The impact of medical libraries and medical literature on patient care with special reference to regional hospitals in New Zealand

Abstract

This thesis looks at the history of medical literature and libraries with particular emphasis on the growth and development of New Zealand medical libraries. The clinical significance of medical libraries, especially in small hospitals, is discussed. A survey of doctors working in regional hospitals in New Zealand was undertaken to establish if they used their local medical library and what impact the literature had on patient care. An eighty percent response indicated a genuine interest in their local medical library, with most respondents visiting the library once a week or more. "Patient care" was ranked first as the main reason for requiring information, followed by "continuing Education". Answers to specific questions indicated that the information was used to confirm or change a diagnosis, medication, diagnostic tests or advice given to patients. Early discharge, avoidance of admission to hospital or transfer to another hospital were also reasons for using information. other aspects covered were the use of the services of the medical librarian, other sources of information and purchasing of textbooks and journals. Comments made by doctors were all supportive of their local medical library.