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Practitioner commentary on Garfield E. The impact of health information delivery on the quality of patient care: whither medical information science? Health Libraries review 1985, 2 (4), 159-169.

This wide-ranging essay touches on some aspects of health library and information service practice that today’s librarians will recognize and some that will provide a jarring note, considering changes in practice since 1985. Despite the US setting of Garfield’s perspective, many in the UK can relate to the topic of library services under threat. It may not be the direct threat as described in the article, with the removal of a legal obligation to provide library and information services (LIS); in the UK the familiar Health Services Guideline HSG (97)47 1 still requires that NHS staff have access to effective library services. However, LIS in this country are susceptible to the same financial pressures that affect all health-care organizations.