Abstract

Access to the medical literature through personal computers is now readily available and can greatly reduce logistical barriers to using recently published journal articles to support clinical decisions. In this article, we describe many of the options available to clinicians who wish to do their own computer searching of MEDLINE, the largest of the electronic services for the biomedical literature. The "bare bones" computer equipment needed includes a terminal or personal computer, a modem and telephone line, and a printer. Access to MEDLINE is then gained through subscribing to any of a burgeoning number of database vendors. A comparison of 17 permutations and combinations of software and vendors shows that the software and vendors vary substantially in efficiency, cost, and ease of use. Direct subscription to MEDLINE is least expensive, PaperChase is the simplest service to use, and Colleague and Medis provide both MEDLINE access plus full-text journals online. Basic search techniques are illustrated for three clinical problems.

References

  • 1. HAYNESMCKIBBONFITZGERALDGUYATTWALKERSACKETT RKDGCD. HOW to keep up with the medical literature: II. Deciding which journals to read regularly. Ann Intern Med. 1986;105:309-12. LinkGoogle Scholar
  • 2. HAYNESMCKIBBONFITZGERALDGUYATTWALKERSACKETT RKDGCD. How to keep up with the medical literature: III. Expanding the number of journals you read regularly. Ann Intern Med. 1986;105:474-8. LinkGoogle Scholar
  • 3. HAYNESMCKIBBONFITZGERALDGUYATTWALKERSACKETT RKDGCD. How to keep up with the medical literature: IV. Using the literature to solve clinical problems. Ann Intern Med. 1986;105:636-40. LinkGoogle Scholar
  • 4. CANNYKOHNERTRAUTMANPUKLINMORSE CEJJP. Comparison of stereofundus photographs in patients with insulin-dependent diabetes during conventional insulin treatment or continuous subcutaneous insulin infusion. Diabetes. 1985;34(suppl 3):50-5. CrossrefMedlineGoogle Scholar
  • 5. CHAMPIONBENDINGRODGERBILOUS MJNR. Conference on insulin pump therapy in diabetes: multicenter study of effect on microvascular disease: recruitment, randomization, and baseline characteristics of the treatment groups. Diabetes. 1985;34(suppl 3):13-6. CrossrefMedlineGoogle Scholar
  • 6. . Blood glucose control and the evolution of diabetic retinopathy and albuminuria: a preliminary multicenter trial. N Engl J Med. 1984;311:365-72. CrossrefMedlineGoogle Scholar
  • 7. LAURITZENFROST-LARSENLARSENDECKERT TKHT. Effect of 1 year of near-normal blood glucose levels on retinopathy in insulin-dependent diabetics. Lancet. 1983;1:200-4. CrossrefMedlineGoogle Scholar
  • 8. SOHNROBBINS NR. Computer-assisted surgery [Letter]. N Engl J Med. 1985;312:924. CrossrefMedlineGoogle Scholar
  • 9. HEWITTCHALMERS PT. Perusing the literature: methods of accessing MEDLINE and related databases. Controlled Clin Trials. 1985;6:168-77. CrossrefMedlineGoogle Scholar
  • 10. HAYNESMCKIBBONWALKER RKC. Computer searching of the medical literature: an evaluation of MEDLINE searching systems. Ann Intern Med. 1985;103:812-6. LinkGoogle Scholar
  • 11. HOROWITZBLEICH GH. PaperChase: a computer program to search the medical literature. N Engl J Med. 1981;301:924-30. CrossrefGoogle Scholar
  • 12. HOROWITZJACKSONBLEICH GJH. PaperChase: self-service bibliographic retrieval. JAMA. 1983;250:2494-9. CrossrefMedlineGoogle Scholar
  • 13. COLLENFLAGLE MC. Full-text medical literature retrieval by computer: a pilot test. JAMA. 1985;254:2768-74. CrossrefMedlineGoogle Scholar
  • 14. . Medical Subject Headings—Annotated Alphabetic List, 1984. Bethesda, Maryland: National Library of Medicine; 1983. (Available from the National Technical Information Service, 5285 Port Royal Road; Springfield, VA 22161). Google Scholar
  • 15. . Medical Subject Headings—Tree Structures, 1984. Bethesda, Maryland: National Library of Medicine; 1983. (Available from the National Technical Information Service, 5285 Port Royal Road; Springfield, VA 22161). Google Scholar
  • 16. WEINERSHIRLEYGILMANSTOWEWOLF JSNSR. Access to data and the information explosion: oral contraceptives and the risk of cancer. Contraception. 1981;24:301-13. CrossrefMedlineGoogle Scholar
  • 17. MARSHALL J. Computers: how to choose the online medical database that's right for you. Can Med Assoc J. 1986;134:634-8. Google Scholar
  • 18. BAKER C. Colleague: a comprehensive online medical library for the end user. Med Ref Serv Q. 1984;3:13-26. CrossrefMedlineGoogle Scholar
  • 19. BATSON E. AMA/NET: telecommunications network for physicians. Postgrad Med. 1985;77:109-10. CrossrefMedlineGoogle Scholar
  • 20. HAWKINSLEVY DL. Front end software for online database searching: Part I: Definitions, system features, and evaluation. Online. 1985;9:30-7. Google Scholar
  • 21. FENICHEL C. The Microcomputer User's Guide to Information Online. Hasbrouck Heights, New Jersey: Hayden Book Co. ; 1984. Google Scholar
  • 22. The Basics of Searching MEDLINE. A Guide for the Health Professional. Bethesda, Maryland: National Library of Medicine; 1985. (Available from the National Technical Information Service, 5285 Port Royal Road; Springfield, VA 22161). Google Scholar
  • 23. FEINGLOS S. MEDLINE: a Basic Guide to Searching. Chicago: Medical Library Association; 1985. Google Scholar
  • 24. MATHESONCOOPER NJ. Academic information in the academic health sciences center: roles for the library in information management. J Med Educ. 1982;57:1-93. MedlineGoogle Scholar

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