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Document needs in a rural GRATEFUL MED outreach project

J L Dorsch1, T K Landwirth

  • 1University of Illinois at Chicago.

Bulletin of the Medical Library Association
|October 1, 1994
PubMed
Summary

End-user searching alone doesn't solve information access issues in rural hospitals. Local library staff and collections remain crucial for meeting health professionals' needs.

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Area of Science:

  • Medical Informatics
  • Health Sciences Librarianship

Background:

  • Rural hospitals face challenges in accessing up-to-date medical information.
  • The GRATEFUL MED outreach project aimed to improve information access through end-user searching.

Purpose of the Study:

  • Analyze document requests from rural hospitals to inform collection development and information services.
  • Evaluate the impact of end-user searching and identify ongoing needs in underserved hospital settings.

Main Methods:

  • Document requests (359) from eight rural Illinois hospitals were analyzed.
  • Requests were categorized by user group, subject, inclusion on recommended lists (Brandon/Hill, Abridged Index Medicus), and publication date.
  • The role of trained intermediaries in facilitating requests was examined.

Main Results:

  • 86% of requests originated from non-physician/nurse health professionals.
  • 85% of requests were channeled through two sites with active intermediaries.
  • Strong demand for administrative and allied health information, alongside clinical data, was identified.
  • Fewer than half of recommended titles were requested; most requested documents were published within the last five years.

Conclusions:

  • End-user searching alone is insufficient for improving information access in small hospitals.
  • Adequate local library collections and trained personnel are essential for effectively addressing health professionals' information requirements.

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