Haas V
Union Memorial Hospital, Medical Library, 201 East University Parkway, Baltimore, MD 21218, USA.
Med Ref Serv Q. 2000 Spring;19(1):19-30. doi: 10.1300/J115v19n01_03.
When DOCLINE was implemented in 1985, community hospital librarians were beginning to feel the economic pressures of the changing health care arena. However, staff and resources were often sufficient or plentiful. Now, fifteen years after the creation of DOCLINE, many existing small hospitals either no longer have a librarian, an assistant is managing the library, the librarian is managing one or more libraries of an integrated system, or the number of librarians has been reduced. A system that is heavily staff dependent is no longer feasible. In addition, as the role of the community hospital librarian evolves into one of instructor and patient education liaison, a system that does not permit the librarian to expand such services will be detrimental to the entire library program. Following is a discussion of one small community hospital's decision to outsource document delivery services as a result of staffing changes and the expansion of additional library programs.
1985年实施DOCLINE时，社区医院的图书馆员开始感受到医疗保健领域变化带来的经济压力。然而，当时的工作人员和资源通常充足或丰富。如今，在DOCLINE创建十五年后，许多现有的小型医院要么不再配备图书馆员，要么由一名助理管理图书馆，要么图书馆员管理综合系统中的一个或多个图书馆，要么图书馆员数量减少。一个严重依赖工作人员的系统已不再可行。此外，随着社区医院图书馆员的角色演变为教师和患者教育联络人之一，一个不允许图书馆员扩展此类服务的系统将对整个图书馆项目不利。以下是关于一家小型社区医院因人员配置变化和其他图书馆项目扩展而决定外包文献传递服务的讨论。
