Abstract
Google and googling pose an array of challenges for information professionals. The Google search engine deskills information literacy, so that many people can find some information. Yet the great challenge is knowing what we do not know. We cannot put words into Google that we do not know. Therefore the instruments for diagnosis are blunt and brutal. The field of e-health has great possibilities, yet the lack of information literacy undermines the expertise of professionals and creates misinformation and confusion. This chapter analyzes the means of assessing the quality of health information and describes an approach to improve the ability of medical students to navigate through the various health information available and to critically evaluate a research publication. Improving Internet literacy is required not only to meet the standards for medical education but also to prepare future doctors to deal with patients exposed to an information overload.
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References
Andreassen, H. K., Bujnowska-Fedak, M. M., Chronaki, C. E., Dumitru, R. C., Pudule, I., Santana, S., et al. (2007). European citizens’ use of E-health services: A study of seven countries. BMC Public Health, 7, 53. PubMed PMID: 17425798. Pubmed Central PMCID: 1855923.
Anti-ageing drug breakthrough (2013, August 24). Available from: http://newsroom.unsw.edu.au/news/health/anti-ageing-drug-breakthrough
Berland, G. K., Elliott, M. N., Morales, L. S., Algazy, J. I., Kravitz, R. L., Broder, M. S., et al. (2001). Health information on the Internet: Accessibility, quality, and readability in English and Spanish. JAMA: The Journal of the American Medical Association, 285(20), 2612–2621. PubMed PMID: 11368735.
Bernstam, E. V., Shelton, D. M., Walji, M., & Meric-Bernstam, F. (2005). Instruments to assess the quality of health information on the World Wide Web: What can our patients actually use? International Journal of Medical Informatics, 74(1), 13–19. PubMed PMID: 15626632.
Bichakjian, C. K., Schwartz, J. L., Wang, T. S., Hall, J. M., Johnson, T. M., & Biermann, J. S. (2002). Melanoma information on the Internet: Often incomplete – A public health opportunity? Journal of Clinical Oncology, 20(1), 134–141. PubMed PMID: 11773162.
Brabazon, T. (2007). The University of Google: Education in the (post) information age. Aldershot: Ashgate.
Bruce-Brand, R. A., Baker, J. F., Byrne, D. P., Hogan, N. A., & McCarthy, T. (2013). Assessment of the quality and content of information on anterior cruciate ligament reconstruction on the internet. Arthroscopy, 29(6), 1095–1100. PubMed PMID: 23582738.
Charnock, D., Shepperd, S., Needham, G., & Gann, R. (1999). DISCERN: An instrument for judging the quality of written consumer health information on treatment choices. Journal of Epidemiology and Community Health, 53(2), 105–111. PubMed PMID: 10396471. Pubmed Central PMCID: 1756830.
Croft, D. R., & Peterson, M. W. (2002). An evaluation of the quality and contents of asthma education on the World Wide Web. Chest, 121(4), 1301–1307. PubMed PMID: 11948066.
Crossley, L. (2013). New drug being developed using compound found in red wine ‘could help humans live until they are 150’ [cited 2013, August 24]. Available from: http://www.dailymail.co.uk/health/article-2291254/New-drug-developed-using-compound-red-wine-help-humans-live-150.html
Deshpande, A., & Jadad, A. R. (2009). Trying to measure the quality of health information on the internet: Is it time to move on? The Journal of Rheumatology, 36(1), 1–3. PubMed PMID: 19208527.
Estrada, C. A., Hryniewicz, M. M., Higgs, V. B., Collins, C., & Byrd, J. C. (2000). Anticoagulant patient information material is written at high readability levels. Stroke, 31(12), 2966–2970. PubMed PMID: 11108757.
Evans, J. A., & Foster, J. G. (2011). Metaknowledge. Science, 331(6018), 721–725. PubMed PMID: 21311014. Epub 2011/02/12. eng.
Eysenbach, G., Powell, J., Kuss, O., & Sa, E. R. (2002). Empirical studies assessing the quality of health information for consumers on the world wide web: A systematic review. JAMA: The Journal of the American Medical Association, 287(20), 2691–2700. PubMed PMID: 12020305.
Falagas, M. E., Ntziora, F., Makris, G. C., Malietzis, G. A., & Rafailidis, P. I. (2009). Do PubMed and Google searches help medical students and young doctors reach the correct diagnosis? A pilot study. European Journal of Internal Medicine, 20(8), 788–790. PubMed PMID: 19892310. Epub 2009/11/07. eng.
Fox, S., & Jones, S. (2009). The social life of health information (pp. 1–72). Washington, DC: Pew Internet & American Life Project.
Friedman, D. B., Hoffman-Goetz, L., & Arocha, J. F. (2004). Readability of cancer information on the internet. Journal of Cancer Education, 19(2), 117–122. PubMed PMID: 15456669.
Gawande, A., & Bates, D. (2000). The use of information technology in improving medical performance. Part III. Patient support tools. Med Gen Med., 2, E12.
GMC. (2009). Tomorrow’s doctors: Outcomes and standards for undergraduate medical education. London: The General Medical Council.
Guada, J., & Venable, V. (2011). A comprehensive analysis of the quality of online health-related information regarding schizophrenia. Health & Social Work, 36(1), 45–53. PubMed PMID: 21446608.
Hanauer, D. A., Fortin, J., Dibble, E., & Col, N. F. (2003). Use of the internet for seeking health care information among young adults. AMIA Annual Symposium Proceedings, 2003, 857.
Hanif, F., Read, J. C., Goodacre, J. A., Chaudhry, A., & Gibbs, P. (2009). The role of quality tools in assessing reliability of the internet for health information. Informatics for Health & Social Care, 34(4), 231–243. PubMed PMID: 19919300.
Harland, J., & Bath, P. (2007). Assessing the quality of websites providing information on multiple sclerosis: Evaluating tools and comparing sites. Health Informatics Journal, 13(3), 207–221. PubMed PMID: 17711882.
Health on the net foundation. A decade devoted to improving online health information quality [updated June 29th 2009; cited 2013 February 10th]. Available from: http://www.hon.ch/Global/event_art_pulsations.html
Health on the net foundation. The HON code of conduct for medical and health web sites (HONcode) [updated Feb 4th 2013; cited 2013 February 10th]. Available from: http://www.hon.ch/HONcode/Conduct.html
Hider, P. N., Griffin, G., Walker, M., & Coughlan, E. (2009). The information-seeking behavior of clinical staff in a large health care organization. Journal of the Medical Library Association, 97(1), 47–50. PubMed PMID: 19159006. Epub 2009/01/23. eng.
Hubbard, B. P., Gomes, A. P., Dai, H., Li, J., Case, A. W., Considine, T., et al. (2013). Evidence for a common mechanism of SIRT1 regulation by allosteric activators. Science, 339(6124), 1216–1219. PubMed PMID: 23471411.
Ioannidis, J. P. (2006). Concentration of the most-cited papers in the scientific literature: Analysis of journal ecosystems. PLoS One, 1, e5. PubMed PMID: 17183679. Epub 2006/12/22. eng.
Jadad, A. R., & Gagliardi, A. (1998). Rating health information on the Internet: Navigating to knowledge or to Babel? JAMA: The Journal of the American Medical Association, 279(8), 611–614. PubMed PMID: 9486757.
Kunst, H., & Khan, K. S. (2002). Quality of web-based medical information on stable COPD: Comparison of non-commercial and commercial websites. Health Information and Libraries Journal, 19(1), 42–48. PubMed PMID: 12075849.
Lee, C., Gray, S., & Lewis, N. (2010). Internet use leads cancer patients to be active health care consumers. Patient Education and Counseling, 81(Suppl), S63–S69.
Lindberg, D. A., & Humphreys, B. L. (1998). Medicine and health on the Internet: The good, the bad, and the ugly. JAMA: The Journal of the American Medical Association, 280(15), 1303–1304. PubMed PMID: 9794299.
Lopez-Jornet, P., & Camacho-Alonso, F. (2009). The quality of internet sites providing information relating to oral cancer. Oral Oncology, 45(9), e95–e98. PubMed PMID: 19457707.
Lorig, K. R., Ritter, P. L., Laurent, D. D., & Plant, K. (2008). The internet-based arthritis self-management program: A one-year randomized trial for patients with arthritis or fibromyalgia. Arthritis and Rheumatism, 59(7), 1009–1017. PubMed PMID: 18576310. Epub 2008/06/26. eng.
Lorig, K., Ritter, P. L., Laurent, D. D., Plant, K., Green, M., Jernigan, V. B., et al. (2010). Online diabetes self-management program: A randomized study. Diabetes Care, 33(6), 1275–1281. PubMed PMID: 20299481. Epub 2010/03/20. eng.
Lustria, M. L. A. (2007). Can interactivity make a difference? Effects of interactivity on the comprehension of and attitudes toward online health content. Journal of the American Society for Information Science and Technology, 58(6), 766–776.
Maloney, S., Ilic, D., & Green, S. (2005). Accessibility, nature and quality of health information on the Internet: A survey on osteoarthritis. Rheumatology (Oxford), 44(3), 382–385. PubMed PMID: 15572390.
Martins, E. N., & Morse, L. S. (2005). Evaluation of internet websites about retinopathy of prematurity patient education. The British Journal of Ophthalmology, 89(5), 565–568. PubMed PMID: 15834086. Pubmed Central PMCID: 1772623.
McKay, H., Feil, E., Glasgow, R., & Brown, J. (1998). Feasibility and use of an internet support service for diabetes. The Diabetes Educator, 24, 174–179.
McKay, H. G., King, D., Eakin, E. G., Seeley, J. R., & Glasgow, R. E. (2001). The diabetes network internet-based physical activity intervention: A randomized pilot study. Diabetes Care, 24(8), 1328–1334. PubMed PMID: 11473065.
Meric, F., Bernstam, E. V., Mirza, N. Q., Hunt, K. K., Ames, F. C., Ross, M. I., et al. (2002). Breast cancer on the world wide web: Cross sectional survey of quality of information and popularity of websites. BMJ, 324(7337), 577–581. PubMed PMID: 11884322. Pubmed Central PMCID: 78995.
Mukherjee, S., Lekli, I., Gurusamy, N., Bertelli, A. A., & Das, D. K. (2009). Expression of the longevity proteins by both red and white wines and their cardioprotective components, resveratrol, tyrosol, and hydroxytyrosol. Free Radical Biology & Medicine, 46(5), 573–578. PubMed PMID: 19071213.
Nalliah, S., Chan, S. L., Ong, C. L., Suthan, T. H., Tan, K. C., She, V. N., et al. (2010). Effectiveness of the use of internet search by third year medical students to establish a clinical diagnosis. Singapore Medical Journal, 51(4), 332–338. PubMed PMID: 20505913. Epub 2010/05/28. eng.
Nasser, S., Mullan, J., & Bajorek, B. (2012). Assessing the quality, suitability and readability of internet-based health information about warfarin for patients. Australasian Medical Journal, 5(3), 194–203. PubMed PMID: 22952566. Pubmed Central PMCID: 3433734.
National Center for Biotechnology Information USNLoM (2005). PubMed Help. Bethesda. Available from: http://www.ncbi.nlm.nih.gov/books/NBK3830/
Ni Riordain, R., & McCreary, C. (2009). Head and neck cancer information on the internet: Type, accuracy and content. Oral Oncology, 45(8), 675–677. PubMed PMID: 19095486.
Peterlin, B. L., Gambini-Suarez, E., Lidicker, J., & Levin, M. (2008). An analysis of cluster headache information provided on internet websites. Headache, 48(3), 378–384. PubMed PMID: 18005143.
Price, S. L., & Hersh, W. R. (1999). Filtering Web pages for quality indicators: an empirical approach to finding high quality consumer health information on the World Wide Web. Proceedings of the AMIA Symposium, 911–915. PubMed PMID: 10566493. Pubmed Central PMCID: 2232852.
Rees, C. E., Ford, J. E., & Sheard, C. E. (2002). Evaluating the reliability of DISCERN: A tool for assessing the quality of written patient information on treatment choices. Patient Education and Counseling, 47(3), 273–275. PubMed PMID: 12088606.
Renear, A. H., & Palmer, C. L. (2009). Strategic reading, ontologies, and the future of scientific publishing. Science, 325(5942), 828–832. PubMed PMID: 19679805. Epub 2009/08/15. eng.
Sajid, M. S., Iftikhar, M., Monteiro, R. S., Miles, A. F., Woods, W. G., & Baig, M. K. (2008). Internet information on colorectal cancer: Commercialization and lack of quality control. Colorectal Disease, 10(4), 352–356. PubMed PMID: 17645570.
Silberg, W. M., Lundberg, G. D., & Musacchio, R. A. (1997). Assessing, controlling, and assuring the quality of medical information on the Internet: Caveant lector et viewor – Let the reader and viewer beware. JAMA: The Journal of the American Medical Association, 277(15), 1244–1245. PubMed PMID: 9103351.
Siliquini, R., Ceruti, M., Lovato, E., Bert, F., Bruno, S., De Vito, E., et al. (2011). Surfing the internet for health information: An Italian survey on use and population choices. BMC Medical Informatics and Decision Making, 11, 21. PubMed PMID: 21470435. Epub 2011/04/08. eng.
Sim, M. G., Khong, E., & Jivva, M. (2008). Does general practice Google? Australian Family Physician, 37(6), 471–474.
van der Marel, S., Duijvestein, M., Hardwick, J. C., van den Brink, G. R., Veenendaal, R., Hommes, D. W., et al. (2009). Quality of web-based information on inflammatory bowel diseases. Inflammatory Bowel Diseases, 15(12), 1891–1896. PubMed PMID: 19462423.
Wagner, T., Baker, L., Bundorf, M., & Singer, S. (2004). Use of the internet for health information by the chronically ill. Preventing Chronic Disease, 1(4), A13.
Weed, L. L. (1997). New connections between medical knowledge and patient care. BMJ, 315(7102), 231–235. PubMed PMID: 9253272. Pubmed Central PMCID: 2127165.
Weiss, E., & Moore, K. (2003). An assessment of the quality of information available on the internet about the IUD and the potential impact on contraceptive choices. Contraception, 68(5), 359–364. PubMed PMID: 14636940.
Wilson, P. (2002). How to find the good and avoid the bad or ugly: A short guide to tools for rating quality of health information on the internet. BMJ, 324(7337), 598–602. PubMed PMID: 11884329. Pubmed Central PMCID: 1122517.
Winker, M. A., Flanagin, A., Chi-Lum, B., White, J., Andrews, K., Kennett, R. L., et al. (2000). Guidelines for medical and health information sites on the internet: Principles governing AMA web sites. American Medical Association. JAMA: The Journal of the American Medical Association, 283(12), 1600–1606. PubMed PMID: 10735398.
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We thank Nikoo Aziminia for giving her permission to quote part of her essay.
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Ghezzi, P., Chumber, S., Brabazon, T. (2014). Educating Medical Students to Evaluate the Quality of Health Information on the Web. In: Floridi, L., Illari, P. (eds) The Philosophy of Information Quality. Synthese Library, vol 358. Springer, Cham. https://doi.org/10.1007/978-3-319-07121-3_10
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