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Changes in the US healthcare system in the past 20 years have meant increasing pressure on consumers to find their own healthcare information. Their search, amid an ever‐widening array of information resources, has profound implications for library reference services. A recent study of 350 public librarians in Michigan is, to date, the only investigation of librarian practices in health information provision in a large region of the USA. Examines services, queries, problems, librarian training and health collection resources. The findings have special meaning for academic librarians as they delineate their unique role in the health information system and, with public librarians, seek to devise effective means for responsive library service in today’s competitive health information resources environment.

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