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1 Oregon Health Sciences University, Portland, Oregon.
2 National Library of Medicine, Bethesda, Maryland.
Joan S. Ash, PhD, Biomedical Information Communication Center, Oregon Health Sciences University, 3181 SW Sam Jackson Park Road, Portland, OR 97201-3098. e-mail: <ash{at}ohsu.edu >.
Richard T. West, IAIMS (Integrated Advanced Information Management Systems) Program Officer at the National Library of Medicine for 13 years, reflects on the origin, development, effectiveness, and future of IAIMS efforts. He dwells on the changes that have taken place as the concept of IAIMS has evolved from a technology-based to an organization-based level of integration. The role of IAIMS in patient care, education, and research is discussed, along with the role of the librarian in the implementation of IAIMS programs. He sees a need for training for librarians, informaticians, and others in preparation for these efforts and for the development of academic reward systems that encourage them. He expresses a desire for those working in information technology in hospitals to gain a clearer understanding of IAIMS, because the concept fits hospitals as well as academic health science centers. He exhorts informaticians to bring to reality the futuristic fantasies of a new information world.
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