Objective Libraries in academic health centers may license electronic resources for their affiliated hospitals, as well as for their academic institutions. This study examined the current practices of member libraries of the Association of Academic Health Sciences Libraries (AAHSL) that provide affiliated hospitals with access to electronic information resources and described the challenges that the libraries experienced in providing access to the affiliated hospitals. Methods In September 2016, AAHSL library directors received an email with a link to an online survey. Results By December 2016, representatives from 60 AAHSL libraries responded. Two-thirds of the responding libraries supplied online information resources to more than 1 hospital, and 75% of these libraries provided the hospitals with access both on site and remotely. Most (69%) libraries licensed the same resource for both the academic institution and the hospitals. Cost, license negotiation, and communication with hospital stakeholders were commonly reported challenges. Conclusion Academic health sciences libraries with affiliated hospitals continue to grapple with licensing and cost issues.

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学术健康科学图书馆和附属医院：关于许可电子资源的对话

目标 学术健康中心的图书馆可以为其附属医院及其学术机构许可电子资源。本研究检查了学术健康科学图书馆协会 (AAHSL) 成员图书馆的当前做法，这些图书馆为附属医院提供电子信息资源的访问权限，并描述了图书馆在提供附属医院访问权限方面遇到的挑战。方法 2016 年 9 月，AAHSL 图书馆馆长收到一封电子邮件，其中包含在线调查的链接。结果 到 2016 年 12 月，来自 60 个 AAHSL 图书馆的代表做出了回应。三分之二的响应图书馆向超过 1 家医院提供在线信息资源，其中 75% 的图书馆为医院提供现场和远程访问。大多数（69%）图书馆为学术机构和医院授权相同的资源。成本、许可谈判以及与医院利益相关者的沟通是普遍报告的挑战。结论 附属医院的学术健康科学图书馆继续努力解决许可和成本问题。