateful Med and Loansome Doc outreach projects, including one involving seven health centers in rural southwest Alabama, raises questions about the effectiveness of such programs. This paper presents a review of the literature on Grateful Med as well as of information access and usage behaviors of physicians, an overview of the Alabama project, and data from other projects. Analysis of the responses and observations of the researchers reveal some strategies for enhancing the outcomes of such projects and improving access to medical care literature by health care professionals at rural sites.
Alabama↗
Comparison of fixed-fee Grateful Med database use and searching success rates given the continued availability of MEDLINE in other formats.
This study compared in-house Grateful Med database use and searching success rates for four-month periods at four sites of the Library of the Health Sciences of the University of Illinois at Chicago. Data were collected from Grateful Med workstation uselogs and analyzed. Database use patterns and searching success rates were fairly consistent across the four sites. Though MEDLINE was available in other formats and use in these other formats remained high, 65.48% of all Grateful Med searching was done by using MEDLINE, and an additional 21.34% was done by using the MEDLINE Backfiles. In-house use patterns were similar to the overall use pattern for the University of Illinois, with the exception of MEDLINE Backfiles. Overall, 54.30% of searches were successful.
CD-ROM↗
GRATEFUL MED: a tool for studying searching behavior.
The latest release of GRATEFUL MED offers medical libraries an opportunity to monitor searching patterns of end users searching the databases of the National Library of Medicine (NLM). A GRATEFUL MED use log records information from each search session. Analysis of the log from a recent beta test program at the Welch Medical Library indicates that most NLM searches occur in the MEDLINE database. Moreover, the study reveals that searchers overlook many user-friendly features of the program. Evaluation of the use log suggests changes for future versions of the program.
Academic Medical Centers↗
Augmenting GRATEFUL MED with the UMLS Metathesaurus: an initial evaluation.
Clinicians in patient care settings must be able to locate relevant recent medical literature quickly. Computer literacy is increasing, but many clinicians remain ill at ease with search strategies for online bibliographic databases. As part of an ongoing project to simplify the translation of clinical questions into effective searches, a Unified Medical Language System (UMLS) Metathesaurus tool was designed. The authors compared bibliographic searches by relatively inexperienced users employing only GRATEFUL MED to searches done using GRATEFUL MED augmented with this tool. The users were clinicians examining questions related to a test set of clinical cases. Their problems and successes were monitored; the results suggest that the addition of a thesaurus helps resolve some problems in citation retrieval that trouble the novice user. By helping the user understand indexing terms in context and by reducing typing errors, a thesaurus can help provide an intelligent solution to lexical mismatches in bibliographic retrieval.
Attitude to Computers↗
Grateful Med Version 2.0: an overview for searchers.
Grateful Med is a software interface developed by the National Library of Medicine (NLM) for searching several of NLM's databases: MEDLINE, its backfiles to 1966, and CATLINE. It is designed to facilitate access to medical information by health professionals and other end users with limited or no searching experience. This article describes the basic approach and specific searching features of Version 2.0 of the system.
MEDLARS↗
Delivering medical information to the desktop: the UIC GRATEFUL-MED-via-the-Internet experience.
The University of Illinois at Chicago (UIC) provides the campus community, including the main campus and three regional sites, with a local MEDLINE option through a GRATEFUL MED fixed-fee licensing agreement with the National Library of Medicine. Searching is available via the Internet. A password server and customized GRATEFUL MED clients were built in order to adapt this off-the-shelf product to match the look and feel of other UIC campus-wide Internet resources. Installation, documentation, and training issues affecting the success of the project are discussed.
Chicago↗
Rural GRATEFUL MED outreach: project results, impact, and future needs.
The Library of the Health Sciences-Peoria (LHS-Peoria), located at a regional site of the University of Illinois College of Medicine, conducted an eighteen-month GRATEFUL MED outreach project funded by the National Library of Medicine. The project was designed to enhance information services for health professionals at eight underserved rural hospitals in west central Illinois. One hundred rural health professionals, mainly nonphysicians, received GRATEFUL MED training at these hospitals; LHS delivered more than 350 documents to the trainees. In this paper, investigators describe the project and its goals and discuss results and their evaluation, from both individual and institutional perspectives. Outcome is examined in the context of future outreach plans, both at LHS and elsewhere.
Computer Communication Networks↗
Clinicians' satisfaction with Grateful Med: an exploratory study.
End-user search software is designed to simplify online searching for the casual searcher. User-friendly features provide relatively easy online access to remote databases without the need for expert search systems. At issue is whether the simplified features of such software compromise what is potentially retrievable, and if so, whether the missing information is critical to the end user. A study was designed to address this question, particularly as applied to clinicians using a user-friendly search software package such as Grateful Med. Clinician participants compared their Grateful Med search results with a full Elhill search (as performed by an intermediary) and indicated whether references unique to either search were or were not critical to their information needs.
Consumer Behavior↗
Grateful Med: getting started.
When a local medical library is not available, it is often necessary for physicians to discover alternate ways to receive medical information. Rural physicians, particularly, can make use of a computer program called Grateful Med that provides access to the same literature available to physicians in large cities. This program permits the user to perform database searches on the National Library of Medicine database (MEDLINE), corresponding to the primary index to medical literature, Index Medicus. In this article, we give the procedure for procuring a National Library of Medicine password and for making efficient use of the Grateful Med program.
Computer User Training↗
Document needs in a rural GRATEFUL MED outreach project.
An analysis of documents provided to eight rural Illinois hospital sites during a GRATEFUL MED outreach project involving end-user searching revealed significant patterns that have implications for collection development and information services in small, underserved hospitals. Document requests were analyzed by user groups making the requests, subject matter, inclusion on the Brandon/Hill lists and in Abridged Index Medicus, and publication date. Of the 359 documents requested, 86% came from health professional groups other than physicians and nurses. Eighty-five percent of all requests came from two sites that had active project-trained intermediaries, with most requests forwarded by the intermediaries. Subject analysis revealed a strong need for administrative and allied health information in addition to clinical information. Fewer than half of the titles on the recommended lists were requested during the project. Most documents requested had been published in the past five years. Introduction of end-user searching is not the complete answer to improved information access at small hospitals; the authors conclude that basic collections and library personnel are still needed locally to respond effectively to health professionals' information needs.
Documentation↗
Medical students using Grateful Med: analysis of failed searches and a six-month follow-up study.
Medical students at the University of Missouri were taught to search MEDLINE using the Grateful Med software. The traffic files of student searches were analyzed for search behavior. This paper reports on two specific aspects of these analyses: (1) failed searches where retrieval was either too large or too small (zero hits); and (2) a six month follow-up study which focused on error rates and retention of skills. The two major reasons for retrieving too many citations were entering a phrase on a single subject line and a search of only one concept. Of the zero hit searches, the most commonly occurring errors were MeSH (medical subject headings) not used, other MeSH errors, misspelling or keyboard errors, and faulty logic. During the six month follow-up study, the error rates of students declined in spite of the fact that they had not used the software in six months. Furthermore, a larger percentage of the searches showed a more sophisticated use of MeSH than previously employed.
Education, Medical↗
[International foreign bibliographic databases Medline and Internet Grateful Med V2.6. Presentation and how to use].
This paper aims to provide a practical kit in French for reference retrieval from the Internet using Medline and its specific software interface, Internet Grateful Med V2.6. This reference retrieval tool is now available to all end users via the Internet. We explain here how to use it, screen by screen and button by button.
Computer User Training↗
The evolution of rural outreach from Package Library to Grateful Med: introduction to the symposium.
Outreach is now a prevailing activity in health sciences libraries. As an introduction to a series of papers on current library outreach to rural communities, this paper traces the evolution of such activities by proponents in health sciences libraries from 1924 to 1992. Definitions of rural and outreach are followed by a consideration of the expanding audience groups. The evolution in approaches covers the package library and enhancements in extension service, library development, circuit librarianship, and self-service arrangements made possible by such programs as the Georgia Interactive Network (GaIN) and Grateful Med.
Computer Communication Networks↗
Subject searching using NLM's Internet Grateful Med.
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Grateful Med↗