From Health Professionals to Health Consumers:From Health Professionals to Health Consumers:

New Opportunities for the New Opportunities for the Medical Library NetworkMedical Library Network

From Health Professionals to Health Consumers:From Health Professionals to Health Consumers:

New Opportunities for the New Opportunities for the Medical Library NetworkMedical Library Network

Becky J. LyonBecky J. Lyon

CRICS VCRICS V

April 27, April 27, 20012001

• Web access to NLM services • National and international partners• NLM/PAHO/CRID project• Health information for the public

www.nlm.nih.govwww.nlm.nih.gov

MEDLINEMEDLINE

• First available in 1971• 1976 contained 3.5 million citations• 1980 became available to several

other countries• 11 million citations back to 1966• Covers 4300 journals (158 in

Spanish)• 150,000 citations in Spanish

NLM International MEDLARS Centers

NLM International MEDLARS Centers

Australia

China France India Japan Mexico Sweden

Brazil Egypt Germany Israel Korea Russia Switzerland

Canada England Hong Kong

Italy Kuwait S. Africa

Taiwan

MEDLINE UsageMEDLINE Usage

•1997 7 million searches

•2001 330 million searches

International UsageInternational Usage

JapanGermanyFranceCanadaItalyNetherlandsother

PubMedPubMed

PubMed TutorialPubMed Tutorial

Request & DeliveryRequest & Delivery

• PubMed: Access to MEDLINE• DOCLINE: Online ILL system for

3,200 US & Canadian libraries; now international

• Loansome Doc: Article ordering feature in PubMed

DOCLINE – FY 2000DOCLINE – FY 2000

• Total Requests 3 million

• US libraries 2,720,127• Canada 236,988• International 33,194

• DOCLINE libraries• US libraries 2,911• Canada 273• International 37

Loansome DocLoansome DocUsers

Search

PubMed

Send Orders

Using LD

PubMed and

Loansome Doc

Servers

PubMed and

Loansome Doc

Servers

DOCLINEDOCLINERequest

User Registers with Library

Document sent to User

NLMLibraries

Loansome Doc RequestsLoansome Doc Requests

• FY 1997 311,447• FY 1998 406,264• FY 1999 448,752• FY 2000 820,777

• US 92%• Canada 4% • International 4%

National Network of Libraries of Medicine

National Network of Libraries of Medicine

8 Regional Medical Libraries140 Resource Libraries in academic medical centers4500 Primary Access Libraries

“Strengthen and expand global access to the world’s health-related knowledge”

January 2001January 2001

• Expanding partnerships• 37 organizations using DOCLINE• 15 organizations providing LD

service• ~ 3,000 LD articles supplied/month • 27 US Universities provide

Loansome Doc to international requesters

International Loansome Doc Providers

International Loansome Doc Providers

NLM Associate Fellowship

NLM Associate Fellowship

Hurricane Mitch (1998)Hurricane Mitch (1998)

PAHO / NLM / CRIDPAHO / NLM / CRID

• 1999 : Special project• Support• Rebuild• Improve

• Honduras & Nicaragua• Health information infrastructure

PAHO/NLM/CRIDPAHO/NLM/CRID

• Medical School of the Autonomous National University of Honduras-Tegucigalpa

• Centro Universitario Region Norte-San Pedro Sula

• Centro de Investigation y Estudios de la Salud-Managua

• Medical School of UNAN-Leon

SIS/CRID FundaCRIDSIS/CRID FundaCRID

• Funding• $250,000/yr X 2• Training• Costa Rica, NLM• Technical support• Computers• Connectivity

MEDLINE UsageMEDLINE Usage

•1997 7 million searches

•2001 330 million searches

•30% by the public

M+homepageM+homepage

Health Information for the Health Information for the Public:Public:

Scope of NLM ProgramScope of NLM Program

Health Information for the Health Information for the Public:Public:

Scope of NLM ProgramScope of NLM Program• Policy approved by NLM Board of

Regents in May, 1999• Improve the national infrastructure

that supports access to electronic health information for the public– includes technical, organizational,

and intellectual infrastructure

MEDLINEplus TodayMEDLINEplus Today

• Comprehensive health resource– 445 topics (diseases, wellness issues)– links to organizations, libraries,

directories– Drug information– Encyclopedia– News

• Over 6 million page hits/month

MEDLINE SearchesMEDLINE Searches

• “Canned” searches created by NLM Reference Staff

• Tailored for the consumer– current, English, clinical– 20-70 references– on selected aspects of topic

• Search PubMed each time

Selection GuidelinesSelection Guidelines

• Emphasize government resources - NIH

• Authoritative, accurate and well maintained

• Contact organizations about– technical issues (frames)– displaying advisory boards

• Links checked every night

Links to International SitesLinks to International Sites

blyon@nlm.nih.govblyon@nlm.nih.govblyon@nlm.nih.govblyon@nlm.nih.gov