The impact of IAIMS at Georgetown: strategies and outcomes.

Integration of multiple information systems of a medical center will change the way physicians work and practice medicine in the future. Several major steps must be taken by an institution to make this a reality. Since 1983, Georgetown has been engaged in an Integrated Academic Information Management System (IAIMS) project to bring together multiple sources of information that reside on different computers and database systems. Georgetown is developing a Biotechnology and Biomedical Knowledge Network that includes informational and clinical databases, scholar workstations, instruction on computer use, a campuswide network with local area network nodes, and a modular approach to systems integration. The IAIMS project, spearheaded by the medical library, has enabled a broad spectrum of health professionals to benefit directly from new, dynamic information services. The network is heavily used; in 1991, more than 2,100 individual users conducted more than 148,500 computer functions and more than 104,000 searches. There is economy of scale in high-volume use. Overall, the average search cost is $1.57; for high use databases the cost is $0.38, and for low use, it is $9.41. As described in this paper, IAIMS offers a cost-effective means of enhancing patient care by improving information services to physicians. At Georgetown, IAIMS has advanced the concept of integration, accelerated use of computers in education, increased user acceptance of advanced technologies, and established cost factors for providing information resources. While progress made in improving the transfer of medical information is impressive, it is clear that IAIMS requires several more years of support to achieve full implementation.     

Comparative studies of authoritarian-personality characteristics across culture, language and methods

This research was to determine whether the large differences in scores on the F scale found in previous studies (Bradburn, 1963; Kagitcibasi, 1970; Kinnis, 1977) were due to cultural differences in personality characteristics or due to differences in language and/or structure of measuring instruments.The subjects were three groups of university students from the United States and Turkey. The Turkish/English (T/E) sample attended a Turkish University where all classes were in English. The Turkish/Turkish (T/T) sample attended a Turkish University where all classes were in Turkish. The American/English (A/E) sample attended a Midwestern University.Each of the samples were administered three Scales measuring authoritarian personality characteristics. They were: Rokeach's (1960) Dogmatism scale (D scale) the standard F scale (Adorno et al., 1950) and a multiple choice format of the F scale called A scale (Neel, 1977). For the T/E and A/E subjects these scales were in English and for the T/T subjects in Turkish.For each cultural group the composite scores on each scale were obtained and used for inter-group comparisons through one-way analysis of variance (ANOVA). Within-group correlations across the three measures, the means and standard deviations of individual items and T tests were also computed. Interculture and language comparisons resulted in two significant differences on both the Dogmatism and F scales. Analysis of group, composite scales shows that these differences are due to disparities between the A/E and T/T culture/language groups. Differences across language and culture groups for the A scale were not significant. The A measure behaves differently from D and F for the two Turkish culture groups. For the A/E group, D, F, and A measures are almost undifferentiable. The results suggest the effect of measurement instruments on inter-cultural differences in inter-measure comparisons. This indicates a response format effect (agreer bias or acquiescence set).     

Ethics in health sciences librarianship

Against a background of discussion about drafting of an ethical code for librarians and a review of articles confronting ethical issues in librarianship, the authors surveyed the 150 institutional members of the Health Science Librarians of Illinois (HSLI) regarding their perceptions of ethical concerns. Among the issues addressed in the survey are library organization, personnel policies, and professional competency, along with the traditional concerns of professional versus personal values, privacy and confidentiality, access to materials, and materials selection criteria in a health sciences context. Based on a 60% response rate, survey results indicate widespread agreement on some issues and a conspicuous lack of consensus on others. Further research is suggested in order to assess the need for a separate ethical code for health sciences librarians.     

The National Advisory Body Planning Exercise 1987–88: A Shot in the Foot

The National Advisory Body was established to advise the Secretary of State for Education and Science on the allocation of money to support advanced work in polytechnics and colleges. The committee system of NAB was representative of local authority and college interests and there was always a tension between NAB and the Department of Education and Science. The paper charts the decisions that were taken by NAB in progressing the 1987–88 planning exercise. The policy context of these decisions is analysed and the political consequences are discussed. The paper argues that the 1987–88 exercise was the wrong approach to the planning problems and that the resulting conflict with the Government destroyed the credibility of NAB.