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MEDLIB-L  January 2009, Week 2

MEDLIB-L January 2009, Week 2

Subject:

CHAT: PubMed vs. google scholar (longish)

From:

Guessferd Mary <[log in to unmask]>

Reply-To:

Guessferd Mary <[log in to unmask]>

Date:

Tue, 13 Jan 2009 10:29:23 -0600

Content-Type:

text/plain

Parts/Attachments:

Parts/Attachments

text/plain (36 lines)

Familiar Scenario:

MD: "I have an article from last year, but I can't find my printout.  It's from Health Affairs and it starts with a vignette about a guy in Las Vegas who has an MI and goes to the emergency room and they can find all his information - banking info, etc, but nothing about his medication or health history. Can you get it for me?"

Actually, this MD is one of my more search savvy guys, so I was more than happy to help him look - and he did kneel on the floor next to me while I did a little preliminary hunting, in EBSCO,  and helped me try to find the right terms for the above fuzzy scenario...

However, we were not immediately successful and he had to go to the office. He intended to look later for it. In the meantime, I kept hunting. (It sounded like a good article!)  I expanded the dates trying to find something. MeSH was no help, either. Finally after trying PubMed and all sorts of search terms, I went to Health Affairs and perused their archives. Finally, in desperation, I went to google scholar, plugged in the information he gave me (las vegas MI emergency room health information), and ... found public health articles.

Sigh...

I redesigned the search string (las vegas emergency room information not health) - and got his article as my first hit! Yeah, I was surprised, too...

The article was indeed from Health Affairs, but from 2005, not last year (what a surprise!    NOT!)

After I had sent the article to my MD, and received his kudos for finding it so fast(!),  I went back to PubMed, and with some difficulty - only after I input the whole title into single citation matcher, and all the other publishing information, did I get a hit on this article. There was no way that article was going to come up without the entire title. Usually I can find an item using the journal name, year, and pertinent volume, and page, without having to input the entire article title or author. I couldn't even pull up any Health Affairs articles from 2005 by that author.

When it came up finally, I looked at it's index terms:

 *   Diffusion of Innovation*<javascript:AL_get(this,%20'mesh',%20'Diffusion%20of%20Innovation*');>
 *   Federal Government*<javascript:AL_get(this,%20'mesh',%20'Federal%20Government*');>
 *   Government Programs<javascript:AL_get(this,%20'mesh',%20'Government%20Programs');>
 *   Information Management/organization & administration*<javascript:AL_get(this,%20'mesh',%20'Information%20Management/organization%20&%20administration*');>
 *   Medical Records Systems, Computerized*<javascript:AL_get(this,%20'mesh',%20'Medical%20Records%20Systems,%20Computerized*');>
 *   United States<javascript:AL_get(this,%20'mesh',%20'United%20States');>

None of those truly fit the jist of the article, which is marketplace failure to adopt adequate health IT is hurting patient care. Indeed, the article describes an IT nightmare which allows access to the patient's personal financial information, etc, but blocks access to his health information. The errors made in his care were a result of inadequately implemented IT. Through a series of well-intentioned, but mis-managed events by insurers and poorly implemented health care IT, the patient died. The article then goes on to discuss the state of health care IT implementation  and the various issues surrounding it.

I'm frustrated. The tool that should be the best one for us to use in finding articles our users need, PubMed, should not be so obtusely configured that I have better luck using google scholar to find an article in 2 tries, after hunting in PubMed and journal archives for 45 minutes. In my opinion, the recent changes to PubMed, have not helped us do our jobs better, but have hindered the process so much that we end up doing the very thing we tell out users not to do - go to google and get it there.

Mimi
Mimi Guessferd, MLS
Medical Librarian
Parkland Medical Center
Derry NH 03038-2750
telephone: 603-421-2318

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March 2003, Week 5
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December 2002, Week 5
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December 2001, Week 5
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March 2001, Week 5
March 2001, Week 4
March 2001, Week 3
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March 2001, Week 1
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February 2001, Week 1
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January 2001, Week 1
December 2000, Week 5
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January 2000, Week 1
December 1999, Week 5
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December 1999, Week 3
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December 1999, Week 1
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December 1998, Week 5
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June 1998, Week 5
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April 1998, Week 5
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April 1998, Week 1
March 1998, Week 5
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March 1998, Week 3
March 1998, Week 2
March 1998, Week 1
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February 1998, Week 2
February 1998, Week 1
January 1998, Week 5
January 1998, Week 4
January 1998, Week 3
January 1998, Week 2
January 1998, Week 1
December 1997, Week 5
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December 1997, Week 3
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June 1997, Week 5
June 1997, Week 4
June 1997, Week 3
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June 1997, Week 1
May 1997, Week 5
May 1997, Week 4
May 1997, Week 3
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May 1997, Week 1
April 1997, Week 5
April 1997, Week 4
April 1997, Week 3
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April 1997, Week 1
March 1997, Week 5
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March 1997, Week 3
March 1997, Week 2
March 1997, Week 1
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January 1997, Week 5
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April 1996, Week 1
March 1996, Week 5
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March 1996, Week 3
March 1996, Week 2
March 1996, Week 1
February 1996, Week 5
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February 1996, Week 1
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January 1996, Week 3
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January 1996, Week 1
December 1995, Week 5
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