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1.
Janet A Crum 《Journal of the Medical Library Association》2011,99(4):290-296
Objectives:
The purposes of this study were: to determine the number of articles requested by library users that could be retrieved from the library''s collection using the library catalog and link resolver, in other words, the availability rate; and to identify the nature and frequency of problems encountered in this process, so that the problems could be addressed and access to full-text articles could be improved.Methods:
A sample of 414 requested articles was identified via link resolver log files. Library staff attempted to retrieve these articles using the library catalog and link resolver and documented access problems.Results:
Staff were able to retrieve electronic full text for 310 articles using the catalog. An additional 21 articles were available in print, for an overall availability rate of nearly 80%. Only 68% (280) of articles could be retrieved electronically via the link resolver. The biggest barriers to access in both instances were lack of holdings and incomplete coverage. The most common problem encountered when retrieving articles via the link resolver was incomplete or inaccurate metadata.Conclusion:
An availability study is a useful tool for measuring the quality of electronic access provided by a library and identifying and quantifying barriers to access.Highlights
- Lack of holdings, including access to recent articles restricted by embargoes, was the most common barrier to locating full text, accounting for over 90% of all identified problems.
- Availability rates for electronic articles varied by year of publication and by the database in which the OpenURL request originated.
- Link resolver error rates varied widely based on the source of the request and frequently resulted from incomplete or inaccurate metadata.
Implications
- An availability study is an inexpensive, practical tool for assessing the quality of electronic access to journal articles.
- The results of an availability study can help libraries identify barriers to access and thereby allocate limited resources to areas that will provide the most benefit to users.
- Link resolvers might be more accurate if the quality of metadata in OpenURLs was improved and the behavior of full-text targets was standardized.
- Collection and acquisition problems: The library may not subscribe to the desired journal, or the article and/or journal may be unavailable for some other reason.
- Cataloging and holdings problems: The journal may be cataloged or indexed incorrectly, or the library''s holdings data may be wrong.
- Technical problems: Problems may occur with the journal provider''s site or the library''s proxy server.
- gather actual user requests (or simulate them)
- try to fill those requests using the same tools and methods a user would use
- record what happens
- analyze the results
2.
Objectives:
The study updates Schloman''s 1997 study, “Mapping the Literature of Health Education.” The authors identify an updated list of core health education journals and determine the coverage of these journals by electronic indexes.Methods:
Citations from four source journals for the years 2006 to 2008 were analyzed using the established methodology of the “Mapping the Literature of Allied Health Project.” The cited journals were divided into three zones of productivity by using Bradford''s Law of Scattering.Results:
There were 19,907 citations in 602 source articles. Journal articles were the most commonly cited format type. Of the 1,896 journal titles cited, 20 (1.1%) made up the core journals. Together, the fields of medicine, health education, and psychology accounted for 85.0% of the journals in the core. Self-citation was found to be a common practice in the source journals. Scopus had the broadest journal coverage of the indexes examined.Conclusions:
The results of this study provide a new picture of the health education literature: The volume has grown significantly, cites older materials, and relies less on sexual health journals and more on psychology journals.Highlights
- Three of the four health education journals in this study showed a statistically significant increase in the number of journal articles published since 1993.
- The majority of core journals in the field are from medicine (35.0%), health education (30.0%), and psychology (20.0%), with the largest change in core journal make-up being an increase in psychology journals.
- Scopus provided the most thorough coverage of the cited journals, followed by MEDLINE, Social Sciences Citation Index, and CINAHL Plus with Full Text.
Implications
- Reference librarians should instruct users on more sophisticated ways to manage the growing volume of the health education literature.
- Collection development librarians may need to purchase and retain older materials to support health education research.
- Librarians should purchase and direct patrons to a variety of databases to completely cover the literature of medicine, health education, and psychology.
3.
Melissa L. Rethlefsen Alicia A. Livinski 《Journal of the Medical Library Association》2013,101(1):55-62
Objectives:
The research identified the publication types and ages most frequently cited in the infectious diseases literature and the most commonly cited journals.Methods:
From 2008–2010, 5,056 articles in 5 infectious diseases journals cited 166,650 items. Two random samples were drawn: one (n = 1,060) from the total set of citations and one (n = 1,060) from the citations to journal articles. For each sample citation, publication type and date, age of cited item, and inclusion of uniform resource locator (URL) were collected. For each item in the cited journal articles sample, journal title, publication date, and age of the cited article were collected. Bradford zones were used for further analysis.Results:
Journal articles (91%, n = 963) made up the bulk of cited items, followed by miscellaneous items (4.6%, n = 49). Dates of publication for cited items ranged from 1933–2010 (mean = 2001, mode = 2007). Over half (50.2%, n = 483) of cited journal articles were published within the previous 5 years. The journal article citations included 358 unique journal titles.Discussion:
The citations to current and older publications in a range of disciplines, heavy citation of journals, and citation of miscellaneous and government documents revealed the depth and breadth of resources needed for the study of infectious diseases.Highlights
- Literature on infectious diseases is multidisciplinary, encompassing medical specialties, public health, and the medical sciences.
- Infectious disease publications cite journal articles more than 90% of the time. Cited journal articles greatly range in age at citation: more than a quarter were over 10 years old.
- Infectious disease citation patterns resemble clinical medicine citation patterns more than public health citation patterns.
Implications
- Infectious disease professionals need access to general medicine titles as well as infectious disease, immunology, virology, microbiology, and public health literature.
- Librarians serving infectious disease researchers and practitioners should provide access to older materials, especially journal back files, to support the cyclical needs of their patrons.
4.
Dennis W Fell Judy F Burnham Melanie J Buchanan Heidi A Horchen Joel A Scherr 《Journal of the Medical Library Association》2011,99(3):202-207
Objectives:
The purpose of this study was to identify (1) core journals in the literature of physical therapy, (2) currency of references cited in that literature, and (3) online databases providing the highest coverage rate of core journals.Method:
Data for each cited reference in each article of four source journals for three years were recorded, including type of literature, year of publication, and journal title. The journal titles were ranked in descending order according to the frequency of citations and divided into three zones using Bradford''s Law of Scattering. Four databases were analyzed for coverage rates of articles published in the Zone 1 and Zone 2 journals in 2007.Results:
Journal articles were the most frequently cited type of literature, with sixteen journals supplying one-third of the cited journal references. Physical Therapy was the most commonly cited title. There were more cited articles published from 2000 to 2007 than in any previous full decade. Of the databases analyzed, CINAHL provided the highest coverage rate for Zone 1 2007 publications.Conclusions:
Results were similar to a previous study, except for changes in the order of Zone 1 journals. Results can help physical therapists and librarians determine important journals in this discipline.Highlights
- More cited references were published in the last eight years studied than in any previous full decade.
- Physical Therapy, Archives of Physical Medicine and Rehabilitation (APMR), and Spine were the most frequently cited titles. Previous studies found APMR to be the most cited journal.
- CINAHL provided the highest coverage rate for the most commonly cited titles, with MEDLINE and EMBASE providing the best coverage for the next group of titles.
Implications
- Health sciences librarians and clinicians can use these results to identify important journals for developing collections and determining the need for access to back issues of journals.
- Multiple databases are needed for comprehensive coverage of the physical therapy discipline
Implications
- Health sciences librarians and clinicians can use these results to identify important journals for developing collections and determining the need for access to back issues of journals.
- Multiple databases are needed for comprehensive coverage of the physical therapy discipline
5.
Rebecca N. Jerome Nunzia Bettinsoli Giuse S. Trent Rosenbloom Patrick G. Arbogast 《Journal of the Medical Library Association》2008,96(1):34-41
Objective: The research evaluated strategies for facilitating physician adoption of an evidence-based medicine literature request feature recently integrated into an existing electronic medical record (EMR) system.Methods: This prospective study explored use of the service by 137 primary care physicians by using service usage statistics and focus group and survey components. The frequency of physicians'' requests for literature via the EMR during a 10-month period was examined to explore the impact of several enhanced communication strategies launched mid-way through the observation period. A focus group and a 25-item survey explored physicians'' experiences with the service.Results: There was no detectable difference in the proportion of physicians utilizing the service after implementation of the customized communication strategies (11% in each time period, P=1.0, McNemar''s test). Forty-eight physicians (35%) responded to the survey. Respondents who had used the service (n=19) indicated that information provided through the service was highly relevant to clinical practice (mean rating 4.6, scale 1 “not relevant”–5 “highly relevant”), and most (n=15) reported sharing the information with colleagues.Conclusion: The enhanced communication strategies, though well received, did not significantly affect use of the service. However, physicians noted the relevance and utility of librarian-summarized evidence from the literature, highlighting the potential benefits of providing expert librarian services in clinical workflow.
Highlights
- The communication strategies implemented during the study did not induce a noticeable increase in questions from physicians through the electronic medical record system.
- Surveyed physicians were generally satisfied with the evidence-based medicine literature request service and noted several resulting changes in clinical practice associated with librarian-provided evidence.
- Survey respondents viewed the monthly “evidence alert” newsletter, one of the communication strategies, as particularly effective, and it has become an integrated facet of the service.
Implications
- Librarians may contribute significantly to effective patient care by providing evidence to support the clinical decision-making process.
- The study''s findings emphasize the complexity of facilitating the adoption of services providing evidence for clinical practice.
6.
Objective:
This paper describes the Lamar Soutter Library''s process and costs associated with digitizing 300 doctoral dissertations for a newly implemented institutional repository at the University of Massachusetts Medical School.Methodology:
Project tasks included identifying metadata elements, obtaining and tracking permissions, converting the dissertations to an electronic format, and coordinating workflow between library departments. Each dissertation was scanned, reviewed for quality control, enhanced with a table of contents, processed through an optical character recognition function, and added to the institutional repository.Results:
Three hundred and twenty dissertations were digitized and added to the repository for a cost of $23,562, or $0.28 per page. Seventy-four percent of the authors who were contacted (n = 282) granted permission to digitize their dissertations. Processing time per title was 170 minutes, for a total processing time of 906 hours. In the first 17 months, full-text dissertations in the collection were downloaded 17,555 times.Conclusion:
Locally digitizing dissertations or other scholarly works for inclusion in institutional repositories can be cost effective, especially if small, defined projects are chosen. A successful project serves as an excellent recruitment strategy for the institutional repository and helps libraries build new relationships. Challenges include workflow, cost, policy development, and copyright permissions.Highlights
- The Lamar Soutter Library partnered with the University of Massachusetts Medical School Graduate School of Biomedical Sciences to digitize doctoral dissertations for inclusion in a newly created institutional repository.
- Seventy-four percent of dissertation authors (209/282) gave permission for the digitization. The cost to process the entire dissertation collection in-house was $23,562, only $1,062 more than the estimate to outsource.
- Digitizing the dissertation collection increased access: the print collection was used 723 times in the past 5 years, while the electronic collection was used 17,555 times in 17 months.
Implications
- Digitizing student works is an effective way to begin populating an institutional repository.
- In-house digitization projects can be cost-competitive with outsourced alternatives.
- A repository can be a catalyst for developing relationships in the institution by providing the library with a new avenue for outreach.
- Skills and experience gained from a small project can be applied to larger-scale projects.
7.
8.
9.
PURPOSE: The research sought to determine the impact of online journals on the use of print journals and interlibrary loan (ILL). SETTING: The Library of the Health Sciences-Peoria is a regional site of the University of Illinois at Chicago (UIC) Library with a print journal collection of approximately 400 titles. Since 1999, UIC site licenses have given students and faculty affiliated with UIC-Peoria access to more than 4,000 online full-text journal titles through the Internet. METHODOLOGY: The Library of the Health Sciences-Peoria has conducted a journal-use study over an extended period of time. The information collected from this study was used to assess the impact of 104 online journals, added to the collection in January 1999, on the use of print journals. RESULTS: Results of the statistical analysis showed print journal usage decreased significantly since the introduction of online journals (F(1,147) = 12.10, P < 0.001). This decrease occurred regardless of whether a journal was available only in print or both online and in print. Interlibrary loan requests have also significantly decreased since the introduction of online journals (F(2,30) = 4.46, P < 0.02). CONCLUSIONS: The decrease in use of the print collection suggests that many patrons prefer to access journals online. The negative impact the online journals have had on the use of the journal titles available only in print suggests users may be compromising quality for convenience when selecting journal articles. Possible implications for collection development are discussed. 相似文献
10.
Ana G Ugaz 《Journal of the Medical Library Association》2011,99(2):145-152
Objective:
The paper analyzes the journal evaluation criteria used to create the third edition of a core list of veterinary serials to determine the impact of each criterion on the final composition of the list in order to assess the value of using multiple criteria in creating a core list.Methods:
Three additional lists were generated from criteria that were previously combined to prepare the third edition of the “Basic List of Veterinary Medical Serials”: a list based on journal recommendations from veterinary specialty organizations, another list based on journals selected by veterinary librarians, and a list based on both indexing coverage and scholarly rank. The top fifteen journals in each of the three lists were then compared to reveal potential biases. Subject representation on the full lists generated by each of these methods was also compared.Results:
The list based on journal recommendations from veterinary specialty organizations exhibited a focus on clinically relevant titles. The list based on veterinary librarian recommendations resulted in the broadest subject coverage. The list based on indexing and scholarly rank, while emphasizing research titles, produced the largest number of unique titles.Conclusion:
A combination approach that includes objective evaluation measures and practical input, whether from librarians or discipline experts, can improve coverage and can result in a list that balances research-based with clinical practice journals.Highlights
- Analysis of criteria used to create the “Basic List of Veterinary Medical Serials” reveals biases inherent in different quality measures that result in different journal emphases.
- Use of indexing or scholarly rank is often thought of as a limiting factor, but in this study, the journals that were scored solely on these two criteria resulted in the inclusion of the greatest number of unique titles.
- Librarian input produced the broadest subject coverage of any list.
Implications
- An analysis of the strengths and weaknesses of various methodologies reveals clear evidence for using both objective and subjective criteria in developing a core list. Collection development decisions would equally benefit from this approach.
- Comparison of the top titles on core lists underscores the value of input from practitioners or discipline experts in collection decisions.
- Bias toward clinical content revealed in the input from the veterinary specialty organizations indicates the importance of understanding the purpose and compilation methods used in creating recommended lists before using them in collection development.
11.
在开放存取蓬勃发展和高校图书馆馆藏电子化的大趋势下,高校图书馆的文献保障工作如何适应新的趋势,需要深入研究。本文以武汉大学2013年被SCIE、SSCI和A&HCI所收录文章的期刊类参考文献为研究样本,采用一种针对期刊类参考文献的以年为单位的引文检查方法,匹配世界主要开放存取期刊目录以及武汉大学图书馆馆藏电子和印本期刊目录,研究当前这三类期刊对样本参考文献及来源期刊的收藏和缺藏情况。以此探讨三类期刊在高校图书馆文献资源保障中的特征与趋势,以及开放存取期刊对馆藏资源建设的影响,为高校图书馆进一步优化期刊馆藏体系和提高文献保障率提供科学依据。 相似文献
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13.
Ana G Ugaz C. Trenton Boyd Vicki F Croft Esther E Carrigan Katherine M Anderson 《Journal of the Medical Library Association》2010,98(4):282-292
Objective:
This paper presents the methods and results of a study designed to produce the third edition of the “Basic List of Veterinary Medical Serials,” which was established by the Veterinary Medical Libraries Section in 1976 and last updated in 1986.Methods:
A set of 238 titles were evaluated using a decision matrix in order to systematically assign points for both objective and subjective criteria and determine an overall score for each journal. Criteria included: coverage in four major indexes, scholarly impact rank as tracked in two sources, identification as a recommended journal in preparing for specialty board examinations, and a veterinary librarian survey rating.Results:
Of the 238 titles considered, a minimum scoring threshold determined the 123 (52%) journals that constituted the final list. The 36 subject categories represented on the list include general and specialty disciplines in veterinary medicine. A ranked list of journals and a list by subject category were produced.Conclusion:
Serials appearing on the third edition of the “Basic List of Veterinary Medical Serials” met expanded objective measures of quality and impact as well as subjective perceptions of value by both librarians and veterinary practitioners.Highlights
- The 123 journals on the “Basic List of Veterinary Medical Serials” include 117 journals with a decision matrix score of 15 points or higher, with an additional 6 journals included for more complete subject representation.
- Subject categories with the greatest number of journals are internal medicine, food animal medicine, and research.
- Updates for the third edition of the “Basic List” include 59 new titles and 13 new subject categories.
Implications
- The third edition of the “Basic List” provides a useful collection development and assessment tool for veterinary libraries, as well as general libraries with a need to develop a core collection of veterinary resources.
- The decision matrix approach, using standard quantitative and focused qualitative measures, provides a useful methodology for creating core lists in other disciplines.
14.
Ann Barrett Melissa Helwig Karen Neves 《Journal of the Medical Library Association》2016,104(2):118-124
Objectives
This study describes the literature of hospital pharmacy and identifies the journals most commonly cited by authors in the field, the publication types most frequently cited, the age of citations, and the indexing access to core journals. The study also looks at differing citation practices between journals with a wide audience compared to a national journal with a focus on regional issues and trends in the field.Method
Cited references from five discipline-specific source journals were collected and analyzed for publication type and age. Two sets were created for comparison. Bradford''s Law of Scattering was applied to both sets to determine the most frequently cited journals.Results
Three-quarters of all cited items were published within the last 10 years (71%), and journal articles were the most heavily cited publication type (n=65,760, 87%). Citation analysis revealed 26 journal titles in Zone 1, 177 journal titles in Zone 2, and the remaining were scattered across 3,886 titles. Analysis of a national journal revealed Zone 1 comprised 9 titles. Comparison of the 2 sets revealed that Zone 1 titles overlapped, with the exception of 2 titles that were geographically focused in the national title.Conclusion
Hospital pharmacy literature draws heavily from its own discipline-specific sources but equally from core general and specialty medical journals. Indexing of cited journals is complete in PubMed and EMBASE but lacking in International Pharmaceutical Abstracts. Gray literature is a significant information source in the field. 相似文献15.
OBJECTIVES: Patterns of use of electronic versions of journals supplied by an academic health sciences library were examined to determine whether they differed from patterns of use among corresponding print titles and to relate the applicability of print collection development practices to an electronic environment. METHODS: Use data supplied by three major vendors of electronic journals were compared to reshelving data for corresponding print titles, impact factors, and presence on Brandon/Hill Lists. RESULTS: In collections where one-click access from a database record to the full text of articles was possible, electronic use correlated with print use across journal pairs. In both versions, Brandon/Hill titles were used more frequently than non-Brandon/Hill titles, use had modest correlations with journals' impact factors, and clinical use appeared to be higher than research use. Titles that had not been selected for the library's print collections, but which were bundled into publishers' packages, received little use compared to electronic titles also selected in print. CONCLUSIONS: Collection development practices based on quality and user needs can be applied with confidence to the electronic environment. Facilitating direct connections between citation databases and the corresponding journal articles regardless of platform or publisher will support scholarship and quality health care. 相似文献
16.
Kathleen Burr Oliver Prudence Dalrymple Harold P. Lehmann Deborah Ann McClellan Karen A. Robinson Claire Twose 《Journal of the Medical Library Association》2008,96(1):50-57
Objective: The objectives were (1) to develop an academic, graduate-level course designed for information professionals seeking to bring evidence to clinical medicine and public health practice and to address, in the course approach, the “real-world” time constraints of these domains and (2) to further specify and realize identified elements of the “informationist” concept.Setting: The course took place at the Division of Health Sciences Informatics, School of Medicine, Johns Hopkins University.Participants: A multidisciplinary faculty, selected for their expertise in the course core competencies, and three students, two post-graduate National Library of Medicine (NLM) informationist fellows and one NLM second-year associate, participated in the research.Intervention: A 1.5-credit, graduate-level course, “Informationist Seminar: Bringing the Evidence to Practice,” was offered in October to December 2006. In this team-taught course, a series of lectures by course faculty and panel discussions involving outside experts were combined with in-class discussion, homework exercises, and a major project that involved choosing and answering, in both oral and written form, a real-world question based on a case scenario in clinical or public health practice.Conclusion: This course represents an approach that could be replicated in other academic health centers with similar pools of expertise. Ongoing journal clubs that reiterate the question-and-answer process with new questions derived from clinical and public health practice and incorporate peer review and faculty mentoring would reinforce the skills acquired in the seminar.
Highlights
- Interdisciplinary faculty designed and offered a graduate-level course to teach the skills required by an informationist in clinical and public health practice, further elaborating a model for preparing informationists.
Implications
- This scalable approach to teaching skills for the transfer of evidence into practice could be replicated in academic health centers with similar pools of expertise; such replication could contribute data toward validating this training approach.
- Greater clarity on an appropriate, or “good enough,” standard of evidence for supporting point-of-action decision making is needed.
- Based on the assumption that practicing skills increases confidence and the likelihood that skills will be applied, this course included mentored practice of oral and written evidence presentation skills. Further research could determine whether a course that includes such mentored practice increases the likelihood that students will apply their newly acquired skills.
17.
Key points
- The supply chain for monographs and related types of books is much more complex than that for journals.
- Sales per title are falling, while the efforts devoted to marketing individual titles have diminished too.
- Readers have a strong preference for physical print rather than e‐books, while libraries’ preference in purchasing is the other way round.
- Publishers, intermediaries, and libraries all face additional costs and complexity because they must continue to deal with both print and e‐books.
- Current inefficiencies in the supply chain act as a restraint on discoverability, demand, and access to academic books.
18.
Todd S. Harwell Dionne Gesink Law Jennifer L. Ander Steven D. Helgerson 《Journal of the Medical Library Association》2008,96(2):134-137
Objective: The paper provides an overview of a strategy to increase utilization of online bibliographic databases by public health workers.Methods: A web-based survey of professional staff in the Montana Department of Public Health and Human Services was conducted to assess their use of and interest in training in online bibliographic databases. Based on the findings from the assessment, the department, in collaboration with the state university, provided brief ninety-minute training sessions for interested staff on the use of PubMed.Results: Seventy of 115 (61%) of staff completed the survey. Only 39% of staff reported using an online bibliographic database to conduct a literature search in the past year, and only 10% (n=7) reported having ever received any training in their use. Perceived proficiency with the use of PubMed was higher upon completion of the brief training. The majority of training participants (n=27) indicated that they were very likely to use PubMed in the next year to search the literature.Conclusions: A collaboratively designed training can increase public health workers'' proficiency in and intentions of using online bibliographic databases.
Highlights
- A web-based assessment of Montana public health workers identified a lack of training in and use of online bibliographic databases and an interest in receiving training in their use.
- Brief training in the use of online bibliographic databases increased state public health workers'' self-assessed proficiency in and intentions of using these resources.
Implications
- Low-cost strategies, such as inexpensive web-survey tools, to assess staff needs and brief training sessions for public health workers were effective in increasing public health workers'' self-assessed proficiency in using online bibliographic databases.
- Collaboration between state health departments and universities to design and provide relevant training in the use of online bibliographic databases is an effective approach to addressing public health workers'' skills in using these resources.
19.
Ninfa Pe?a-Purcell 《Journal of the Medical Library Association》2008,96(2):101-107
Purpose: The research examined use of the Internet to seek health information among Hispanics in the United States.Methods: A secondary analysis used the Impact of the Internet and Advertising on Patients and Physicians, 2000–2001, survey data. Pearson''s χ2 test, multivariate analysis of variance (MANOVA), analysis of variance (ANOVA), and independent samples t tests were conducted to test for relationships and differences between facets of Hispanic and non-Hispanic white online health information seeking.Results: Findings indicated lower Internet health information seeking among Hispanics (28.9%, n=72) than non-Hispanic whites (35.6%, n=883). On a scale of 1 (strongly agree) to 4 (strongly disagree), Hispanics were likely to agree that Internet health information improves understanding of medical conditions and treatments (M=1.65), gives patients confidence to talk to doctors about health concerns (M=1.67), and helps patients get treatment they would not otherwise receive (M=2.23). Hispanics viewed their skills in assessing Internet health information as good. Overall ratings were also positive for items related to sharing Internet health information with a doctor. Conflicting with these findings, Hispanics (M=3.33) and non-Hispanic whites (M=3.46) reported that physician-patient relationships worsened as a result of bringing online health information to a visit (scale 1=a lot better to 5=a lot worse).Conclusion: This study provides further evidence of differences in Internet health information seeking among Hispanics and non-Hispanic whites. Cultural discordance may be a possible explanation for Hispanics'' view that the Internet negatively impacts physician-patient relationships. Strategies to increase Hispanics'' access to Internet health information will likely help them become empowered and educated consumers, potentially having a favorable impact on health outcomes.
Highlights
- Consistent with prior studies, a lower proportion of Hispanics compared to non-Hispanic whites reported using the Internet to seek health information.
- Overall, Hispanics tended to agree that the Internet is a helpful resource for health information.
- Hispanics and non-Hispanic whites reported that bringing Internet health information to doctors'' visits worsened the physician-patient relationship.
- Consistent with prior literature, the odds of seeking Internet health information were decreased for Hispanics with low (<$25,000) and middle ($25,000– $49,000) household incomes.
Implications
- More studies are needed to provide evidence to develop culturally appropriate interventions to examine differences in Internet use and potential digital disparities among Hispanics.
- Concurrent with increasing Hispanics'' use of Internet health information, efforts to address the Internet''s impact on physician-patient relationship are warranted.