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Research in health sciences library and information science: a quantitative analysis.

A content analysis of research articles published between 1966 and 1990 in the Bulletin of the Medical Library Association was undertaken. Four specific questions were addressed: What subjects are of interest to health sciences librarians? Who is conducting this research? How do health sciences librarians conduct their research? Do health sciences librarians obtain funding for their research activities? Bibliometric characteristics of the research articles are described and compared to characteristics of research in library and information science as a whole in terms of subject and methodology. General findings were that most research in health sciences librarianship is conducted by librarians affiliated with academic health sciences libraries (51.8%); most deals with an applied (45.7%) or a theoretical (29.2%) topic; survey (41.0%) or observational (20.7%) research methodologies are used; descriptive quantitative analytical techniques are used (83.5%); and over 25% of research is funded. The average number of authors was 1.85, average article length was 7.25 pages, and average number of citations per article was 9.23. These findings are consistent with those reported in the general library and information science literature for the most part, although specific differences do exist in methodological and analytical areas.

Humans

A paradigm for the next millennium: health information science.

Although historically a major concern of both the artist and the scientist was the observation of nature, the two disciplines split when science became more wedded to mathematics and quantification. Today, with visualization, art and science can again together provide a view of the natural world. A prototype curriculum for a new multidisciplinary science--Health Information Science--incorporates aspects of computer science, cognitive psychology, bioengineering, biomedical visualization, medicine, dentistry, anthropology, mathematics, library science, and the visual arts.

Art

Health science information management. An approach to improving QA and clinical practice.

To help quality assurance (QA) professionals and clinical practitioners keep up with advances in health care knowledge and technology, we describe a prototype Health Science Information Management (HSIM) publication. We conceptualize HSIM to include: (a) identification of unique science information needs; (b) rapid retrieval of valid needed information; and (c) use the information to improve health care benefits. To more adequately accomplish these functions, we suggest that five specific categories of information will be essential: (1) reports of recent advances in Science Information Management methods; (2) original reports of Science Information Syntheses (SISs) providing information immediately applicable for QA; (3) previously published reports of "classic" SISs relevant to QA; (4) reviews of new technologies and products immediately applicable to quality management; (5) cumulative indexing of the above methods and products. Making the above information available to QA professionals might substantially improve the impact of quality management.

Abstracting and Indexing

Chemical information science coverage in Chemical Abstracts.

For many years Chemical Abstracts has included in its coverage publications on chemical documentation or chemical information science. Although the bulk of those publications can be found in section 20 of Chemical Abstracts, many relevant articles were found scattered among 39 other sections of CA in 1984-1985. In addition to the scattering of references in CA, the comprehensiveness of Chemical Abstracts as a secondary source for chemical information science is called into question. Data are provided on the journals that contributed the most references on chemical information science and on the languages of publication of relevant articles.

Abstracting and Indexing

Health information science at the University of Victoria: the first ten years.

The University of Victoria has the only program in Canada offering a Bachelor of Science degree in Health Information Science. To meet the requirements of the degree, students must complete 40 courses and 4 CO-OP work terms over 4.3 years. The School admits 30 students each September of which 60% are normally female. Seventy-five percent of the students come from British Columbia, ranging in age from 18 to 42 with the average age being 26 years. In addition to recent high school graduates, over 40% have previous degrees or diplomas, and 65% have over 5 years of work experience. The School's teaching team consists of 5 full-time faculty, 3 professional staff and 4 part-time faculty. The majority of the faculty have health backgrounds, totalling 135 person-years of practising health care experience. As of November 1992, the School had 113 graduates; 75% are employed in British Columbia, 18% are in other parts of Canada and 7% outside the country. Forty-five percent of the graduates work in government departments including community health agencies; 29% work in hospitals; 26% work in management consulting firms, software houses, or computer hardware firms. They work as systems/project analysts, systems consultants, research assistants, planning analysts, system-support staff, trainers/developers and client account representatives. Some are already in senior management positions.

Adult

Health science information management and continuing education of physicians. A survey of U.S. primary care practitioners and their opinion leaders.

PURPOSE: To identify self-perceived problems in managing science information needs of U.S. primary practitioners and their opinion leaders. SAMPLE: A two-stage random sample of the American Medical Association's "Masterlist of Physicians" to identify 625 office-based physicians, including general practice, family practice, internal medicine, obstetrics and gynecology, and pediatrics, and 100 physician opinion leaders. DATA COLLECTION: A formal telephone survey was completed for 79% of practitioners and 90% of opinion leaders sampled, using a pretested instrument applied by trained telephone surveyors. RESULTS OF DATA ANALYSIS: Both practitioners and opinion leaders claimed that published reviews were the most useful means of identifying their information needs. When asked about use of six recent clinical advances, that is, "markers," for example, hemoglobin-A1C for diabetic control, as many as one fifth to one half were not using or were not aware of such an advance. Less than 1 in 3 practitioners personally searched the literature when information was needed; 2 in 3 claimed literature volume was unmanageable; 9 of 10 practitioners and opinion leaders assessed the scientific value of literature obtained, primarily from their own experience, with less than 1 in 10 contacting research methods specialists. Respondents suggested various innovations to better manage their science information needs in the future. CONCLUSIONS: Primary practitioners require substantial help in meeting current science information needs. Increase in such resources as "validated reviews" or "expert networks" might help meet these needs.

Education, Medical, Continuing

Physician-patient communication from the perspective of library and information science.

The physician-patient communication process has received little attention from library and information science (LIS) professionals. A limited review of other literature on this topic was undertaken to gain some understanding of the information exchange from an LIS perspective. The authors were interested in four issues, including how information is defined; how information-seeking behavior is portrayed; what barriers to information exist in the exchange process; and what role, if any, information plays in health outcomes. Studies have been conducted by researchers in various disciplines who have defined communication as a giving and seeking activity between the physician and the patient. Barriers to good communication, erected by either party or by both, prevent the participants from experiencing a satisfactory encounter. Because information can play a role in health outcomes, various strategies have been tried to improve the communication process. These studies provide a better understanding of the physician-patient encounter and suggest new areas of patient-centered research for LIS professionals.

Canada

Health information science at UVic: the student perspective.

The graduates and students of the School of Health Information Science (HIS) at the University of Victoria (UVic) have pioneered the Canadian sphere in health informatics since 1982. After six years of growth this co-operative education program has matured and establishment of a research base and graduate school has become a recent focus. In this context an evaluation of the HIS curriculum and co-op work experience from the student perspective was undertaken. Eighty-five persons, including 50 upper level students were surveyed. Thirty-five graduates were tracked and queried regarding their present employment, job satisfaction, future goals and perception of their professional status. In particular, students were queried on the retrospective value and/or shortcomings of the HIS co-op program. Their perceptions on the training that they have had or that they observe as leading to successful careers is documented. The student view on the ascribed role of 'change agent' and concerns regarding the lack of professional identity are noted. The implications of these findings on the future form of the Health Information Science curriculum and the direction of its educational model are subsequently discussed.

British Columbia