Earticle

Objectives : This study was conducted to investigate the need of medical supporting service (MSS) as a part of community-based hospice palliative care from the view point of beneficiaries and providers. Methods : This study adopted a methodological triangulation design. A questionnaire regarding intention to use MSS was completed by 175 patients under home-based cancer patient management program. And three focus groups consisted of hospice nurses, public health physicians, and public officials were interviewed to obtain the perceived needs, obstacles, and solutions of MSS. Results : Mean age of home-based cancer patient was 70.18 year old, 48.0% of them were living alone. Only 53.7% of them were treated pain and 93.7% intend to take pain medication prescribed by public health physician. All participants of focus group interviews agreed necessity and importance of MSS. Physicians' lack of confidence and unwillingness to prescribe opioid to terminal patients was the biggest obstacle to provide MSS in the public health center. Conclusions : The necessity and demand of MSS for community-dwelling cancer patients were verified. MSS is urgent issue to meet their needs.

인터넷의 급격한 발달과 보급으로 정보환경이 변함에 따라 이용자의 정보 요구도 변하게 되었으며 사서 고유의 전문성도 위협을 받게 되었다. 본 고에서는 정보의 입수과정 보다는 논문작성 과정에서 도움을 필요로 하는 최근의 이용자의 요구를 충족시키고 사서의 전문성을 활용할 수 있는 서비스로서 논문작성의 준비부터 논문의 작성, 투고, 게재에 이르기까지의 모든 단계를 지원하는 연구논문 지원 서비스를 제시하였다. 국내외의 문헌과 사례를 조사하고 삼성의학정보센터에서 실시하였던 서비스를 소개하였으며 앞으로 확장 발전시킬 사서의 역할에 대해 정리하였다.