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Using scientific evidence to improve hospital library services: Southern Chapter/Medical Library Association journal usage study.

BACKGROUND: Journal usage studies, which are useful for budget management and for evaluating collection performance relative to library use, have generally described a single library or subject discipline. The Southern Chapter/Medical Library Association (SC/MLA) study has examined journal usage at the aggregate data level with the long-term goal of developing hospital library benchmarks for journal use. METHODS: Thirty-six SC/MLA hospital libraries, categorized for the study by size as small, medium, or large, reported current journal title use centrally for a one-year period following standardized data collection procedures. Institutional and aggregate data were analyzed for the average annual frequency of use, average costs per use and non-use, and average percent of non-used titles. Permutation F-type tests were used to measure difference among the three hospital groups. RESULTS: Averages were reported for each data set analysis. Statistical tests indicated no significant differences between the hospital groups, suggesting that benchmarks can be derived applying to all types of hospital libraries. The unanticipated lack of commonality among heavily used titles pointed to a need for uniquely tailored collections. CONCLUSION: Although the small sample size precluded definitive results, the study's findings constituted a baseline of data that can be compared against future studies.

Benchmarking↗

Health information for patients: The hospital library's role.

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.

Health Education↗

Toward hospital library standards in Canada.

A report is given on Canadian hospital library standards as recently developed and incorporated in a new Guide to Hospital Accreditation, 1977. The new Canadian standards are compared with MLA recommendations to the Joint Commission on Accreditation of Hospitals. Their development is sketched and the contribution from Quebec of a model of hospital classification is examined. This model provides differential minimal library standards based on the function of the hospital rather than on its size alone. Use of these minimal standards as a practical means of developing hospital libraries is discussed and their implications for accreditation visits are underlined.

Accreditation↗

Implementing hospital library automation: the GaIN project. Georgia Interactive Network for Medical Information.

The GaIN (Georgia Interactive Network for Medical Information) Hospital Libraries' Local Automation Project was a one-year, grant-funded initiative to implement an integrated library system in three Georgia hospitals. The purpose of the project was to install the library systems, describe the steps in hospital library automation, and identify issues and barriers related to automation in small libraries. The participating hospitals included a small, a medium, and a large institution. The steps and time required for project implementation were documented in order to develop a decision checklist. Although library automation proved a desirable approach for improving collection accessibility, simplifying daily routines, and improving the library's image in the hospital, planners must be sure to consider equipment as well as software support, staffing for the conversion, and training of the library staff and end users.

Catalogs, Library↗

The Mount Sinai Hospital Library, 1883 to 1970.

A history of the Mount Sinai Hospital Library in New York City from its inception in 1883 to 1970 is presented. From its modest beginnings the growth and development of the library is reviewed through eight decades. The paper reports the library's expanded role in the Mount Sinai School of Medicine of the City University of New York.

History, 19th Century↗

The hospital library online--a point of service for consumers and hospital staff: a case study.

The Health Library at Stanford University is described in the context of electronic information services provided to Stanford University Medical Center, the local community, and Internet users in general. The evolution from CD-ROM-based services to Web-based services and in-library services to networked resources are described. Electronic services have expanded the mission of The Health Library to include national and international users and the provision of unique services and collections.

CD-ROM↗

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↗

Hospital library surveys for management and planning: past and future directions.

Since the survey of health sciences libraries by the American Medical Association in 1969, a number of other hospital library surveys have been conducted. Twelve hospital/health sciences library surveys published since the passage of the Medical Library Assistance Act are reviewed. The use of data from these surveys for management and planning is discussed and directions for future library survey development are suggested.

Libraries, Hospital↗

The hospital library is crucial to quality healthcare.

In a 1988 report, an advisory committee of the Medical Library Association (MLA) wrote that "no one would argue against information as the foundation for efficient cost-effective business or against access to knowledge as a prerequisite for developing new knowledge." Yet the increasing number of threats to the hospital library--largely from within the industry--suggest that many hospitals do not value information in the same way their counterparts in other businesses do. In the first of two articles in this issue on hospital library and information services, the executive director of the MLA uses the MLA's experience and a variety of research findings to restate the case for the hospital library's vital role in quality care.

Attitude of Health Personnel↗

The Maine electronic document delivery project: a cooperative project of Maine hospital libraries and the NN/LM New England Region.

The article discusses an Ariel document delivery project with seven Maine hospital libraries, the University of Massachusetts Medical School Library (UMass), and the New England Regional office of the National Network of Libraries of Medicine. Funding was awarded to six network members to purchase equipment or Ariel software. UMass served as a document provider. During the test, libraries received documents from UMass via Ariel or via the Web as a PDF document. This form of document delivery was faster than standard service with better quality of delivered articles. The column describes the project and outlines possible future steps.

Computer Communication Networks↗

Changes in the National Health Service and the effects on the hospital library service: case study based on the Cumberland Infirmary.

The perception of change so often differs from the reality. This article traces the effect on one hospital library of some of the major changes within the NHS during the past 10 years. It explores the importance of external factors such as location and proximity to other professional groups and questions the survival of the multidisciplinary hospital library.

Computer Systems↗

Hospital libraries in the United States: historical antecedents.

The hospital health sciences library of today that reaches out to the world knowledge base through electronic networks bears little resemblance to its forebears. Yet to understand the challenges and future directions of the hospital library it is necessary to examine how it began and how it has evolved in more than 200 years. This paper identifies five developmental periods in which major strides were made: the colonial years through the 19th century; World War I to the Great Depression; World War II and the 1950s; the 1960s--the Great Society and the Medical Library Assistance Act; and the 1970s, an era of growth for hospital libraries.

History, 18th Century↗