title: Evaluating IAIMS at Yale: information access.
abstract: OBJECTIVE
  To evaluate use of information resources during the first year of IAIMS implementation at the Yale-New Haven Medical Center. The evaluation asked: (1) Which information resources are being used? (2) Who uses information resources? (3) Where are information resources used? (4) Are multiple sources of information being integrated?
  
  
  METHODS
  Measures included monthly usage data for resources delivered network-wide, in the Medical Library, and in the Hospital; online surveys of library workstation users; an annual survey of a random, stratified sample of Medical Center faculty, postdoctoral trainees, students, nurses, residents, and managerial and professional staff; and user comments.
  
  
  RESULTS
  Eighty-three percent of the Medical Center community use networked information resources, and use of resources is increasing. Both status (faculty, student, nurse, etc.) and mission (teaching, research, patient care) affect use of individual resources. Eighty-eight percent of people use computers in more than one location, and increases in usage of traditional library resources such as MEDLINE are due to increased access from outside the Library. Both survey and usage data suggest that people are using multiple resources during the same information seeking session.
  
  
  CONCLUSIONS
  Almost all of the Medical Center community is using networked information resources in more settings. It is necessary to support increased demand for information access from remote locations and to specific populations, such as nurses. People are integrating information from multiple sources, but true integration within information systems is just beginning. Other institutions are advised to incorporate pragmatic evaluation into their IAIMS activities and to share evaluation results with decision-makers.
authors.affiliation: Yale University, School of Medicine, New Haven, CT 06520-8000, USA. susan.grajek@yale.edu
authors.forename: S E
authors.initials: SE
authors.lastname: Grajek
authors.forename: P
authors.initials: P
authors.lastname: Calarco
authors.forename: S J
authors.initials: SJ
authors.lastname: Frawley
authors.forename: J
authors.initials: J
authors.lastname: McKay
authors.forename: P L
authors.initials: PL
authors.lastname: Miller
authors.forename: J A
authors.initials: JA
authors.lastname: Paton
authors.forename: N K
authors.initials: NK
authors.lastname: Roderer
authors.forename: J E
authors.initials: JE
authors.lastname: Sullivan
mesh_terms: D000046:Academic Medical Centers / Q000458:organization & administration*; D003195:Computer Communication Networks / Q000706:statistics & numerical data; D003237:Connecticut; D016206:Databases, Bibliographic / Q000706:statistics & numerical data; D016208:Databases, Factual / Q000706:statistics & numerical data; D004059:Diffusion of Innovation; D006801:Humans; D007255:Information Services / Q000706:statistics & numerical data; D016490:Integrated Advanced Information Management Systems / Q000706:statistics & numerical data*; D009936:Organizational Innovation; D015397:Program Evaluation; D018511:Systems Integration