The underlying motivation of the docMD project embodies the overall theme of this conference: a commitment to equity. 
Information requested by health care professionals is often time sensitive since patient treatment options often depend on it.  Any hospital library, large or small, that uses Internet document delivery systems can get information in the hands of the health professional faster.  Libraries that are able to use such technologies can provide health care professionals with an opportunity to get information more quickly that ultimate could reduce length or stay and overall health care costs. However, hospital libraries are faced with significant barriers that prevent them from utilizing electronic document delivery systems.  docMD was successful in overcoming the barriers that prevent the small or rural hospital library to take advantage of the benefits of electronic document delivery that larger libraries have enjoyed for over decade. It provides health professionals affiliated with s mall or rural hospitals with an equal opportunity for gaining access to professional literature as soon as possible in order to make quicker, well informed patient care decisions.