Impact of a consumer health information specialization (CHIS) sponsorship program on the ability of public library staff to provide consumer health information

Objective:In 2018, the Network of the National Libraries of Medicine (NNLM) launched a sponsorship program to support public library staff in completing the Medical Library Association''s Consumer Health Information Specialization (CHIS). The objectives of our study were to: (1) determine whether completion of the sponsored specialization improved ability to provide consumer health information; (2) identify new health information services, programming, and outreach activities at public libraries; (3) investigate benefits of the specialization; and (4) determine the impact of sponsorship on obtaining and continuing the specialization.Methods:We used REDCap to administer a 16-question survey in August 2019 to 224 public library staff who were sponsored during the first year of the program. We measured competence in providing consumer health information aligned with the eight Core Competencies for Providing Consumer Health Information Services [1] as well as new activities at public libraries, benefits of the specialization to public library staff, career gains, and the likelihood of continuing the specialization based on funding.Results:More than 80% of 136 participants reported an increase in core consumer health competencies, with a statistically significant improvement in mean competency scores after completing the specialization. Ninety percent of participants have continued their engagement with NNLM, and more than half offered new health information programs and services. While more than half planned to renew the specialization or obtain the Level II specialization, 72% indicated they would not continue without NNLM sponsorship.Conclusions:Findings indicate that NNLM sponsorship of the CHIS specialization was successful in increasing the capacity of public library staff to provide health information to their communities.     

Health information in Italian public health websites: moving from inaccessibility to accessibility

AIMS: In January 2004, the Italian government passed new legislation designed to give people with disabilities access to online services. Starting from the new legislation requirements, the purpose of this study is to investigate whether Italian Local Health Authorities websites are accessible to users with different abilities. METHODS: One hundred and seventy websites were analysed evaluating their compliance to the World Wide Web Consortium (W3C) Priority 1 guidelines via a combination of appropriate accessibility testing methods. This review was carried out twice: the first time it took place between the end of 2003 and May-June 2004. The same survey was repeated again in December 2004, after the issuing of the draft of the Implementation Regulations for The Stanca Law in July 2004. In this second survey, all the websites analysed before were checked again to establish if some measures to make those sites accessible were taken. RESULTS: Seventy-six per cent of the analysed websites fail to satisfy the most basic W3C requirements, but Italian Local Health Authorities websites are likely to present significant improvements to access for some disabled user groups: the number of accessible websites increased consistently between the first and the second review. CONCLUSIONS: It seems that awareness of web accessibility issues is increasing among developers of health information websites because of law enforcement. Recommendations for future research and development are offered.     

Postgraduate training in public health medicine: St George's Hospital Medical School Library public health information service

This article examines the development of the St George's Hospital Medical School Library public health information service. Begun in 1997 as a pilot project to support Public Health Specialist Registrars in South Thames West, it is now an established part of postgraduate training in the region. An outline of the service is described, including the evolution of the post of Public Health Librarian. Issues influencing the development of the service, and the establishment of the Librarian as part of the public health network are discussed. This is a transferable model of public health information provision, which as a centralized resource makes best use of available funding. As a LIS model it is an effective and efficient way of maximizing resources, and delivering a service to a specialist user group that is spread across a wide geographical area.     

A model of vertical integration and economies of scale in information product distribution

The author investigates theoretical conditions under which vertical integration between a retailer (such as a cable television system, newspaper, or movie theater) with local monopoly power and the upstream supplier of one of the products it offers (such as cable television programming networks, newspaper editorials, or motion pictures) might induce the retailer to alter the prices or the content of its menu. The author then models the relationship between information product retailers and suppliers and shows that integration results in a lower retail price for the vertically affiliated product than for the unaffiliated product.     

Exploring trust in online health information: a study of user experiences of patients.co.uk

This feature has been co‐authored by Anna Cunningham and her supervisor Frances Johnson. It is based on the research Anna conducted for her dissertation, which she completed as part of her MA in Library and Information Management at Manchester Metropolitan University. The study explored how people assess the trustworthiness of online health information, and the participants were asked to talk aloud whilst viewing information on the consumer health information website patients.co.uk. The study confirmed that their assessment was based on the information usefulness and credibility as well as identifying the factors relating to information quality and website design that helped to form these judgements. A. M.     

Surfing for health: user evaluation of a health information website. Part one: Background and literature review

The Government in Britain is set on using the Internet to expand the provision of health information to the general public. Concerns over the quality of the health information have preoccupied commentators and organizations rather than the way users interact with health information systems. This report examines the issues surrounding the provision of electronic health information, and describes an evaluation undertaken of a commercial health website-that of Surgerydoor (http://www.surgerydoor.co.uk/), and comprises two parts. Part one outlines the literature on electronic health information evaluation. It discusses quality issues, but also redresses the imbalance by exploring other evaluative perspectives. Part two describes an evaluation of a health information Internet site in terms of its usability and appeal, undertaken as part of a Department of Health funded study on the impact of such systems.     

Camp for all connection: a community health information outreach project.

PURPOSE: The purpose of the Camp For All Connection project is to facilitate access to electronic health information resources at the Camp For All facility. SETTING/PARTICIPANTS/RESOURCES: Camp For All is a barrier-free camp working in partnership with organizations to enrich the lives of children and adults with chronic illnesses and disabilities and their families by providing camping and retreat experiences. The camp facility is located on 206 acres in Burton, Texas. The project partners are Texas Woman's University, Houston Academy of Medicine-Texas Medical Center Library, and Camp For All. BRIEF DESCRIPTION: The Camp For All Connection project placed Internet-connected workstations at the camp's health center in the main lodge and provided training in the use of electronic health information resources. A train-the-trainer approach was used to provide training to Camp For All staff. RESULTS/OUTCOME: Project workstations are being used by health care providers and camp staff for communication purposes and to make better informed health care decisions for Camp For All campers. EVALUATION METHOD: A post-training evaluation was administered at the end of the train-the-trainer session. In addition, a series of site visits and interviews was conducted with camp staff members involved in the project. The site visits and interviews allowed for ongoing dialog between project staff and project participants.     

Public health practitioners' information access and use patterns in the Maryland (USA) public health departments of Anne Arundel and Wicomico Counties

PURPOSE: To increase understanding of the information needs and use of public health practitioners. SETTING: From June 2005 to May 2006, the library offered a course in public health information resources to eighteen practitioners in two counties, access to the library's licensed electronic resources through a tailored web portal, and consulting services. EVALUATION METHOD: We combined usage statistics from the web portal, self-report and observational data collected during training and shadowing of participants. CONCLUSIONS: The data from this project indicate that usage of licensed information resources and services is infrequent but broad ranging. A few users register at the high end of the usage range, but one use of one high quality article can have a significant impact on policy decisions. Time and competing responsibilities often constrain the retrieval and use of resources for evidence-based decision making and an informationist or power-user model may be more appropriate than training all practitioners to integrate searching into their workflow. This study indicates (i) that evidence-based public health practice requires seamless and broadly based information access; and (ii) that the currently existing patchwork does not support the level of use or take into account the time constraints of information needs for public health practice.     

Providing health information to the general public: a survey of current practices in academic health sciences libraries

A questionnaire was mailed to 148 publicly and privately supported academic health sciences libraries affiliated with Association of American Medical Colleges (AAMC-accredited medical schools in the United States and Canada to determine level of access and services provided to the general public. For purposes of this study, "general public" was defined as nonaffiliated students or health care professionals, attorneys and other nonhealth-related professionals, patients from affiliated or other hospitals or clinics, and general consumers. One hundred five (71%) libraries responded. Results showed 98% of publicly supported libraries and 88% of privately supported libraries provided access to some or all of the general public. Publicly supported libraries saw greater numbers of public patrons, often provided more services, and were more likely to circulate materials from their collections than were privately supported libraries. A significant number of academic health sciences libraries housed a collection of consumer-oriented materials and many provided some level of document delivery service, usually for a fee. Most allowed the public to use some or all library computers. Results of this study indicated that academic health sciences libraries played a significant role in serving the information-seeking public and suggested a need to develop written policies or guidelines covering the services that will be provided to minimize the impact of this service on primary clientele.     

Helping the public find information the U.S. Government Information Locator Service (GILS)

As part of the National Information Infrastructure, the U.S. federal government is establishing a Government Information Locator Service (GILS). GILS will identify and describe public information resources throughout the federal government and provide assistance in obtaining the information. It will be decentralized and will supplement other agency and commercial information dissemination mechanisms. The public will use GILS directly or through intermediaries, including the Government Printing Office and the National Technical Information Service, as well as federal depository libraries, other public libraries, and private sector information services. Direct users will have access to a GILS Core accessible on the Internet without charge. Intermediate access may include kiosks, 800 numbers, electronic mail, bulletin boards, FAX, and offline media such as floppy disks, CD-ROM, and printed works. GILS will use network technology and the American National Standards Institute Z39.50 standard for information search and retrieval so that information can be retrieved in a variety of ways. Direct users may have access to many other major federal and nonfederal information resources, linkages to data systems, and electronic delivery of information products. An Office of Management and Budget Bulletin in 1994 will provide implementing guidance to agencies. The National Institute of Standards and Technology will also establish a Federal Information Processing Standard specifying a GILS Profile and its application for agencies establishing information locators.     

A call for IGO policies on public access to information

There is much discussion in research literature regarding the information produced by inter-governmental organizations (IGOs) and what publications are available for use in libraries. At the same time, there is little discussion of the information policies of IGOs regarding access to IGO information. In fact, the freedom of information debate, with few exceptions, has not been extended to include IGOs. Although IGOs are made up of governmental bodies, the role of the IGO seems to be that of facilitator for state policy formation. This role fails to recognize that IGOs produce information of their own accord and make decisions which affect peoples in the member states. This article surveys the issue of access to IGO information and discusses how national debates can be extended to the IGO level. It shows both explicit and implicit information policies with case studies from the environmental information field: the European Union's (EU) directive on environmental information, and the Global Environment Facility (GEF). Three issues emerge: these are varying levels of access to IGO information, varying levels of IGO information policy, and a relative paucity of research on the subject. The principles of accountability, transparency, and public involvement are being made explicit more frequently in the documents of IGOs. However, a continuing gap between explicit and implicit policies must be bridged.     

Helping the public 'Discover Health' in their local library. Providing health information in public libraries: a partnership approach in Scotland

A partnership between the Specialist Health Promotion Service of NHS Tayside and Dundee City Council developed a project, 'Discover Health', to bring health information to the public. The two main formats used were traditional leaflets and Internet access via the People's Network, both available in public libraries. The steering group for the project was made up of staff from both organisations. The NHS side secured the funding; the Council side provided the accommodation and information and communication technologies. The partnership worked well, and the project is continuing, with expansion in the pipeline for other areas within Tayside. The various aspects of the functioning of the partnership are discussed. A literature review of similar initiatives is included.     

Mapping user relationships for health information diffusion on microblogging in China: A social network analysis of Sina Weibo

This study applies social network analysis to examining the pattern of relationships among networked users on Sina Weibo, the most popular social networking site in China. Focusing on verified (or V-) users and ordinary (non-V-) users, this study maps three centrality attributes of the social network, in terms of in/out degree, closeness, betweenness, along with cliques, in the dissemination and sharing of health-related information in the virtual community. Findings reveal a ‘spider web’ pattern of relationship among 50 V-users and 50 non-V-users during a regular period of time, highlighting the dominant position of the V-users for health-related information diffusion. Data analysis then reports a ‘drifting dandelion’ pattern of network among those who shared the information about a health-related incident on Weibo. This study also provides further information about the topical categories of health-related messages shared during the regular period as well as the topics concerning the incident. The implications of social networking media for health communication are also discussed.     

The health information seeking behaviour and needs of community health workers in Chandigarh in Northern India

This article represents two‐firsts for the feature – it is the first to report on a study outside the UK and the first to examine the health information needs of community health workers. Sonika Raj is pursuing PhD at the Centre for Public Health, Panjab University, Chandigarh, in India and she conducted her research in Chandigarh. The article outlines the important role that health workers at community level play in determining health outcomes in the developing world, including Chandigarh. It demonstrates that while those workers recognise their information needs, there are many issues affecting their ability to access health information effectively, not least their limited access to appropriate technology and training. AM     

Using technology to promote the development of health science libraries in China

From the point of view of the development of libraries, technology has made possible the emergence and development of library automation; digital libraries; mobile libraries; and smart libraries. This article briefly describes the impact of technological developments and application in Health Science Libraries in China in relation to collections development, service provision and the role of library associations.     

A logit model to assess the transparency of Italian public administration websites

The reform of Italian public administration, which started in the 1990s, shifted the consolidated paradigm towards a results-oriented management of the res publica. The new regulatory framework emphasised the role of the evaluation process carried out by the designated audit authorities (OIV or NDV); legislators provided a new information system principally making accessible the audit-related data and other information via the institutional websites of Italian cities. In this context, the Minister of Public Administration promoted the platform called ‘Bussola della Trasparenza’, the goal of which is to ensure easy access to institutional data of the municipalities and to evaluate the available information. However, we found that the results provided by this platform were unreliable. Our study of 525 municipalities showed severe discrepancies with Bussola's evaluation, suggesting a lack of transparency. We therefore propose a logit model as an alternative framework to evaluate the probability that a municipal website is compliant with the new regulations using a set of predictors to consider a broader and more complete definition of transparency. This model is thought to be a practical tool to correctly evaluate the compliance of municipal websites.     

Towards end-to-end government performance management: Case study of interorganizational information integration in emergency medical services (EMS)

A recent line of e-government research has emphasized the importance of interorganizational information sharing in the public domain. This research extends these information-sharing dimensions to explore information sharing relative to service performance. It utilizes a time-critical information services (TCIS) conceptual framework as an analytical lens. TCIS highlights multiple dimensions of information sharing, including operational, organizational, and governance factors as well as timeliness and quality as key performance metrics. A case study approach was employed to examine the exchange of performance-related information in a key time information critical service: a county-wide emergency medical services (EMS) system. The paper first explains the theoretical foundations for the study, stemming from interorganizational systems (IOS) literature, e-government IOS, and even more specifically, IOS in emergency medical services (EMS). The paper discusses performance measures in EMS, describes the TCIS analytical lens, the study methodology, and the case study under investigation. Case study findings are reported along operational, organizational, and governance dimensions. In general, the case study illustrates promising factors that can enhance information sharing across organizations, while noting that considerable gaps remain in achieving an end-to-end IT-enabled performance approach. Future research should aim to better understand how to overcome these gaps, including addressing the usability constraints that can confront professionals working in time information critical circumstances, such as trauma conditions.