Stead W W
Annette and Irwin Eskind Biomedical Laboratory, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
J Am Med Inform Assoc. 1997 Mar-Apr;4(2 Suppl):S4-9; discussion S10-1.
The Integrated Academic (Advanced) Information Management System (IAIMS) initiative emerged in the early 1980s to respond to trends in biomedical information, transfer and access, and to identify the implications for health sciences libraries. Three recurrent themes have emerged as being essential to the creation of IAIMs: changing the paradigm; redirecting expenditures to build reuseable infrastructure; and working across cultural boundaries. An IAIMS penetrates an organization in four stages: from creating awareness; through development of foundation infrastructure; through integration as an extra effort; to integration as a byproduct of organizational structure and information architecture. Extension of the IAIMS to support a regional area is a natural fifth stage that reapplies the processes of the first four stages and re-uses the infrastructure that has been built within the cooperating organizations. Area IAIMSs have the potential to transform biomedicine by enabling new paradigms for manpower development and publication of information.
综合学术（高级）信息管理系统（IAIMS）计划于20世纪80年代初出现，以应对生物医学信息、传输和获取方面的趋势，并确定对健康科学图书馆的影响。对于创建IAIMS而言，已出现三个反复出现的关键主题：改变范式；将支出重新导向以构建可重复使用的基础设施；以及跨越文化界限开展工作。一个IAIMS分四个阶段渗透到一个组织中：从提高认识；到基础基础设施的开发；再到作为额外努力进行整合；最后到作为组织结构和信息架构的副产品进行整合。将IAIMS扩展以支持一个区域是自然的第五个阶段，该阶段重新应用前四个阶段的流程，并重新利用合作组织内部已构建的基础设施。区域IAIMS有潜力通过为人力发展和信息发布启用新范式来变革生物医学。
