Assuntos
Disseminação de Informação , Serviços de Informação , Armazenamento e Recuperação da Informação , National Library of Medicine (U.S.) , District of Columbia , História do Século XIX , História do Século XX , História do Século XXI , Humanos , Disseminação de Informação/história , Disseminação de Informação/métodos , Serviços de Informação/história , Serviços de Informação/organização & administração , Armazenamento e Recuperação da Informação/história , Armazenamento e Recuperação da Informação/métodos , Armazenamento e Recuperação da Informação/estatística & dados numéricos , Armazenamento e Recuperação da Informação/tendências , MEDLARS , MEDLINE , Medical Subject Headings/história , National Library of Medicine (U.S.)/economia , National Library of Medicine (U.S.)/história , National Library of Medicine (U.S.)/organização & administração , National Library of Medicine (U.S.)/tendências , PubMed , Estados UnidosRESUMO
BACKGROUND: The current research environment for academic surgeons demands that extramural funding be obtained. Financial support from the National Institutes of Health (NIH) is historically the gold standard for funding in the biomedical research community, with the R01 funding mechanism viewed as indicator of research independence. The NIH also supports a mentor-based career development mechanism (K-series awards) in order to support early-stage investigators. The goal of this study was to investigate the grants successfully awarded to pediatric surgeon-scientists and then determine the success of the K-series award recipients at achieving research independence. METHODS: In July 2012, all current members of the American Pediatric Surgery Association (APSA) were queried in the NIH database from 1988-2012 through the NIH Research Portfolio Online Reporting Tools. The following factors were analyzed: type of grant, institution, amount of funding, and funding institute or center. RESULTS: Among current APSA members, there have been 83 independent investigators receiving grants, representing 13% of the current APSA membership, with 171 independent grants funded through various mechanisms. Six percent currently have active NIH funding, with $7.2 million distributed in 2012. There have been 28 K-series grants awarded. Of the recipients of expired K08 awards, 39% recipients were subsequently awarded an R01 grant. A total of 63% of these K-awarded investigators transitioned to an independent NIH award mechanism. CONCLUSIONS: Pediatric surgeon-scientists successfully compete for NIH funding. Our data suggest that although the K-series funding mechanism is not the only path to research independence, over half of the pediatric surgeons who receive a K-award are successful in the transition to independent investigator.
Assuntos
Pesquisa Biomédica/economia , Cirurgia Geral/organização & administração , Mentores , National Library of Medicine (U.S.)/economia , Pediatria/organização & administração , Apoio à Pesquisa como Assunto/economia , Pesquisa Biomédica/estatística & dados numéricos , Mobilidade Ocupacional , Bases de Dados Factuais , Humanos , National Library of Medicine (U.S.)/estatística & dados numéricos , Médicos/organização & administração , Pesquisadores/organização & administração , Apoio à Pesquisa como Assunto/estatística & dados numéricos , Estados UnidosAssuntos
Comitês de Monitoramento de Dados de Ensaios Clínicos/legislação & jurisprudência , Ensaios Clínicos como Assunto/legislação & jurisprudência , Sistema de Registros , Projetos de Pesquisa/legislação & jurisprudência , United States Food and Drug Administration/legislação & jurisprudência , Orçamentos/legislação & jurisprudência , Comitês de Monitoramento de Dados de Ensaios Clínicos/economia , Ensaios Clínicos como Assunto/economia , Bases de Dados como Assunto/economia , Bases de Dados como Assunto/legislação & jurisprudência , Aprovação de Drogas/economia , Aprovação de Drogas/legislação & jurisprudência , Financiamento Governamental/economia , Financiamento Governamental/legislação & jurisprudência , Humanos , National Library of Medicine (U.S.)/economia , National Library of Medicine (U.S.)/legislação & jurisprudência , Responsabilidade Social , Estados Unidos , United States Food and Drug Administration/economiaAssuntos
National Institutes of Health (U.S.)/legislação & jurisprudência , Política Pública , Editoração/legislação & jurisprudência , Acesso à Informação/legislação & jurisprudência , National Institutes of Health (U.S.)/economia , National Institutes of Health (U.S.)/organização & administração , National Library of Medicine (U.S.)/economia , National Library of Medicine (U.S.)/legislação & jurisprudência , Apoio à Pesquisa como Assunto , Estados UnidosAssuntos
Acesso à Informação/legislação & jurisprudência , National Institutes of Health (U.S.)/legislação & jurisprudência , Política Pública , Humanos , National Institutes of Health (U.S.)/economia , National Library of Medicine (U.S.)/economia , National Library of Medicine (U.S.)/legislação & jurisprudência , Estados UnidosAssuntos
Arquivos , Pesquisa Biomédica , National Institutes of Health (U.S.)/tendências , Setor Público , Editoração/tendências , Pesquisa Biomédica/tendências , Internet , National Institutes of Health (U.S.)/economia , National Library of Medicine (U.S.)/economia , National Library of Medicine (U.S.)/tendências , Publicações Periódicas como Assunto/tendências , Editoração/economia , Pesquisadores , Fatores de Tempo , Estados UnidosAssuntos
Empréstimos entre Bibliotecas/economia , Bibliotecas Médicas/economia , Acervo de Biblioteca/economia , Sistemas On-Line/economia , Eficiência Organizacional , Pesquisa sobre Serviços de Saúde , Humanos , Empréstimos entre Bibliotecas/estatística & dados numéricos , Bibliotecas Médicas/estatística & dados numéricos , Acervo de Biblioteca/estatística & dados numéricos , National Library of Medicine (U.S.)/economia , Sistemas On-Line/estatística & dados numéricos , Avaliação de Programas e Projetos de Saúde , Estados UnidosRESUMO
In October 1998, the National Library of Medicine (NLM) launched a pilot project to learn about the role of public libraries in providing health information to the public and to generate information that would assist NLM and the National Network of Libraries of Medicine (NN/LM) in learning how best to work with public libraries in the future. Three regional medical libraries (RMLs), eight resource libraries, and forty-one public libraries or library systems from nine states and the District of Columbia were selected for participation. The pilot project included an evaluation component that was carried out in parallel with project implementation. The evaluation ran through September 1999. The results of the evaluation indicated that participating public librarians were enthusiastic about the training and information materials provided as part of the project and that many public libraries used the materials and conducted their own outreach to local communities and groups. Most libraries applied the modest funds to purchase additional Internet-accessible computers and/or upgrade their health-reference materials. However, few of the participating public libraries had health information centers (although health information was perceived as a top-ten or top-five topic of interest to patrons). Also, the project generated only minimal usage of NLM's consumer health database, known as MEDLINEplus, from the premises of the monitored libraries (patron usage from home or office locations was not tracked). The evaluation results suggested a balanced follow-up by NLM and the NN/LM, with a few carefully selected national activities, complemented by a package of targeted activities that, as of January 2000, are being planned, developed, or implemented. The results also highlighted the importance of building an evaluation component into projects like this one from the outset, to assure that objectives were met and that evaluative information was available on a timely basis, as was the case here.
Assuntos
Educação em Saúde , Serviços de Informação , Bibliotecas Médicas , Bibliotecas , National Library of Medicine (U.S.) , Computadores/estatística & dados numéricos , Custos e Análise de Custo , Coleta de Dados , Bases de Dados Bibliográficas , Bases de Dados Factuais , Educação em Saúde/economia , Serviços de Informação/economia , Internet , Bibliotecas/economia , Bibliotecas Médicas/economia , MEDLINE/organização & administração , National Library of Medicine (U.S.)/economia , Projetos Piloto , Estados UnidosRESUMO
About 60% of medical informatics papers published in the proceedings of recent AMIA Fall symposia acknowledge receiving some support from American sources for the work. Two-thirds of those citing support include NLM as one of the donors. Papers in JAMIA have even higher funding rates. Funding rates for published informatics papers compare well with papers in a number of other fields. Although medical informatics receives support from a wide variety of sources, the federal government, through the various organizations within DHSS, is clearly the major source of grant and contract support for this field. Within DHSS, NLM is the most frequently cited donor by a large margin. Yet to be determined are the relative dollar values of the support provided by the various donors cited, the difficulty of obtaining funding for informatics projects, the means by which unfunded projects are sustained, and the variation, if any, in the funding success rates of the subfields of informatics.
Assuntos
Informática Médica/economia , Editoração/economia , Apoio à Pesquisa como Assunto/organização & administração , Indexação e Redação de Resumos/normas , Humanos , MEDLINE , National Library of Medicine (U.S.)/economia , Setor Privado/economia , Estados UnidosRESUMO
In 1992, as part of its high-performance computing and communications initiative, the National Library of Medicine decided to provide health sciences institutions with Internet connection grants similar to those offered to universities by the National Science Foundation. Although library involvement is not required, librarian and library uses have been the most common category in the applications received.
Assuntos
Redes de Comunicação de Computadores/economia , Organização do Financiamento/economia , Bibliotecas Médicas/economia , Automação de Bibliotecas/economia , National Library of Medicine (U.S.)/economia , Sistemas On-Line/economia , Alocação de Custos , Humanos , Serviços Técnicos de Biblioteca/economia , Redes Locais/economia , Software/economia , Estados UnidosRESUMO
Network connectivity is critical in Arizona, where travel distances are great, academic programs dispersed, and health care practitioners often geographically isolated. Accordingly, the University of Arizona (UA) applied for $50,000.00 in National Library of Medicine/National Science Foundation (NLM/NSF) Connections Program funding to promote statewide collaboration in supporting UA's health sciences education and research programs by expanding network connectivity to hospitals and other health-related institutions. The proposal outlined three strategies: Each major nonuniversity teaching hospital would secure and maintain a leased communications line dedicated to network connectivity, and NSF funds would be used to buy some necessary hardward. NSF funds would be used to establish a modern bank for dial-up Internet access by rural practitioners and teaching sites. Co-principal investigators of the project would promote and support the use of this new statewide connectivity and foster its continued expansion. The proposal was based on a conservative philosophy: familiar technologies and, where possible, existing networks and equipment would be used. The proposal was approved, and NSF funds hastened creation of an expanded health information network in Arizona. Once that network was in place, participants moved quickly from managing the mechanics of connectivity to planning for a computing and communications platform with services. Private funds were obtained to help organize the Arizona Health Information Network to direct these expanded services.
Assuntos
Redes de Comunicação de Computadores/organização & administração , Organização do Financiamento , Serviços de Informação/organização & administração , Bibliotecas Médicas/organização & administração , National Library of Medicine (U.S.) , Sistemas On-Line/organização & administração , Arizona , Redes de Comunicação de Computadores/economia , Alocação de Custos , Organização do Financiamento/economia , Humanos , Serviços de Informação/economia , Bibliotecas Médicas/economia , Automação de Bibliotecas/economia , National Library of Medicine (U.S.)/economia , Sistemas On-Line/economia , Estados UnidosRESUMO
Community hospitals in rural and isolated areas have had little access to the Internet. In 1992, the National Library of Medicine funded a pilot project to be conducted by the University of Washington and seven community hospitals in the northwestern United States. The goals of the project were to connect the hospitals to the Internet and study the uses made of this resource. A number of administrative, technical, financial, and organizational problems were dealt with in the attempt to establish the Internet connections and introduce this resource to these health care settings. This paper examines these issues and presents conclusions drawn from the experiences of the project team.