Too few health library workers: a national benchmarking study of staffing and structure in health libraries.

Objective This research presents a benchmarking study of staffing levels and reporting structures in libraries that support evidence-based health care, and deliver education and research support services within the Australian health system. Methods Benchmarking data were collected through a two-phase approach. First, a set of questions was distributed via email to health libraries across Australia, using a national health libraries e-list and professional networks. Second, an international literature review was conducted to examine workforce composition and organisational structures in health libraries over the past 10years. Results This study reveals that Australian health libraries operate with staffing levels approximately 34% below the country's national guidelines. The recommended ratio of 1 health library staff member per 1250 institutional full-time equivalent is proposed to guide workforce planning. Reporting structures vary widely, with libraries most commonly reporting to corporate divisions. However, reporting to clinical, education or research-aligned portfolios was associated with stronger advocacy and strategic alignment. Conclusions Australian health libraries play a critical role in supporting clinical decision-making, research and education. Despite their importance, health libraries are increasingly under-resourced, threatening equitable access to evidence and information services. Strategic investment and targeted funding are needed to address the workforce shortfall. Reporting structures should be aligned with clinical or research functions to enhance visibility and support.