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Medical libraries --- Hospital libraries --- Medical libraries --- Hospital libraries --- Downsizing of organizations. --- Organizational change. --- Médecine --- Bibliothèques d'hôpital --- Médecine --- Bibliothèques d'hôpital --- Personnel --- Changement organisationnel --- Administration. --- Administration. --- Personnel management. --- Personnel management. --- Bibliothèques --- Administration --- Administration --- Bibliothèques --- Personnel --- Direction --- Personnel --- Direction --- Réduction