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1.
The American health care system is experiencing a period of unprecedented change. This paper identifies and discusses the major changes in patient care, research, control of the health care system, and medical education, and their implications for health sciences librarians. These changes have resulted in new demands for effective information delivery and a broader health sciences library clientele. There are both challenges and opportunities for health sciences librarians as they respond to information pressures of the current health care environment and anticipate future needs. 相似文献
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The Countway Library, Boston, was the nation's first Regional Medical Library under the Regional Medical Library Program of the NLM. New England Regional Medical Library Service (NERMLS) began in October 1967 and is the outgrowth of traditional extramural services of the Harvard and Boston Medical Libraries (constituents of the Countway). During the first year over 27,000 requests were received of which 84 percent were filled. Some problems of document delivery (and their solution) are recounted. Other activities were: a limited amount of reference work; distribution of a Serials List; and planning for a region-wide medical library service. Proposals call for consultation and education, regional reference service, and improved document delivery service. Emphasis is placed on the role of the Community Hospital as a center for continuing education and the need to strengthen and assist hospital medical libraries. With the Postgraduate Medical Institute, Boston, NERMLS assisted in the compilation of a small physician-selected medical Core Collection which would serve as a minimum standard collection for community hospital libraries. 相似文献
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The University of Michigan opened a new medical library in July 1980. The five-story structure combines the library with a learning-resources center. Overall, the building has operated smoothly and has been well accepted. The combining of two facilities designed to support the teaching and learning objectives of the health sciences curriculum will ensure long-term cooperation between them. 相似文献
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H J Gartland 《Bulletin of the Medical Library Association》1968,56(1):21-23
The Veterans Administration Library Service is continuously responsive to the information requirements of the agency's policies which provide for the improved care and treatment of veterans through research, education, and clinical programs. At the same time, it participates in the planning of the federal government as a whole in providing library support for health care for the American people. There are both internal and external forces influencing VA hospitals and their libraries. Retirements and consequent recruitment of new people will necessitate a rethinking of the VA library program at the same time as external forces will be affecting the program. These external forces include the application of machines to library services through the development of in-house capabilities coupled with joint-use participation and P.L. 89-785 which provides for the exchange of medical information, sharing of facilities, and cooperative training programs. A conceptual rearrangement of information resources will facilitate attainment of our goals. 相似文献
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P W Brennen 《Bulletin of the Medical Library Association》1992,80(3):294-299
The medical libraries of Vietnam maintain high profiles within their institutions and are recognized by health care professionals and administrators as an important part of the health care system. Despite the multitude of problems in providing even a minimal level of medical library services, librarians, clinicians, and researchers nevertheless are determined that enhanced services be made available. Currently, services can be described as basic and unsophisticated, yet viable and surprisingly well organized. The lack of hard western currency required to buy materials and the lack of library technology will be major obstacles to improving information services. Vietnam, like many developing nations, is about to enter a period of technological upheaval, which ultimately will result in a transition from the traditional library limited by walls to a national resource that will rely increasingly on electronic access to international knowledge networks. Technology such as CD-ROM, Integrated Services Digital Network (ISDN), and satellite telecommunication networks such as Internet can provide the technical backbone to provide access to remote and widely distributed electronic databases to support the information needs of the health care community. Over the long term, access to such databases likely will be cost-effective, in contrast to the assuredly astronomical cost of building a comparable domestic print collection. The advent of new, low-cost electronic technologies probably will revolutionize health care information services in developing nations. However, for the immediate future, the medical libraries of Vietnam will require ongoing sustained support from the international community, so that minimal levels of resources will be available to support the information needs of the health care community. It is remarkable, and a credit to the determination of Vietnam's librarians that, in a country with a legacy of war, economic deprivation, and international isolation, they have somehow managed to provide a sound basic level of information services for health care professionals. 相似文献
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R T Esterquest 《Bulletin of the Medical Library Association》1967,55(1):38-41
The planning of the Countway Library took place in an atmosphere of community interest and support. Architectural planning was effective and harmonious. The building functions well. The program of the Library is briefly described. Serials records, involving 17,000 titles, have been mechanized. A rare books program has been initiated. Since building occupancy, the Library has substituted copy service for the lending of periodicals. For an experimental period, the copy service was cost free. The Aesculapian Room, for non-medical recreational reading, has had the generous support of the Aesculapian Club. Plans for regional library service in New England are based upon an historic commitment of the Boston Medical Library. A MEDLARS regional search center and a national Vision Information Center have been established in the Countway. 相似文献
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Integration of multiple information systems of a medical center will change the way physicians work and practice medicine in the future. Several major steps must be taken by an institution to make this a reality. Since 1983, Georgetown has been engaged in an Integrated Academic Information Management System (IAIMS) project to bring together multiple sources of information that reside on different computers and database systems. Georgetown is developing a Biotechnology and Biomedical Knowledge Network that includes informational and clinical databases, scholar workstations, instruction on computer use, a campuswide network with local area network nodes, and a modular approach to systems integration. The IAIMS project, spearheaded by the medical library, has enabled a broad spectrum of health professionals to benefit directly from new, dynamic information services. The network is heavily used; in 1991, more than 2,100 individual users conducted more than 148,500 computer functions and more than 104,000 searches. There is economy of scale in high-volume use. Overall, the average search cost is $1.57; for high use databases the cost is $0.38, and for low use, it is $9.41. As described in this paper, IAIMS offers a cost-effective means of enhancing patient care by improving information services to physicians. At Georgetown, IAIMS has advanced the concept of integration, accelerated use of computers in education, increased user acceptance of advanced technologies, and established cost factors for providing information resources. While progress made in improving the transfer of medical information is impressive, it is clear that IAIMS requires several more years of support to achieve full implementation. 相似文献
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Spatz MA 《Bulletin of the Medical Library Association》2000,88(4):382-388
Both lifestyle and geography make the delivery of consumer health information in the rural setting unique. The Planetree Health Resource Center in The Dalles, Oregon, has served the public in a rural setting for the past eight years. It is a community-based consumer health library, affiliated with a small rural hospital, Mid-Columbia Medical Center. One task of providing consumer health information in rural environments is to be in relationship with individuals in the community. Integration into community life is very important for credibility and sustainability. The resource center takes a proactive approach and employs several different outreach efforts to deepen its relationship with community members. It also works hard to foster partnerships for improved health information delivery with other community organizations, including area schools. This paper describes Planetree Health Resource Center's approach to rural outreach. 相似文献
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N C Broering 《Bulletin of the Medical Library Association》1986,74(3):249-256
The strategic planning process and the pilot phase projects undertaken by Georgetown University for an Integrated Academic Information Management System (IAIMS) are described. Emphasis is placed on core services such as a local area network, an academic information management center in the library, and expansion of health sciences databases for improved access to biomedical information. Special applications in education and clinical care are highlighted. The library, a key to IAIMS activities, has emerged in a leadership role at Georgetown. 相似文献
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The Internet has made accessing information a simple task. Each day millions of Americans log on to the Web in search of information on a variety of subjects. One of the most sought after type of information is medical information. Individuals are taking a more proactive role in their personal health care and the health care of their friends and families. Attempting to locate and evaluate quality health care information can pose a variety of problems for the consumer. Academic libraries have an opportunity to play a crucial role in facilitating the consumer's access to quality, reliable health information by developing and implementing consumer health outreach programs designed to address search problems and information interpretation difficulties. The benefits for both the community and the library are numerous when a consumer health information outreach program is successfully employed. This article will chronicle the creation of a Consumer Health Outreach program, entitled "WNY Consumer Health," intended for senior citizens in Western New York. This program was designed to satisfy the requirements of a graduate special project for the completion of the authors' MLS degree. 相似文献
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针对国内农村医疗卫生现状,分析了面向农村开展远程医学教育的可行性和利用医学院校建设远程医学教育中心的优势,调研了农村远程教育需求,并根据国内农村医疗条件差、农村医务人员再提高机会少等,提出了如何有效运行远程医学教育中心的建议。 相似文献
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B G Roth 《Bulletin of the Medical Library Association》1978,66(1):14-18
Libraries today, including most hospital-based patients' libraries, are involved only peripherally in providing patient health science information. Hospital libraries should collaborate with health professionals in getting health information to patients--along with the library's more traditional roles of providing recreational reading for patients and serving the informational needs of the physician and medical staff. The library should act as the center for educational materials and programs within the hospital. Many health agencies, health educators, physicians, and librarians have been discussing the need for patient health education, but there are few effectively organized or established education centers. This paper discusses an overview of patient health education and intellectural freedom, proposes a new role for the existing hospital library in patient health education, and suggests guidelines for establishing a patient education center. 相似文献
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ABSTRACT The Internet has made accessing information a simple task. Each day millions of Americans log on to the Web in search of information on a variety of subjects. One of the most sought after type of information is medical information. Individuals are taking a more proactive role in their personal health care and the health care of their friends and families. Attempting to locate and evaluate quality health care information can pose a variety of problems for the consumer. Academic libraries have an opportunity to play a crucial role in facilitating the consumer's access to quality, reliable health information by developing and implementing consumer health outreach programs designed to address search problems and information interpretation difficulties. The benefits for both the community and the library are numerous when a consumer health information outreach program is successfully employed. This article will chronicle the creation of a Consumer Health Outreach program, entitled “WNY Consumer Health,” intended for senior citizens in Western New York. This program was designed to satisfy the requirements of a graduate special project for the completion of the authors' MLS degree. 相似文献
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D B Flake 《Bulletin of the Medical Library Association》1986,74(1):6-11
This paper provides an overview of the National Health Service in England, including its history, its present structure, and factors that make it different from the U.S. health care system. The NHS libraries and librarians are discussed. The NHS is divided into fourteen regions in England. Three specific NHS libraries in the Wessex region are described--a hospital library, an administrative library, and a patient education library. The problems and accomplishments of NHS librarians are discussed, as well as some similarities between NHS libraries and U.S. medical libraries. Medical librarians are urged to try to understand the medical library scene in England, so that they can Learn from the unique strengths of their counterparts there. 相似文献
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Stephanie Fulton Donna S. Gibson Jan Orick Ann Marie Clark 《Medical reference services quarterly》2019,38(1):87-96
The primary goal of this project is to understand how each National Cancer Institute-designated cancer center library, and all libraries that support cancer research, function within their institutions. Through an in-depth survey focused on three major areas (staff, content and tools procurement, and user services), the research team hopes to determine how a cancer-centric library can be successful in supporting quality patient care, research excellence, and education. Additionally, the survey will examine the necessary minimum staffing levels for librarians and information professionals based on organizational size and degree of research focus. The survey will seek out the new skills librarians will need to deliver optimal services. The survey will also explore how content libraries purchase reflects and maps to constituents’ current medical and research activities. Libraries within a research intense environment have a responsibility to align with researchers and health care professionals to provide resources and services that support their workflows. Cancer libraries need to be attuned to their institutions’ missions, whether that includes excellent patient care, research endeavors, or cutting-edge educational programs. The information gathered from the survey will provide data for this research team to define the vision and standards of excellence for a cancer specialized research library. 相似文献
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S J Bell 《Medical reference services quarterly》1987,6(1):27-40
As the health care industry becomes more business oriented, health sciences librarians will encounter more patrons seeking business information. Administrators and managers of health care facilities are primarily in need of business information. This paper discusses those resources with which health sciences librarians must be familiar to successfully meet the challenges of these new demands. It identifies traditional and online sources, and emphasizes business sources geared to the health care industry. The business managers of the health care facility represent a new patron market for the health sciences librarian. 相似文献
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Rebecca Donlan 《Journal of Interlibrary Loan, Document Delivery & Electronic Reserve》2013,23(3):99-100
Abstract Health care professionals often request information delivered stat. Patient treatment is urgent. Any hospital library, large or small, that uses Internet document delivery (IDD) systems can place information in the hands of the health professional faster. Libraries that use Internet document delivery technologies can provide health care professionals with information more quickly. Ultimately, it could reduce the length of a hospital stay and reduce health care costs. However, hospital libraries are faced with significant barriers that prevent them from utilizing electronic document delivery systems. docMD successfully overcame barriers and allowed small and/or rural hospital libraries to take advantage of the benefits of electronic document delivery that larger libraries have enjoyed for over a decade. It provides health professionals affiliated with smaller hospitals an equal opportunity to access professional literature quickly in order to make quicker, well-informed patient care decisions. The docMD pilot project investigated, eliminated the barriers and provided IDD services to eleven small and rural hospital libraries using a centralized document mediation center. This paper provides background information, describes the creation of the docMD service delivery model and discusses possible future project outcomes. 相似文献