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User satisfaction as a measure of library effectiveness has been studied by using Kantor's branching technique. Cleveland Health Sciences Library, Cleveland, Ohio, was used as the center of this study. The study measured independently the user bibliographic information performance, collection development policy performance, acquisition policy performance, user catalog performance, circulation performance, library operation/functioning performance, and the user search performance. Each of these categories represented one or more of the factors of library performance that could account for the possibility of users' failure. The sample size consisted of 1000 requests for book titles. The book availability rates were 59.60% without the help of the librarian and 63.50% with the help of the librarian. The results indicate that a dynamic study of library policies at regular intervals by using the Kantor's method, which is easily reproducible, can maximize library resources for the most effective fulfillment of user demand.

Book availability as a performance measure of a library: An analysis of the effectiveness of a health sciences library