Fellows, print, disaster information and consumer health
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Fellows, print, disaster information and consumer health
Joyce E.B. BackusAssociate Director for Library Operations
United States National Library of Medicine National Institutes of Health, Health and Human Services
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NLM Associate Fellows2012-2013
Rose Hedberg, Diana Almader-Douglas, Karen Gutzman, Kevin Read
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NLM Associate Fellows2nd year
Michele Mason-Coles Suzy Roy Jessi Van Der Volgen
United StatesNational Library of Medicine National Institutes of Health, Health and Human Services
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Literature Selection Technical Review Committee (LSTRC) Members
CABELLO, Felipe C., M.D.New York Medical College, Valhalla, NY COURTNEY, Karen L., Ph.D., R.N.University of Victoria, Victoria, BC, Canada CRUMMETT, Courtney, M.L.S., M.SMIT Libraries, Cambridge, MA DELCLOS, George L., M.D., Ph.D.University of Texas-Houston, Houston, TX GWINN, Marta, M.D., M.P.HCenters for Disease Control and Prevention, Atlanta, GA JACKSON, Gretchen P., M.D., Ph.D.Vanderbilt Children's Hospital, Nashville, TN JOE, Jennie R., Ph.D., M.P.H., M.A.University of Arizona College of Medicine, Tuscon, AZ
OGUNYEMI, Omolola, Ph.D.Charles R. Drew University of Medicine and Science, Lynwood, CA PASCOE, John M., M.D., M.P.H.The Children's Medical Center of Dayton, Dayton, OH PASCOE, John R., BVSc, Ph.D.University of California, Davis, CA PHILLIPS, William R., M.D., M.P.H.University of Washington, Seattle, WA RAO, Jaya, M.D.University of North Carolina at Chapel Hill, NC TANNERY, Nancy, H., M.L.S.University of Pittsburgh, Pittsburgh, PA
ZHANG, Ge, M.D., Ph.DUniversity of Akron, Akron, OH
United States National Library of Medicine National Institutes of Health, Health and Human Services
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MedPrint UpdateMay 2013
• 18 signed agreements from all 8 Regions• 244 of ~ 250 MedPrint titles have commitments• 51 MedPrint titles have 13 or more
commitments• 78 libraries have committed to retain 1,174
titles
United States National Library of Medicine National Institutes of Health, Health and Human Services
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MedPrint homepage
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Signed Agreements by Region• 1 - Geisinger Health System• 1- New York State Nurses
Association• 1 - Thomas Jefferson University• 1 - University of Rochester School
of Medicine and Dentistry• 2 - University of South Alabama• 2 - East Carolina University • 2 - University of Tennessee • 2 - University of Mississippi• 2 - West Virginia University
• 3 - University of Minnesota • 4 - Creighton University• 4 – University of Wyoming Libraries• 5 – AHEC (U Arkansas Medical
Sciences)• 5 - Houston Academy of Medicine• 5 - University of Texas Medical
Branch• 6 - University of Washington • 7 - Stanford University Medical
Center• 8 - Baystate Medical Center
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MedPrint Libraries & Titles
97
3
74
3
5
4
1
186
212
235
13
207
212
218
74
1
Libraries Titles
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Environmental Health and Toxicology homepage
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Disaster Information Management Research Center homepage
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Disaster Info Specialization ProgramThe Disaster Information Management Research Center at NLM contracted with the Medical Library Association to offer continuing education courses in support of a disaster information specialization for librarians and other interested professionals. http://www.mlanet.org/education/dis
Advanced
• Additional 12 hours of courses AND/OR experiences participating in disaster information outreach activities
• Conference call presentations/webinars such as the recent disaster summits count as credits toward Advanced Level.
• Ideas for advanced hours: http://disasterinfo.nlm.nih.gov/dimrc/disasterinfocurriculum.html
Basic Level (5 Required Courses)• Disaster Health Information: The Basics
• U.S. Response to Disasters & Public Health Emergencies
• Information Roles in Disaster Management
• IS-700: National Incident Management, FEMA
• IS-100.b: Introduction to Incident Command System, FEMA
• Two levels of specialization
• Five new courses added between May-September 2012
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FUTURE OF RESOURCE SHARING SURVEY
United States National Library of Medicine National Institutes of Health, Health and Human Services
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1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 20120
500,000
1,000,000
1,500,000
2,000,000
2,500,000
3,000,000
3,500,000
2,598,366
2,801,712
2,933,9632,930,793
2,876,8612,916,254
3,025,453
2,985,2122,923,384
3,038,9342,865,964
2,704,190
2,480,1322,311,516
2,102,0681,969,656
1,861,2081,765,108
1,631,6671,551,541
ILL Requests in US and Canada in DOCLINE
49% decline 2002 - 2012
I.L.L. Requests in U.S. and Canada in DOCLINE
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Strategic Plan: Future of Resource Sharing
“Investigate reasons for declining DOCLINE and document delivery use, determine if other systems are meeting user needs and determine future direction for document delivery.”
United States National Library of Medicine National Institutes of Health, Health and Human Services
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Focus Groups
United StatesNational Library of Medicine National Institutes of Health, Health and Human Services
How do your users access biomedical
information ?
What are the challenges
you are facing with ILL?
In a perfect world, how would you
locate resources for
your patrons – for items you do not own?
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Three Focus Groups
Hospitals• Wilmington VA Medical &
Regional Office Center• Columbus Regional
Healthcare System• All Children’s Hospital• St. Vincent Hospital • Community Hospital• St. Edward Mercy Medical• Kalispell Regional Medical
Center• Kaiser Permanente• Littleton Regional
Hospital
United StatesNational Library of Medicine National Institutes of Health, Health and Human Services
Large Libraries• SUNY Downstate Medical
Center• Claude Moore Health
Sciences• Detroit Medical Center • University of Illinois, Chicago• Tulane University Medical
Center• University of Washington
Libraries• Yale University• Louise Darling Biomedical
Library
Special Libraries• American Dental
Association• Fred Hutchinson Cancer
Research Center• Pacific College of Oriental
Medicine• Southern New York Library
Resources Council• New York State Nurses
Association
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Focus Groups
United StatesNational Library of Medicine National Institutes of Health, Health and Human Services
“We’d like to provide immediate access to whatever it is our users want. The way we’ve done that
historically is by having comprehensive subscriptions and holdings and we
don’t have that anymore.”
“The clinicians coming right out of school don’t understand why everything is just not out there
available for free.”
“I hear so many times…that people don’t want to wait. ILL takes too
long.”
“What is the licensing? Some are becoming
more and more restrictive for ILL - what does this mean for the future of ILL for all of
us?”
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United States National Library of Medicine National Institutes of Health, Health and Human Services
• Want everything now – or never• Need e-pub ahead of print• Prefer remote access to resources
Users
• Licensing challenges for e-journal• ILL costs are an issue• Decrease in ILL due to online
ILL
• Seamless delivery to patron• DOCLINE improvements – holdings• Don’t take DOCLINE away
Perfect world
Feedback from Focus Groups
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U.S. National Survey: March 2013
– National Survey: March 2013• 2,400 DOCLINE librarians surveyed• 72% partial response rate • 68% complete response rate
– Questions: • Demographics• Systems• Collections• Budget and staffing• E-journal licensing• Lending and borrowing trends
United States National Library of Medicine National Institutes of Health, Health and Human Services
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National Survey: March 2013N=1725
United States National Library of Medicine National Institutes of Health, Health and Human Services
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National Survey: March 2013
Strongly disagree
11%Disagree 20%
Neutral 12%
Agree 32%
Strongly
Agree 24% Not Sure 1%
Journals primarily electronic
Strongly disagree
11%Dis-agre
e 28%
Neutral 23%
Agree
25%
Strongly Agre
e 5%
Not Sure 7%
License terms are easy to know
United StatesNational Library of Medicine National Institutes of Health, Health and Human Services
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National Survey: March 2013
If borrowing up --- to support evidence based practice – 66%
If borrowing down – because more open access or online sources available -- 69%
United States National Library of Medicine National Institutes of Health, Health and Human Services
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MEDLINEPLUS
United States National Library of Medicine National Institutes of Health, Health and Human Services
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15 Years!
10 Years!
Medline Plus Web Site Changes
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1998
Medline Plus 1998
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Oct 1998 Sept 1999
Aug 2000Sept 2002
Medline Plus 1998, 1999, 2000, 2002
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Multiple Languages in Medline Plus
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Multiple Languages
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Health Information in Multiple Languages
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U.S.37%
Mexico12%Spain
6%
U.K.4%
Colombia4%
Canada4%
Ar-gentina
4%
Chile3%
Uruguay
2%
Aus-tralia
2% Other22%
Visits to MedlinePlus -- Countries
Visits to Medline Plus by Country
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Dec-0
9Jan
-10
Mar
-10
May
-10
Jul-1
0Aug
-10
Oct-10
Dec-1
0Jan
-11
Mar
-11
May
-11
Jul-1
1Aug
-11
Oct-11
Dec-1
1Jan
-12
Mar
-12
May
-12
Jul-1
2Aug
-12
Oct-12
Dec-1
2Jan
-13
0
10,000
20,000
30,000
40,000
50,000
60,000
@MedlinePlus Followers
0
2,000
4,000
6,000
8,000
10,000
@MedlinePlusEsp Followers
Medline Plus and Medline Plus Espanol on Twitter
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Contact Medline Plus
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m.medlineplus.gov
Medline Plus Mobile
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Phase 1 Study Questions
• Who is using MedlinePlus Mobile?
• What do they do on MedlinePlus Mobile?
• Are they satisfied with their visit?
• Overview data– Mobile site– Mobile use of full site
United StatesNational Library of Medicine National Institutes of Health, Health and Human Services
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MedlinePlus Mobile Users – Gender
Fe-male55%
Male45%
English Survey
United StatesNational Library of Medicine National Institutes of Health, Health and Human Services
Fe-male47%
Male53%
Spanish Survey
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MedlinePlus Mobile Users – Country
United StatesNational Library of Medicine National Institutes of Health, Health and Human Services
Country Visits to MobileEnglish
United States (incl Puerto Rico) 60%
Canada 6%
United Kingdom 4%
Netherlands 4%
Mexico 3%
Spain 2%
Australia 2%
India 2%
unresolved 1%
All others 16%
Country Visits to MobileSpanish
United States (incl Puerto Rico) 26%
Mexico 17%
Spain 12%
Canada 9%
Argentina 9%
Colombia 4%
Chile 4%
Netherlands 3%
Uruguay 3%All others 17%
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Mobile Visits to MedlinePlus & MedlinePlus Mobile
Nov-11
Dec-11
Jan-1
2
Feb-1
2
Mar
-12
Apr-12
May
-12
Jun-1
2
Jul-1
2
Aug-12
Sep-1
2
Oct-12
0
1,000,000
2,000,000
3,000,000
4,000,000
5,000,000
6,000,000
7,000,000
8,000,000
9,000,000
MedlinePlus Full SiteMedlinePlus Mobile
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MedlinePlus Connect
Problem, medication, or lab code-based request
MedlinePlus Connect
Consumer health information targeted response
Clinical systemPatient portal
EHR/Health IT System
United StatesNational Library of Medicine National Institutes of Health, Health and Human Services
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Medline Plus Connect Total Application and Service Requests Q4 2010 to present
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Medline Plus Social Media
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Careers at NLM