Tom Singarella and Paul Schoening have self-archived "AAHSL Institutional Repositories (IR) Survey Summary and Analysis: 2008 Survey, 2005-2008 Comparison" in Archie—Digital Collections @KUMC.
Here's an excerpt:
This survey has tracked IR development for the past 4 years, and there have not been as many changes as one might have anticipated from 2005. Certainly, the number of health science libraries promoting and/or maintaining institutional repositories continues to slowly increase, but the development has been slow, except in the case of large university-wide efforts or in conjunction with main university libraries. Although the IR effort is increasing, development has not proceeded as quickly as some respondents previously indicated. Based on individual comments, it appears that additional resources are needed to adequately support a health science library in developing an IR, and most often the impetus is to protect the archives of the institution, followed closely by faculty publications and research information. The most successful efforts (as determined by number of objects populating the IR) continue to appear to be via the main campus library and statewide higher education efforts. As more and more health sciences libraries internalize information technology practices, we may see more development and a changing face in the IR in the health sciences world. However, more often than not the academic health science library IR development is part of a larger university or collaborative library effort.