Grajek S E, Calarco P, Frawley S J, McKay J, Miller P L, Paton J A, Roderer N K, Sullivan J E
Yale University, School of Medicine, New Haven, CT 06520-8000, USA.
J Am Med Inform Assoc. 1997 Mar-Apr;4(2):138-49. doi: 10.1136/jamia.1997.0040138.
To evaluate use of information resources during the first year of IAIMS implementation at the Yale-New Haven Medical Center. The evaluation asked: (1) Which information resources are being used? (2) Who uses information resources? (3) Where are information resources used? (4) Are multiple sources of information being integrated?
Measures included monthly usage data for resources delivered network-wide, in the Medical Library, and in the Hospital; online surveys of library workstation users; an annual survey of a random, stratified sample of Medical Center faculty, postdoctoral trainees, students, nurses, residents, and managerial and professional staff; and user comments.
Eighty-three percent of the Medical Center community use networked information resources, and use of resources is increasing. Both status (faculty, student, nurse, etc.) and mission (teaching, research, patient care) affect use of individual resources. Eighty-eight percent of people use computers in more than one location, and increases in usage of traditional library resources such as MEDLINE are due to increased access from outside the Library. Both survey and usage data suggest that people are using multiple resources during the same information seeking session.
Almost all of the Medical Center community is using networked information resources in more settings. It is necessary to support increased demand for information access from remote locations and to specific populations, such as nurses. People are integrating information from multiple sources, but true integration within information systems is just beginning. Other institutions are advised to incorporate pragmatic evaluation into their IAIMS activities and to share evaluation results with decision-makers.
评估耶鲁 - 纽黑文医疗中心实施综合学术信息管理系统(IAIMS)第一年期间信息资源的使用情况。该评估提出了以下问题:(1)正在使用哪些信息资源?(2)谁使用信息资源?(3)信息资源在何处使用?(4)多种信息来源是否正在整合?
评估措施包括网络范围内、医学图书馆和医院所提供资源的月度使用数据;对图书馆工作站用户的在线调查;对医疗中心教员、博士后学员、学生、护士、住院医师以及管理人员和专业人员的随机分层样本进行的年度调查;以及用户评论。
医疗中心83%的人员使用网络信息资源,且资源使用量正在增加。人员身份(教员、学生、护士等)和工作任务(教学、研究、患者护理)都会影响对个别资源的使用。88%的人在不止一个地点使用计算机,医学在线数据库(MEDLINE)等传统图书馆资源使用量的增加是由于在图书馆外获取资源的机会增多。调查和使用数据均表明,人们在同一次信息检索过程中使用多种资源。
几乎所有医疗中心人员在更多场所使用网络信息资源。有必要支持对来自偏远地点以及特定人群(如护士)的信息获取需求的增加。人们正在整合来自多种来源的信息,但信息系统内真正的整合才刚刚开始。建议其他机构将务实的评估纳入其IAIMS活动,并与决策者分享评估结果。