MEDLINE <1966 to October Week 1 2001


# Search History Results Comments
1 Internet/ 7072 map MESH term
2 internet.mp. 9812 capture textword
3 Information Services/ 10745 map related MESH term (found in tree)
4 INFORMATION SYSTEMS/ 16529 map related MESH term (found in tree)
5 1 or 2 or 3 or 4 34898 combine terms of similar meaning (OR)
6 QUALITY ASSURANCE, HEALTH CARE/ or QUALITY CONTROL/ 44839 map second concept to MESH
7 5 and 6 1064 combine first with second concept (AND)
8 quality.ti. 47685 capture title word
9 standards.ti. 10706 capture title word
10 8 or 9 57622 combine title words (OR)
11 1 and 10 118 combine MESH term with title words
12 7 or 11 1137 combine the MESH keyword with the title word search (OR)
13 limit 12 to (english language and yr=1996-2001) 579 limit to English language and last 5 years (always do last before selecting articles)
14 from 13 keep 2, 4-5, 14, 39-40, 47-48, 56-57... 78 review all articles - selection by title or abstract (YOU are the best limiter!!!)
15 from 14 keep 1-78 78 display selected articles to save, e-mail or print

Results of your search: from 14 [from 13 keep 2, 4-5, 14, 39-40, 47-48, 56-57...] keep 1-78
Citations available: 78
Citations displayed: 1-78
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Citation 1.

Unique Identifier
21430719
PubMed Identifier
11546703
Authors
Rigby M. Forsstrom J. Roberts R. Wyatt J.
Institution
Centre for Health Planning and Management, Keele University, Keele ST5 5BG. m.j.rigby@keele.ac.uk
Title
Verifying quality and safety in health informatics services.
Source
BMJ. 323(7312):552-6, 2001 Sep 8.
Local Messages
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MeSH Subject Headings
Confidentiality
Human
Internet
Medical Informatics
*Quality Assurance, Health Care
Risk Assessment
Safety
Software
Support, Non-U.S. Gov't
Telemedicine

Citation 2.

Unique Identifier
21386932
PubMed Identifier
11494815
Authors
Simmons JC.
Title
Creating portals to quality: how the Internet is changing health care delivery to consumers.
Source
Quality Letter for Healthcare Leaders. 13(7):2-10, 1, 2001 Jul.
MeSH Subject Headings
Consumer Participation
Diffusion of Innovation
Health Care Sector
Health Promotion
Human
Information Services
Internet
Organizational Objectives
Planning Techniques
*Quality of Health Care
Self Care
United States
Abstract
The number of Americans visiting health care sites on the Internet has steadily increased every year. However, while many say the sites are helpful, more are looking to these sites to change from static to interactive--to provide information tailored to their needs, to enhance self-care, to encourage better provider communication, and to aid in lifestyle management. Some health care organizations are beginning to provide new services that promise to give e-health a new look.

Citation 3.

Unique Identifier
21386933
PubMed Identifier
11494813
Authors
Anonymous.
Title
Information on the Internet found to be usually accurate but also incomplete.
Source
Quality Letter for Healthcare Leaders. 13(7):11-2, 1, 2001 Jul.
MeSH Subject Headings
*Consumer Satisfaction
Educational Status
Health Care Sector
Human
Information Services
Information Storage and Retrieval
Internet
Quality Control
United States
Abstract
As hospitals, health systems, and health plans look toward strengthening their Web sites, they may want to keep in mind findings from a recent study that notes that while much of the information that consumers find on the Internet is accurate, many users find it incomplete and difficult to understand.

Citation 4.

Unique Identifier
21369763
PubMed Identifier
11476813
Authors
Groot D. Riet G. Khan KS. Misso K.
Institution
Maastricht University, Alexander Battalaan 31, 6221 CA, Maastricht, The Netherlands. dorstignijlpaard@hotmail.com
Title
Comparison of search strategies and quality of medical information of the Internet: a study relating to ankle sprain.
Source
Injury. 32(6):473-6, 2001 Jul.
Local Messages
Check holdings at Cooper, Stratford, Newark
MeSH Subject Headings
Ankle Injuries
Comparative Study
Human
Information Storage and Retrieval
Internet
Medical Staff, Hospital
Orthopedics
Sprains and Strains
Abstract
OBJECTIVES: to evaluate the quality of web sites on ankle sprain diagnosis and treatment and to assess the impact of Internet search expertise on quality of retrieved information. METHOD: two internet search strategies were conducted - one developed by an experienced information officer (expert's search) and the other based on the search terms used by orthopaedic medical staff (doctors' search). RESULTS: the expert's search revealed 32 web sites, of which nine were relevant, whereas the doctors' search revealed 61 web sites of which 27 were relevant. Of the relevant web sites in the expert's search, one complied with all quality criteria, whereas none of the web sites in the doctors' search complied with all criteria (11 vs. 0%, P=0.25). The web sites identified by expert's search had higher credibility (median scores 70 vs. 44, P=0.01) and accuracy of content (median scores 50 vs. 35, P=0.24). CONCLUSION: the quality of medical information on the internet is generally poor and information experts can capture higher quality web sites compared with doctors.

Citation 5.

Unique Identifier
21268684
PubMed Identifier
11374297
Authors
Oravec JA.
Institution
College of Business and Economics, University of Wisconsin-Whitewater, 800 W. Main Street, Whitewater, WI 53190, USA. oravecj@uwwvax.uww.edu
Title
On the "proper use" of the Internet: self-help medical information and on-line health care. [Review] [122 refs]
Source
Journal of Health & Social Policy. 14(1):37-60, 2001.
MeSH Subject Headings
Consumer Participation
*Delivery of Health Care / mt [Methods]
Delivery of Health Care / td [Trends]
Family Characteristics
*Health Education / mt [Methods]
Health Education / td [Trends]
Human
Information Services / st [Standards]
*Information Services / ut [Utilization]
Internet / st [Standards]
*Internet / ut [Utilization]
Marketing of Health Services / mt [Methods]
Piperazines / tu [Therapeutic Use]
Prescriptions, Drug
Public Health
Quality Control
Self-Help Groups
United States
Abstract
Deliveries of medical information and assistance on the Internet are becoming increasingly popular, despite growing concern by some affected professional groups. "Self-help" efforts are abounding as individuals band together to support each other socially as well as gain political clout. The advent of widespread on-line health care is having a growing cultural impact, affecting the image of the practitioner-patient relationship and opening up the possibility of new roles for social workers and educators in the provision of health services. Many consumers are bringing new strategies into their acquisition of health information and care, ones developed in Internet shopping and other on-line interactions. In turn, many in the healing and helping professions are attempting to establish norms for the "proper use" of the Internet for individuals seeking health-related assistance. The medical and health care communities should establish approaches that empower consumers to use the Internet as part of a total health care strategy, rather than simply warn them about Internet hazards. The statuses of social workers, health educators, and related health professionals may be bolstered as they develop ways to empower and support consumers' Internet utilization. [References: 122]
Registry Numbers
0 (Piperazines). 139755-83-2 (sildenafil).

Citation 6.

Unique Identifier
21197646
PubMed Identifier
11302091
Authors
Resnik DB.
Institution
Brody School of Medicine, East Carolina University, Greenville, North Carolina, USA.
Title
Patient access to medical information in the computer age: ethical concerns and issues.
Source
Cambridge Quarterly of Healthcare Ethics. 10(2):147-54; discussion 154-6, 2001 Spring.
Local Messages
Check holdings at Stratford
MeSH Subject Headings
Clinical Competence
Conflict (Psychology)
Decision Making
Ethics, Medical
Human
*Information Services / st [Standards]
Information Services / sd [Supply & Distribution]
*Internet / st [Standards]
*Patient Participation
*Physician's Role
*Physician-Patient Relations
Professional Autonomy
Quality Control
Referral and Consultation

Citation 7.
ALT="Full Text" ALIGN="top"

Unique Identifier
21300968
PubMed Identifier
11409403
Authors
Darmoni SJ. Haugh MC. Lukacs B. Boissel JP.
Title
Quality of health information about depression on internet. Level of evidence should be gold standard.
Source
BMJ. 322(7298):1367, 2001 Jun 2.
Local Messages
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MeSH Subject Headings
*Evidence-Based Medicine
Human
*Information Services / st [Standards]
*Internet / st [Standards]

Citation 8.
ALT="Full Text" ALIGN="top"

Unique Identifier
21300967
PubMed Identifier
11409402
Authors
Tomlin A. Dearness KL. Geddes J.
Title
Quality of health information about depression on internet. Study's shortcomings may have affected findings.
Source
BMJ. 322(7298):1366-7, 2001 Jun 2.
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MeSH Subject Headings
*Depression / th [Therapy]
Human
*Information Services / st [Standards]
*Internet / st [Standards]

Citation 9.
ALT="Full Text" ALIGN="top"

Unique Identifier
21262346
PubMed Identifier
11368735
Authors
Berland GK. Elliott MN. Morales LS. Algazy JI. Kravitz RL. Broder MS. Kanouse DE. Munoz JA. Puyol JA. Lara M. Watkins KE. Yang H. McGlynn EA.
Institution
RAND Health, Santa Monica, CA, USA. berland@rand.org
Title
Health information on the Internet: accessibility, quality, and readability in English and Spanish.
Source
JAMA. 285(20):2612-21, 2001 May 23-30.
Local Messages
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MeSH Subject Headings
Consumer Advocacy
Cross-Sectional Studies
Efficiency
*Health Education / st [Standards]
*Information Services / st [Standards]
*Internet
*Language
*Medical Informatics
Reproducibility of Results
Support, Non-U.S. Gov't
Support, U.S. Gov't, P.H.S.
Abstract
CONTEXT: Despite the substantial amount of health-related information available on the Internet, little is known about the accessibility, quality, and reading grade level of that health information. OBJECTIVE: To evaluate health information on breast cancer, depression, obesity, and childhood asthma available through English- and Spanish-language search engines and Web sites. DESIGN AND SETTING: Three unique studies were performed from July 2000 through December 2000. Accessibility of 14 search engines was assessed using a structured search experiment. Quality of 25 health Web sites and content provided by 1 search engine was evaluated by 34 physicians using structured implicit review (interrater reliability 0.90). The reading grade level of text selected for structured implicit review was established using the Fry Readability Graph method. MAIN OUTCOME MEASURES: For the accessibility study, proportion of links leading to relevant content; for quality, coverage and accuracy of key clinical elements; and grade level reading formulas. RESULTS: Less than one quarter of the search engine's first pages of links led to relevant content (20% of English and 12% of Spanish). On average, 45% of the clinical elements on English- and 22% on Spanish-language Web sites were more than minimally covered and completely accurate and 24% of the clinical elements on English- and 53% on Spanish-language Web sites were not covered at all. All English and 86% of Spanish Web sites required high school level or greater reading ability. CONCLUSION: Accessing health information using search engines and simple search terms is not efficient. Coverage of key information on English- and Spanish-language Web sites is poor and inconsistent, although the accuracy of the information provided is generally good. High reading levels are required to comprehend Web-based health information.

Citation 10.

Unique Identifier
99382523
PubMed Identifier
10453151
Authors
McKinley J. Cattermole H. Oliver CW.
Institution
Edinburgh Orthopaedic Trauma Unit, Royal Infirmary of Edinburgh, U.K.
Title
The quality of surgical information on the Internet. [retraction in Eremin OE. J R Coll Surg Edinb 1999 Dec;44(6):403].
Source
Journal of the Royal College of Surgeons of Edinburgh. 44(4):265-8, 1999 Aug.
Local Messages
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MeSH Subject Headings
Abstracting and Indexing
Human
*Information Services / st [Standards]
*Internet / st [Standards]
Quality Assurance, Health Care
*Surgical Procedures, Operative
Abstract
The quality of surgical information on the Internet is variable. Content variation limits the use of the Internet as a reliable and safe information source both for both health professionals and patients. Medical information is a particularly sensitive area. Incorrect or misleading information may lead to potentially dangerous health behaviour, patients reading information intended for health professionals may misunderstand information or may get wrong expectations regarding treatment options.

Citation 11.

Unique Identifier
20539433
PubMed Identifier
11089701
Authors
Seltzer SE. Kelly P. Deibel GM. Ros P.
Institution
Department of Radiology, Harvard Medical School and Brigham and Women's Hospital, Boston, MA 02115, USA.
Title
Radiology quality and performance metrics on the Web: a management information and communications tool.
Source
Academic Radiology. 7(11):981-5, 2000 Nov.
MeSH Subject Headings
Human
*Internet
*Quality Assurance, Health Care
*Radiology Department, Hospital / og [Organization & Administration]
*Radiology Information Systems
Abstract
RATIONALE AND OBJECTIVES: The purpose of this study was to demonstrate the feasibility of using the World Wide Web to communicate critical radiology quality and performance metrics to departmental and hospital management staff. MATERIALS AND METHODS: Data on report turnaround, appointment access, patient and physician satisfaction, and financial performance were harvested from a variety of sources. These were then standardized and condensed so they could be displayed electronically in a concise, information-dense fashion. RESULTS: The final product was a series of graphic materials on a single Web site. The most informative was a summary "spiderweb chart" that indicated the percentage of specified performance goals achieved for 12 operational parameters. These graphic materials were distributed to management staff monthly by means of e-mail. CONCLUSION: The use of simple Web-based technology facilitates the collection of key departmental performance data and the dissemination of these data to a wide audience.

Citation 12.

Unique Identifier
20556719
PubMed Identifier
11104481
Authors
Baur C. Deering MJ.
Institution
U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion, Washington, DC, USA.
Title
Proposed frameworks to improve the quality of health web sites: review.
Source
Medgenmed [Computer File]: Medscape General Medicine. :E35, 2000 Sep 26.
MeSH Subject Headings
American Medical Association
*Guidelines
Human
Internet / lj [Legislation & Jurisprudence]
*Internet / st [Standards]
Medical Informatics / lj [Legislation & Jurisprudence]
*Medical Informatics / st [Standards]
Quality Control
United States

Citation 13.

Unique Identifier
21114641
PubMed Identifier
11177737
Authors
Markman M.
Title
Cancer and the Internet: the good, the bad, and the very ugly.
Source
Current Oncology Reports. 3(2):77-8, 2001 Mar.
MeSH Subject Headings
Human
Information Services
*Internet
Neoplasms / px [Psychology]
*Neoplasms / th [Therapy]
*Patient Education
Quality Control

Citation 14.
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Unique Identifier
21132372
PubMed Identifier
11236453
Authors
American Public Health Association.
Title
Criteria for assessing the quality of health information on the Internet.
Source
American Journal of Public Health. 91(3):513-4, 2001 Mar.
Local Messages
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MeSH Subject Headings
*Health Education / st [Standards]
*Information Services / st [Standards]
*Internet

Citation 15.
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Unique Identifier
20004096
PubMed Identifier
10535438
Authors
Hodge JG Jr. Gostin LO. Jacobson PD.
Institution
Georgetown University Law Center, Washington, DC 20013-6305, USA. hodgej@erols.com
Title
Legal issues concerning electronic health information: privacy, quality, and liability. [see comments].
Comments
Comment in: JAMA. 2000 Mar 22-29;283(12):1564-5
Source
JAMA. 282(15):1466-71, 1999 Oct 20.
Local Messages
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MeSH Subject Headings
Computer Communication Networks / lj [Legislation & Jurisprudence]
Computer Communication Networks / st [Standards]
Computer Security / lj [Legislation & Jurisprudence]
Confidentiality / lj [Legislation & Jurisprudence]
*Information Systems / lj [Legislation & Jurisprudence]
*Information Systems / st [Standards]
Liability, Legal
*Patient Advocacy / lj [Legislation & Jurisprudence]
*Privacy / lj [Legislation & Jurisprudence]
Quality Assurance, Health Care
Quality Control
Reproducibility of Results
Support, Non-U.S. Gov't
Telemedicine / lj [Legislation & Jurisprudence]
Telemedicine / st [Standards]
United States
Abstract
Personally identifiable health information about individuals and general medical information is increasingly available in electronic form in health databases and through online networks. The proliferation of electronic data within the modern health information infrastructure presents significant benefits for medical providers and patients, including enhanced patient autonomy, improved clinical treatment, advances in health research and public health surveillance, and modern security techniques. However, it also presents new legal challenges in 3 interconnected areas: privacy of identifiable health information, reliability and quality of health data, and tortbased liability. Protecting health information privacy (by giving individuals control over health data without severely restricting warranted communal uses) directly improves the quality and reliability of health data (by encouraging individual uses of health services and communal uses of data), which diminishes tort-based liabilities (by reducing instances of medical malpractice or privacy invasions through improvements in the delivery of health care services resulting in part from better quality and reliability of clinical and research data). Following an analysis of the interconnectivity of these 3 areas and discussing existing and proposed health information privacy laws, recommendations for legal reform concerning health information privacy are presented. These include (1) recognizing identifiable health information as highly sensitive, (2) providing privacy safeguards based on fair information practices, (3) empowering patients with information and rights to consent to disclosure (4) limiting disclosures of health data absent consent, (5) incorporating industry-wide security protections, (6) establishing a national data protection authority, and (7) providing a national minimal level of privacy protections.

Citation 16.
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Unique Identifier
21105490
PubMed Identifier
11176924
Authors
Terry N.
Title
MSJAMA: Access vs quality assurance: the e-health conundrum.
Source
JAMA. 285(6):807, 2001 Feb 14.
Local Messages
Check holdings at all UMDNJ libraries
MeSH Subject Headings
Ethics
Health Care Sector / lj [Legislation & Jurisprudence]
Health Care Sector / st [Standards]
*Health Care Sector
Internet / lj [Legislation & Jurisprudence]
Internet / st [Standards]
*Internet
Quality Assurance, Health Care / lj [Legislation & Jurisprudence]
Quality Assurance, Health Care / st [Standards]
*Quality Assurance, Health Care

Citation 17.

Unique Identifier
21027353
PubMed Identifier
11079879
Authors
Eysenbach G. Yihune G. Lampe K. Cross P. Brickley D.
Institution
Dept. of Clinical Social Medicine, Unit for Cybermedicine, University of Heidelberg, Germany. ey@yi.com
Title
MedCERTAIN: quality management, certification and rating of health information on the Net.
Source
Proceedings / AMIA Annual Symposium. :230-4, 2000.
MeSH Subject Headings
Databases / st [Standards]
*Health
Health Education
*Information Services / st [Standards]
Information Storage and Retrieval
*Internet / st [Standards]
Quality Control
Support, Non-U.S. Gov't
Abstract
MedCERTAIN (MedPICS Certification and Rating of Trustworthy Health Information on the Net, TARGET="_blank"http://www.medcertain.org/) is a recently launched international project funded under the European Union's (EU) "Action Plan for safer use of the Internet. It provides a technical infrastructure and a conceptual basis for an international system of "quality seals", ratings and self-labelling of Internet health information, with the final aim to establish a "trustmark" for networked health information. Digital "quality seals" are evaluative metadata (using standards such as PICS = Platform for Internet Content Selection, now being replaced by RDF/XML) assigned by trusted third-party raters. The project also enables and encourages self-labelling with descriptive meta-information by web authors. Together these measures will help consumers as well as professionals to identify high-quality information on the Internet. MedCERTAIN establishes a fully functional demonstrator for a self- and third-party rating system enabling consumers and professionals to filter harmful health information and to positively identify and select high quality information. We aim to provide a system which allows citizens to place greater trust in networked information, exemplified in the domain of health information, whilst also making a significant contribution for similar projects with different target domains. The project will demonstrate how PICS-based content rating and filtering technologies can automate and exploit value-adding resource description services. It further proposes standards for interoperability of rating services.

Citation 18.

Unique Identifier
21081053
PubMed Identifier
11212434
Authors
Nahas R. Evans MF.
Institution
Family Practice Unit, University of Toronto, Ontario.
Title
Good-quality medical advice on the Internet.
Source
Canadian Family Physician. 47:56-7, 2001 Jan.
Local Messages
Check holdings at Stratford
MeSH Subject Headings
Child
Cough / th [Therapy]
Delivery of Health Care / st [Standards]
Family Practice
Human
Information Services / st [Standards]
*Internet / st [Standards]
*Patient Education
Quality Control

Citation 19.

Unique Identifier
21077598
PubMed Identifier
11209204
Authors
Briggs B.
Title
Slicing through Internet data.
Source
Health Data Management. 9(1):26, 28, 30, 2001 Jan.
MeSH Subject Headings
Cost Control
Human
*Internet
*Medical Records Systems, Computerized
Organizational Case Studies
Quality Assurance, Health Care
Thoracic Surgery / ec [Economics]
*Thoracic Surgery / og [Organization & Administration]
Thoracic Surgery / st [Standards]
Thoracic Surgical Procedures
United States

Citation 20.
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Unique Identifier
21021133
PubMed Identifier
11140861
Authors
McMahon MJ.
Title
A guest editorial: the Internet: caveant lectur et viewer--let the reader and viewer beware.
Source
Obstetrical & Gynecological Survey. 56(1):1-2, 2001 Jan.
Local Messages
Check holdings at Cooper, Stratford, New Brunswick, Newark
MeSH Subject Headings
Human
*Internet
Obstetrics
*Patient Education
Peer Review
Quality Control

Citation 21.
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Unique Identifier
20568134
PubMed Identifier
11118181
Authors
Griffiths KM. Christensen H.
Institution
Centre for Mental Health Research, The Australian National University, Canberra 0200, Australia. kathy.griffiths@anu.edu.au
Title
Quality of web based information on treatment of depression: cross sectional survey.
Source
BMJ. 321(7275):1511-5, 2000 Dec 16.
Local Messages
Check holdings at all UMDNJ libraries
MeSH Subject Headings
Cross-Sectional Studies
*Databases, Factual / st [Standards]
*Depressive Disorder / th [Therapy]
Health Education / st [Standards]
Human
*Internet / st [Standards]
Support, Non-U.S. Gov't
Abstract
OBJECTIVES: To evaluate quality of web based information on treatment of depression, to identify potential indicators of content quality, and to establish if accountability criteria are indicators of quality. DESIGN: Cross sectional survey. DATA SOURCES: 21 frequently accessed websites about depression. MAIN OUTCOME MEASURES: (i) Site characteristics; (ii) quality of content-concordance with evidence based depression guidelines (guideline score), appropriateness of other relevant site information (issues score), and subjective rating of site quality (global score); and (iii) accountability-conformity with core accountability standards (Silberg score) and quality of evidence cited in support of conclusions (level of evidence score). RESULTS: Although the sites contained useful information, their overall quality was poor: the mean guideline, issues, and global scores were only 4.7 (range 0-13) out of 43, 9.8 (6-14) out of 17, and 3 (0.5-7. 5) out of 10 respectively. Sites typically did not cite scientific evidence in support of their conclusions. The guideline score correlated with the two other quality of content measures, but none of the content measures correlated with the Silberg accountability score. Content quality was superior for sites owned by organisations and sites with an editorial board. CONCLUSIONS: There is a need for better evidence based information about depression on the web, and a need to reconsider the role of accountability criteria as indicators of site quality and to develop simple valid indicators of quality. Ownership by an organisation and the involvement of a professional editorial board may be useful indicators. The study methodology may be useful for exploring these issues in other health related subjects.

Citation 22.

Unique Identifier
21035848
PubMed Identifier
11187579
Authors
Bazavan M. Dimitriu R.
Institution
National Centre for Health Statistics, Bucharest, Romania.
Title
Quality assurance issues concerning Healthcare Information Systems Project development.
Source
Studies in Health Technology & Informatics. 77:383-7, 2000.
MeSH Subject Headings
Human
*Information Systems / og [Organization & Administration]
*Quality Assurance, Health Care
Romania
Abstract
The quality of the Healthcare Information System (HIS) product refers three major aspects: technical, use and organisational quality. The product quality is the result of the development process and from this perspective it must be considered from the early stages including terms of reference definition and procurement of goods and services. The issues investigated in this paper are concerning the possibilities of extending the view upon HIS projects quality by integrating the control instruments in an analytical frame covering both product and process aspects.

Citation 23.

Unique Identifier
21035830
PubMed Identifier
11187557
Authors
Adelhard K.
Institution
Inst. of Medical Informatics, Biometry and Epidemiology, Ludwig-Maximilians-Universit&#x00E4;t, Marchioninistr. 15, 81377 M&#x00FC;nchen, Germany.
Title
Quality assurance of medical information on the Internet.
Source
Studies in Health Technology & Informatics. 77:284-7, 2000.
MeSH Subject Headings
Germany
Human
*Information Storage and Retrieval
*Internet
MEDLINE
*Quality Assurance, Health Care
Abstract
Physicians and Laymen use the Internet to answer health related questions. The quality of information is very diverse between the various web sites. Quality assurance is lacking. However, there are several means to rate the quality of information on the internet. For the time being, these mechanisms show some evidence on the provided information. Quality assurance, like peer review for scientific papers, has to be established to make the internet a trustworthy resource for physicians and patients.

Citation 24.

Unique Identifier
21035829
PubMed Identifier
11187556
Authors
Eysenbach G. Diepgen T. Lampe K. Brickley D.
Institution
MedCERTAIN Project Consortium, Dept. of Clinical Social Medicine, University Heidelberg, Bergheimerstr. 58, 69115 Heidelberg, Germany. ey@yi.com
Title
EU-project medCERTAIN: Certification and Rating of Trustworthy and Assessed Health Information on the Net.
Source
Studies in Health Technology & Informatics. 77:279-83, 2000.
MeSH Subject Headings
Europe
*European Union
Human
*Information Storage and Retrieval
*Internet
*Quality Assurance, Health Care
Abstract
Med-CERTAIN (MedPICS Certification and Rating of Trustworthy Health Information on the Net, http://www.medpics.org/medcertain/) is a recently launched project funded under the EU Action Plan for safer use of the Internet. It will provide the technical infrastructure for an international system of "quality seals" for Internet health information. Digital "quality seals" may be evaluative metainformation (using standards such as PICS = Platform for Internet Content Selection, now being replaced by RDF/XML) assigned by trusted third-party raters. The project will also enable and encourage self-labelling with descriptive metainformation by web authors. Together these measures will help consumers to identify high-quality information on the Internet. Med-CERTAIN will establish a fully functional demonstrator for a self- and third-party rating system enabling patients and consumers to filter harmful health information and to positively identify and select high quality information. We aim to provide a system allow European citizens to place greater trust in networked information, exemplified in the domain of health information, whilst also making a significant contribution for similar projects with different target domains. The project will demonstrate how PICS-based content rating and filtering technologies can automate and exploit value-adding resource description services. The proposed technology strategy combines a pragmatic use of simple existing technologies for data acquisition with a future-oriented standards policy intended to lead rather than follow the evolution of definitions for information-mediation services.

Citation 25.

Unique Identifier
21022849
PubMed Identifier
11142063
Authors
Aguillo I.
Institution
Centre of Scientific Information and Documentation, Madrid, Spain.
Title
A new generation of tools for search, recovery and quality evaluation of World Wide Web medical resources.
Source
Journal of Management in Medicine. 14(3-4):240-8, 2000.
MeSH Subject Headings
Documentation / st [Standards]
Evaluation Studies
*Information Storage and Retrieval / st [Standards]
*Internet / st [Standards]
Software / st [Standards]
User-Computer Interface
Abstract
Although the Internet is already a valuable information resource in medicine, there are important challenges to be faced before physicians and general users will have extensive access to this information. As a result of a research effort to compile a health-related Internet directory, new tools and strategies have been developed to solve key problems derived from the explosive growth of medical information on the Net and the great concern over the quality of such critical information. The current Internet search engines lack some important capabilities. We suggest using second generation tools (client-side based) able to deal with large quantities of data and to increase the usability of the records recovered. We tested the capabilities of these programs to solve health-related information problems, recognising six groups according to the kind of topics addressed: Z39.50 clients, downloaders, multisearchers, tracing agents, indexers and mappers. The evaluation of the quality of health information available on the Internet could require a large amount of human effort. A possible solution may be to use quantitative indicators based on the hypertext visibility of the Web sites. The cybermetric measures are valid for quality evaluation if they are derived from indirect peer review by experts with Web pages citing the site. The hypertext links acting as citations need to be extracted from a controlled sample of quality super-sites.

Citation 26.

Unique Identifier
20367686
PubMed Identifier
10912558
Authors
Abbott VP.
Institution
Department of Public Health, North West Lancashire Health Authority, Wesham Park Hospital.
Title
Web page quality: can we measure it and what do we find? A report of exploratory findings.
Source
Journal of Public Health Medicine. 22(2):191-7, 2000 Jun.
MeSH Subject Headings
Authorship
Bias (Epidemiology)
Discriminant Analysis
Human
*Information Services / st [Standards]
*Internet / st [Standards]
Measles-Mumps-Rubella Vaccine / ae [Adverse Effects]
Measles-Mumps-Rubella Vaccine / st [Standards]
*Measles-Mumps-Rubella Vaccine
Sensitivity and Specificity
Abstract
BACKGROUND: The aim of this study was to report exploratory findings from an attempt to quantify the quality of a sample of World Wide Web (WWW) pages relating to MMR vaccine that a typical user might locate. METHOD: Forty pages obtained from a search of the WWW using two search engines and the search expression 'mmr vaccine' were analysed using a standard proforma. The proforma looked at the information the pages contained in terms of three categories: content, authorship and aesthetics. The information from each category was then quantified into a summary statistic, and receiver operating characteristic (ROC) curves were generated using a 'gold standard' of quality derived from the published literature. Optimal cut-off points for each of the three sections were calculated that best discriminated 'good' from 'bad' pages. Pages were also assessed as to whether they were pro- or anti-vaccination. RESULTS: For this sample, the combined contents and authorship score, with a cut-off of five, was a good discriminator, having 88 per cent sensitivity and 92 per cent specificity. Aesthetics was not a good discriminator. In the sample, 32.5 per cent of pages were pro-vaccination; 42.5 per cent were anti-vaccination and 25 per cent were neutral. The relative risk of being of poor quality if anti-vaccination was 3.3 (95 per cent confidence interval 1.8, 6.1). CONCLUSION: The sample of Web pages did contain some quality information on MMR vaccine. It also contained a great deal of misleading, inaccurate data. The proforma, combined with a knowledge of the literature, may help to distinguish between the two.
Registry Numbers
0 (Measles-Mumps-Rubella Vaccine).

Citation 27.
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Unique Identifier
20476359
PubMed Identifier
11021843
Authors
Delamothe T.
Title
Quality of websites: kitemarking the west wind.
Source
BMJ. 321(7265):843-4, 2000 Oct 7.
Local Messages
Check holdings at all UMDNJ libraries
MeSH Subject Headings
Guidelines
Human
*Internet
*Medical Informatics / st [Standards]
*User-Computer Interface

Citation 28.

Unique Identifier
20353302
PubMed Identifier
10893465
Authors
Jiang YL.
Institution
Center of Advanced Dental Education, Orthodontic Department, St. Louis, MO 63011, USA.
Title
Quality evaluation of orthodontic information on the World Wide Web.
Source
American Journal of Orthodontics & Dentofacial Orthopedics. 118(1):4-9, 2000 Jul.
Local Messages
Check holdings at New Brunswick, Newark
MeSH Subject Headings
Comparative Study
Evaluation Studies
*Information Storage and Retrieval / st [Standards]
*Internet / st [Standards]
*Orthodontics / st [Standards]
*Publishing / st [Standards]
Quality Control
Abstract
The phenomenal growth of the Internet has occurred because of the creation of the World Wide Web. The Web stores a huge amount of all sorts of health care information. It poses unlimited opportunities for people to access information. However, there is no central control and no regulatory policy regarding publication on the Web. The purpose of this study is to develop and apply published standards to perform a quality evaluation of orthodontic Web sites. Three hundred Web documents were visited and evaluated. The results indicate a variance of orthodontic information. The more professionally oriented information met more definitive standard criteria; on the contrary, the information designed for the general public met fewer standards.

Citation 29.

Unique Identifier
20245918
PubMed Identifier
10781966
Authors
Latthe M. Latthe PM. Charlton R.
Title
Quality of information on emergency contraception on the Internet. [see comments].
Comments
Comment in: Br J Fam Plann. 2000 Jul;26(3):179
Source
British Journal of Family Planning. 26(1):39-43, 2000 Jan.
MeSH Subject Headings
*Contraceptives, Postcoital / st [Standards]
Emergencies
Evidence-Based Medicine
Health Education
Human
*Information Services / st [Standards]
*Internet / st [Standards]
Patient Education
Publishing / st [Standards]
Abstract
OBJECTIVE: To evaluate the quality of patient information about emergency contraception on the Internet. DESIGN: We performed an on-line search of the Internet and found relevant World Wide Web sites by combining the key phrases 'emergency contraception' and 'patient information' in two Web subject guides and two search engines. We defined quality as the extent to which the characteristics of a Web site satisfied its stated and implied objectives. Our assessment focused on credibility and content of each Web site. Credibility was assessed by source, currency and editorial review process and content of Web site was assessed by hierarchy and accuracy of evidence. RESULTS: Our search revealed 32 relevant Web sites, none of which complied with all of the criteria for quality of credibility and content. Twenty-eight Web sites displayed the source clearly, 17 Web sites showed currency, and none of the Web sites had an editorial review process. Only six of the 32 sites mentioned hierarchy of evidence. None of the Web sites depicted all the criteria for accuracy of contents. CONCLUSION: None of the Web sites provided complete information to patients about emergency contraception according to the quality criteria used in this study. As previous studies have shown, people need to be wary about the quality of information on the Internet.
Registry Numbers
0 (Contraceptives, Postcoital).

Citation 30.

Unique Identifier
20442856
PubMed Identifier
10986787
Authors
Hoffman-Goetz L. Clarke JN.
Institution
Department of Health Studies and Gerontology, University of Waterloo, Ontario. lhgoetz@healthy.uwaterloo.ca
Title
Quality of breast cancer sites on the World Wide Web.
Source
Canadian Journal of Public Health. Revue Canadienne de Sante Publique. 91(4):281-4, 2000 Jul-Aug.
MeSH Subject Headings
*Breast Neoplasms
Female
Human
*Information Services / st [Standards]
*Internet / st [Standards]
*Patient Education / mt [Methods]
Peer Review, Health Care
Quality Control
Social Responsibility
Support, Non-U.S. Gov't
Abstract
The Internet is a powerful tool for accessing information about complex health topics. The purpose of this study was to evaluate breast cancer Internet sites using published criteria about website structure. Two searches were undertaken (November 1998 and June 1999) using the Yahoo search engine, providing a sample of 136 unique addresses. The results showed 1) owner's credentials were identified in 31.6% of sites, 2) financial charges were stated in 10.3% of sites, 3) less than 14.0% identified site creation date, 4) 33.1% identified content posting update, 5) 30.1% identified information sources, and 6) just under 88% of sites provided e-mail interactivity. The results indicate variability in breast cancer Internet sites with respect to framework criteria of accountability. We suggest that websites that lack fundamental indicators (such as dating and sources) do not provide the user with fundamental information that could enable informed decision making about site quality.

Citation 31.

Unique Identifier
20445105
PubMed Identifier
11001636
Authors
Trussell J. Shochet T.
Title
Quality of information on the Internet. [letter; comment].
Comments
Comment on: Br J Fam Plann. 2000 Jan;26(1):39-43
Source
British Journal of Family Planning. 26(3):179, 2000 Jul.
MeSH Subject Headings
*Contraceptives, Postcoital
Emergencies
Human
*Information Services / st [Standards]
*Internet / st [Standards]
Registry Numbers
0 (Contraceptives, Postcoital).

Citation 32.
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Unique Identifier
20323060
PubMed Identifier
10864552
Authors
Eysenbach G.
Institution
Unit for Cybermedicine, Department of Clinical Social Medicine, University of Heidelberg, 69115 Heidelberg, Germany. ey@yi.com
Title
Consumer health informatics. [Review] [37 refs]
Source
BMJ. 320(7251):1713-6, 2000 Jun 24.
Local Messages
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MeSH Subject Headings
*Consumer Participation
Decision Support Systems, Clinical
Ethics, Medical
Human
Internet
*Medical Informatics / mt [Methods]
Medical Informatics / td [Trends]
Medical Records Systems, Computerized
Quality Control
Support, Non-U.S. Gov't

Citation 33.
ALT="Full Text" ALIGN="top"

Unique Identifier
20338358
PubMed Identifier
10881449
Authors
Oermann MH. Wilson FL.
Institution
College of Nursing, Wayne State University, Detroit, Michigan, USA.
Title
Quality of care information for consumers on the Internet.
Source
Journal of Nursing Care Quality. 14(4):45-54, 2000 Jul.
Local Messages
Check holdings at New Brunswick
MeSH Subject Headings
Human
*Information Services
*Internet
Patient Care Planning
*Patient Education
*Quality of Health Care
*Reading
United States
Abstract
The purpose of this study was to assess the readability of quality of care information for consumers available on the Internet. Ten Internet resources for consumers, found at three major Web sites, were analyzed for readability. The scores ranged from a low of 6th grade level for information in the document "Quick Checks for Quality: Choosing Quality Health Care" to a high of 12th grade level for "Helping You Choose a Quality Ambulatory Care Organization." The overall mean reading demands of four of the documents were higher than the 8th grade level recommended for the general public. Six of the documents were at this level or below, placing them at an appropriate reading level for most consumers to understand the information.

Citation 34.
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Unique Identifier
20245153
PubMed Identifier
10781495
Authors
Ruskin K. Oysten J.
Title
Quality of medical information on the Internet. [letter; comment].
Comments
Comment on: Anesth Analg. 1999 Aug;89(2):271-2, Comment on: Anesth Analg. 1999 Aug;89(2):520-5
Source
Anesthesia & Analgesia. 90(5):1246, 2000 May.
Local Messages
Check holdings at Cooper, Stratford, New Brunswick, Newark
MeSH Subject Headings
*Anesthesiology / st [Standards]
Communication
Human
*Internet / st [Standards]
Quality Control

Citation 35.

Unique Identifier
20193050
PubMed Identifier
10730807
Authors
Tamm EP. Raval BK. Huynh PT.
Institution
Department of Radiology, University of Texas at Houston Medical School, 77030, USA.
Title
Evaluation of the quality of self-education mammography material available for patients on the Internet.
Source
Academic Radiology. 7(3):137-41, 2000 Mar.
MeSH Subject Headings
Evaluation Studies
Female
Human
*Internet
*Mammography
*Patient Education
Abstract
RATIONALE AND OBJECTIVES: The Internet offers many advantages for educating patients but has no standards for publication. This limitation could negatively affect patient care. The purpose of this study was to evaluate the quality of information on mammography that a patient could find on the Internet. MATERIALS AND METHODS: Three search utilities were used to research the term "mammography." For each utility, the first 50 addresses for Web pages were evaluated (or all the addresses, if fewer than 50 were returned). Web sites selected contained information that could guide an asymptomatic woman in deciding whether to undergo screening mammography. These sites were then evaluated for whether they indicated their sponsorship, authorship, the currency of information, and references. Sites were also noted if they advised women older than 50 years to undergo screening mammography at intervals of longer than 1 year or otherwise severely diminished the role of mammography. RESULTS: Thirty-eight Web sites were identified. Ten indicated authorship, 29 indicated the currency of the information, and 27 provided references. All of the Web sites indicated sponsorship. Three sites recommended screening mammography at intervals of longer than 1 year for women 50 years of age or older. Two sites suggested that mammography is not substantially more sensitive than physical examination. CONCLUSION: Many Web sites do not meet the standards for disseminating information required in professional peer-reviewed journals. Some Web sites contain statements that might lead asymptomatic women over age 50 years to delay screening mammography or to undergo screening at intervals of longer than 1 year.

Citation 36.

Unique Identifier
20108458
PubMed Identifier
10645860
Authors
Latthe PM. Latthe M. Khan KS.
Institution
Birmingham Women's Health Care NHS Trust, UK.
Title
Quality of medical information about menorrhagia on the worldwide web.
Source
Bjog. 107(1):39-43, 2000 Jan.
MeSH Subject Headings
Female
Human
Information Storage and Retrieval
*Internet
*Medical Informatics / st [Standards]
*Menorrhagia / th [Therapy]
Abstract
OBJECTIVE: To evaluate the quality of medical information on the management of menorrhagia on the worldwide web. DESIGN AND PROCEDURES: An on-line search of the Internet, locating relevant web sites by using key phrases 'heavy periods' and 'patient information' in seven search engines. Quality was defined as the extent to which the characteristics of a web page satisfied its stated and implied objectives. Assessment focused on credibility and content of each web page. Source, currency and editorial review process assessed credibility and hierarchy and accuracy of evidence assessed content of the web pages. MAIN OUTCOME MEASURES: Rate of compliance with preset criteria for quality of health information on the Internet. RESULTS: Nine relevant web pages were located, none of which complied with all of the criteria for quality. Seven of these pages displayed the source and five showed the currency of the information, while none described an editorial review process. Four web pages displayed a hierarchy of evidence and one web page depicted all the criteria for accuracy of its contents. CONCLUSION: None of the web pages provided complete information to women on heavy periods according to the quality criteria. This makes it difficult for the user without medical knowledge to determine which web page is credible and useable and which should be ignored or rejected. There is a need to be vigilant about the quality of information on the Internet.

Citation 37.

Unique Identifier
20319377
PubMed Identifier
10947392
Authors
Cooke A.
Title
Quality of health and medical information on the Internet.
Source
Clinical Performance & Quality Health Care. 7(4):178-85, 1999 Oct-Dec.
Local Messages
Check holdings at New Brunswick
MeSH Subject Headings
*Internet
*Medical Informatics / st [Standards]
Quality Control
Abstract
This article examines some of the problems associated with health and medical information available via the Internet. An overview is provided of gateway services that seek to provide access to high quality materials. Quality principles for health and medical Internet-based materials are highlighted and suggestions are offered for evaluating sources of information retrieved via the Internet. The article concludes that, although there is undeniably a vast quantity of useful material available via the Internet, the principles of basing health care on the best available evidence still apply and potential users need to critically appraise any information they wish to use.

Citation 38.

Unique Identifier
20109679
PubMed Identifier
10724952
Authors
Gobel G. Pfeiffer KP.
Institution
Institute of Biostatistics und Documentation, University of Innsbruck, Austria.
Title
GIN AUSTRIA. Assuring quality and relevance on Internet-health-informations for patients.
Source
Studies in Health Technology & Informatics. 68:562-7, 1999.
MeSH Subject Headings
Austria
Human
*Internet
*Medical Informatics Computing
*Patient Education
*Quality Assurance, Health Care
Total Quality Management
Vocabulary, Controlled
Abstract
GIN AUSTRIA (Gesundheitsinformationsnetz AUSTRIA) offers patients and consumers reliable medical knowledge about diseases, wellness and disease management in an understandable way and enables them to quick and incessant access to informations about the Austrian health system and Austrian health organizations. To improve the quality of the database and to achieve full customer (patients, citizens) satisfaction a systematic approach for implementing total quality management is also applied. Focusing the attention on understanding and responding to customer needs, systematic and continuous improving of the IS and total involvement of all participants are the three core TQM principles at this project. The second focus of the project is the development and the implementation (prototype) of a medical dictionary or rather medical thesaurus as interface for patients, who are not used to scientific terms and expressions. This interface is based on the controlled vocabulary of the MeSH-Thesaurus (german version).

Citation 39.
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Unique Identifier
99368651
PubMed Identifier
10439778
Authors
Hernandez-Borges AA. Macias-Cervi P. Gaspar-Guardado MA. Torres-Alvarez de Arcaya ML. Ruiz-Rabaza A. Ormazabal-Ramos C.
Institution
Pediatric Intensive Care Unit, Hospital Universitario de Canarias, Tenerife, Spain. borges@redkbs.com
Title
Assessing the relative quality of anesthesiology and critical care medicine Internet mailing lists. [see comments].
Comments
Comment in: Anesth Analg. 1999 Aug;89(2):271-2, Comment in: Anesth Analg. 2000 May;90(5):1246
Source
Anesthesia & Analgesia. 89(2):520-5, 1999 Aug.
Local Messages
Check holdings at Cooper, Stratford, New Brunswick, Newark
MeSH Subject Headings
*Anesthesiology / st [Standards]
Bibliometrics
*Critical Care
*Internet / st [Standards]
Internet / ut [Utilization]
Publishing / st [Standards]
Abstract
We studied the relative quality of a subset of anesthesiology and critical care medicine Internet mailing lists regarding the publishing capacity of their members to compare them with the major journals and conferences regarding these specialties. Using systematic searches on MEDLINE and according to the Science Citation Index 1995, we investigated the impact factor of mailing list subscribers, of the first authors of the selected articles, and of the first authors of published abstracts from conferences. We studied six mailing lists, seven journals, and four conferences. Journals and conferences showed a higher percentage of published authors and higher average impact factor among their first authors than the mailing lists did per subscriber. However, when only the subset of publishing authors from the three media was considered, no significant differences were found. We conclude that qualified authors may be found among the subscribers of Internet medical mailing lists on anesthesiology and critical care medicine. These professional discussion groups could complement peer-reviewed publications and conferences in professional information exchange and continuing medical education. Implications: Internet publishing is not governed by rules that assure certain basic quality standards. Methods for assessing these standards are needed. We compared discussion groups with medical journals and conferences on anesthesiology and critical care medicine by calculating the impact factor of their members and first authors, respectively. Our study shows that qualified authors may be found in all three media.

Citation 40.

Unique Identifier
20118972
PubMed Identifier
10654811
Authors
Doupi P. van der Lei J.
Institution
Department of Medical Informatics, Erasmus University, Rotterdam, The Netherlands. persa@jans.fbk.eur.nl
Title
Rx medication information for the public and the WWW: quality issues. [Review] [29 refs]
Source
Medical Informatics & the Internet in Medicine. 24(3):171-9, 1999 Jul-Sep.
MeSH Subject Headings
*Drug Information Services / st [Standards]
*Internet
Support, Non-U.S. Gov't
Abstract
Misuse of prescription medications is a serious problem largely due to lack of information. Lay users are making use of resources available on the World Wide Web in order to bridge this information gap. It has already been noted though that health and medicine oriented sites present serious shortcomings with regard to quality and reliability of their content. In this review, checklists were used to determine to which extent the criteria suggested for quality evaluation of on-line health information are observed by sites offering information on Rx medications to the public. Also evaluated was the sites comprehensiveness in coverage of important subject specific topics. The reviewed sites met inadequately the proposed quality criteria and presented significant variations in their coverage of the subject. Evaluation of information accuracy remains an unresolved problem in quality assessment, while techniques for automated review and retrieval are urgently needed. In the meantime, though, quality guidelines could prove more useful in getting valuable feedback from information providers and lay users alike, improving quality of information at its point of production. [References: 29]

Citation 41.

Unique Identifier
20033010
PubMed Identifier
10566500
Authors
Shon J. Musen MA.
Institution
Stanford Medical Informatics, Stanford University School of Medicine, CA 94305-5479, USA.
Title
The low availability of metadata elements for evaluating the quality of medical information on the World Wide Web.
Source
Proceedings / AMIA Annual Symposium. :945-9, 1999.
MeSH Subject Headings
Breast Neoplasms / th [Therapy]
Evaluation Studies
Human
*Information Services / st [Standards]
Information Services / sn [Statistics & Numerical Data]
Information Storage and Retrieval
*Internet / st [Standards]
*Patient Education / st [Standards]
Publishing
Quality Control
Support, U.S. Gov't, P.H.S.
Abstract
A great barrier to the use of Internet resources for patient education is the concern over the quality of information available. We conducted a study to determine what information was available in Web pages, both within text and metadata source code, that could be used in the assessment of information quality. Analysis of pages retrieved from 97 unique sites using a simple keyword search for "breast cancer treatment" on a generic and a health-specific search engine revealed that basic publishing elements were present in low frequency: authorship (20%), attribution/references (32%), disclosure (41%), and currency (35%). Only one page retrieved contained all four elements. Automated extraction of metadata elements from the source code of 822 pages retrieved from five popular generic search engines revealed even less information. We discuss the design of a metadata-based system for the evaluation of quality of medical content on the World Wide Web that addresses current limitations in ensuring quality.

Citation 42.

Unique Identifier
20033003
PubMed Identifier
10566493
Authors
Price SL. Hersh WR.
Institution
Division of Medical Informatics and Outcomes Research, Oregon Health Sciences University, Portland, USA.
Title
Filtering Web pages for quality indicators: an empirical approach to finding high quality consumer health information on the World Wide Web.
Source
Proceedings / AMIA Annual Symposium. :911-5, 1999.
MeSH Subject Headings
*Health Education / st [Standards]
Human
*Information Services / st [Standards]
Information Storage and Retrieval
*Internet / st [Standards]
Quality Control
*Software
Abstract
The World Wide Web is an increasingly popular source for consumer health information, but many authors have expressed concerns about the quality of health information present on the Internet. We have developed a prototype system that responds to a consumer health query by returning a list of Web pages that are ranked according to the likely quality of the page contents. A computer program identifies some of the criteria that have been suggested for assessing the quality of health information on the Internet. It also identifies characteristics that may serve as proxies for desirable (or undesirable) qualities that are difficult to assess directly using an algorithm. Intervening in the search process and automatically analyzing the contents of each page returned by a general search engine may facilitate the search for high quality consumer health information on the Web.

Citation 43.

Unique Identifier
20032985
PubMed Identifier
10566475
Authors
Joubert M. Aymard S. Fieschi D. Fieschi M.
Institution
LERTIM, Facult&#x00E9; de M&#x00E9;decine, Universit&#x00E9; de la M&#x00E9;diterran&#x00E9;e, Marseille, France.
Title
Quality criteria and access characteristics of Web sites: proposal for the design of a health Internet directory.
Source
Proceedings / AMIA Annual Symposium. :824-8, 1999.
MeSH Subject Headings
Abstracting and Indexing
Databases / og [Organization & Administration]
Databases / st [Standards]
*Directories
*Health
Information Services / og [Organization & Administration]
*Information Services / st [Standards]
*Internet / st [Standards]
Quality Control
Support, Non-U.S. Gov't
User-Computer Interface
Vocabulary, Controlled
Abstract
The increasing volume of information available on the Internet today is a problem for health care professionals who want to access rapidly data of high quality. Usual search engines and directories are not sufficient to satisfy their needs. Moreover, the information published by Web sites is not always guaranteed. Some institutions around the word deal with the definition of a set of criteria for the evaluation of medical Web sites. We base our current work on the technologies we developed previously in order to integrate sources of information of various kinds using the "Unified Medical Language System" knowledge bases. This paper focuses on quality criteria and access characteristics Web sites should satisfy to be registered in a "Health Internet Directory". The design of such a system is proposed and discussed.

Citation 44.

Unique Identifier
20032927
PubMed Identifier
10566417
Authors
Jones J.
Institution
School of Nursing, University of Wisconsin Madison, USA.
Title
Development of a self-assessment method for patients to evaluate health information on the Internet.
Source
Proceedings / AMIA Annual Symposium. :540-4, 1999.
MeSH Subject Headings
Evaluation Studies
Human
*Information Services / st [Standards]
Information Storage and Retrieval
*Internet / st [Standards]
Pilot Projects
Quality Assurance, Health Care
Questionnaires
Support, U.S. Gov't, P.H.S.
Abstract
For patients to make efficient use of the plethora of health information available on the Internet, they must be able to determine the quality and relevance of that information to their particular situation. Quality and relevance are conceptualized based on behavior and patterns of users on the web. The development and pilot-testing of a self-assessment method for patients to evaluate health care oriented websites are presented. The data analysis of the pilot-study suggests that the subjects perceived the method as helpful in evaluating quality and relevance of health information on the web.

Citation 45.

Unique Identifier
20083479
PubMed Identifier
10617189
Authors
Allen ES. Burke JM. Welch ME. Rieseberg LH.
Title
How reliable is science information on the web? [letter; comment].
Comments
Comment on: Nature. 1999 Jul 8;400(6740):107-9, Comment on: Nature. 1999 Sep 9;401(6749):111
Source
Nature. 402(6763):722, 1999 Dec 16.
Local Messages
Check holdings at all UMDNJ libraries
MeSH Subject Headings
Information Management
*Internet / st [Standards]
Quality Control
*Research / st [Standards]

Citation 46.

Unique Identifier
20067946
PubMed Identifier
10604457
Authors
Elliott R. Frankel MS.
Title
Seeking a guide to the quality of web writing. [letter; comment].
Comments
Comment on: Nature. 1999 Oct 21;401(6755):727
Source
Nature. 402(6762):576, 1999 Dec 9.
Local Messages
Check holdings at all UMDNJ libraries
MeSH Subject Headings
*Internet / st [Standards]
Peer Review, Research
*Writing / st [Standards]

Citation 47.
ALT="Full Text" ALIGN="top"

Unique Identifier
20051486
PubMed Identifier
10584097
Authors
OReilly M.
Institution
mike@oreilly.net
Title
Developing a code of conduct for the Web.
Source
CMAJ. 161(10):1301, 1999 Nov 16.
Local Messages
Check holdings at Cooper, Stratford, New Brunswick, Newark
MeSH Subject Headings
Human
*Internet / st [Standards]
*Medical Informatics / st [Standards]
Quality Control

Citation 48.
ALT="Full Text" ALIGN="top"

Unique Identifier
20047647
PubMed Identifier
10582822
Authors
Hatfield CL. May SK. Markoff JS.
Institution
University of Colorado Health Sciences Center Drug Information Center, School of Pharmacy, University of Colorado, Denver, USA. cathy.hatfield@uchsc.edu
Title
Quality of consumer drug information provided by four Web sites.
Source
American Journal of Health-System Pharmacy. 56(22):2308-11, 1999 Nov 15.
Local Messages
Check holdings at Stratford, New Brunswick, Newark
MeSH Subject Headings
*Drug Information Services / st [Standards]
Human
*Internet
Abstract
The quality of drug-specific information available to consumers on the Internet was studied. The 30 most commonly dispensed prescription drugs were selected to represent those medications for which consumers would be seeking information. A Web page evaluation form was developed to objectively evaluate each site in terms of sponsors, references, recency of updates, ease of use, overall organization, and other characteristics. A second form was developed to qualitatively and quantitatively assess the drug information provided by the sites. Four Internet sites, MedicineNet, RxList, Drug InfoNet, and thriveonline, were evaluated. Authors, contributors, and references were identified for three of the sites. All sites had disclaimers advising patients to seek the advice of a health care professional, all indexed drug information by both brand name and generic name, and all were well organized. Only RxList and MedicineNet contained information on all the drugs evaluated. For the drugs documented, RxList, MedicineNet, Drug InfoNet, and thriveonline contained 84%, 60%, 87%, and 72% of the 22 variables assessed, respectively. The accuracy of the information provided was greater than 98% for all the sites. Only two of four Internet sites containing consumer drug information included all the prescription drugs being evaluated. Most but not all of the information on the four sites was accurate.

Citation 49.

Unique Identifier
99457782
PubMed Identifier
10528475
Authors
Candler C.
Institution
chris-candler@ouhsc.edu
Title
Caveat lector: getting quality out of the Internet.
Source
Journal - Oklahoma State Medical Association. 92(10):508-9, 1999 Oct.
Local Messages
Check holdings at Newark
MeSH Subject Headings
Authorship
Human
Information Storage and Retrieval
*Internet / st [Standards]
*Journalism, Medical / st [Standards]
MEDLINE
Oklahoma
Quality Control

Citation 50.
ALT="Full Text" ALIGN="top"

Unique Identifier
99418920
PubMed Identifier
10488009
Authors
Shepperd S. Charnock D. Gann B.
Institution
Department of Primary Health Care and General Practice, Division of Primary Care and Population Health Sciences, Imperial College of Science Technology and Medicine, London W2 1PG. S.Shepperd@ic.ac.uk
Title
Helping patients access high quality health information. [see comments]. [Review] [22 refs]
Comments
Comment in: BMJ. 1999 Sep 18;319(7212):719-20, Comment in: BMJ. 2000 Jan 1;320(7226):59
Source
BMJ. 319(7212):764-6, 1999 Sep 18.
Local Messages
Check holdings at all UMDNJ libraries
MeSH Subject Headings
Human
Information Services / st [Standards]
*Information Services / sd [Supply & Distribution]
Medical Informatics / st [Standards]
Patient Education
Quality Control
Support, Non-U.S. Gov't

Citation 51.

Unique Identifier
99436694
PubMed Identifier
10506806
Authors
Hersh W.
Institution
Division of Medical Informatics &#38; Outcomes Research, Oregon Health Sciences University, Portland, USA.
Title
The quality of information on the World Wide Web.
Source
Journal of the American College of Dentists. 66(2):43-5, 1999 Summer.
Local Messages
Check holdings at Newark
MeSH Subject Headings
*Dentistry
*Information Services / st [Standards]
*Internet / st [Standards]
Quality Control
Abstract
How can a healthcare provider or patient evaluate the quality of information available on the Internet? The credibility and interests of the host should be considered and a filter that screens sites might help. In the end, however, there is no substitute for the experience of a qualified practitioner.

Citation 52.

Unique Identifier
99364885
PubMed Identifier
10438174
Authors
Booth A.
Institution
School of Health and Related Research, University of Sheffield, UK. A.Booth@sheffield.ac.uk
Title
Pharm-ing cyberspace: the Internet as a tool for evidence based pharmacotherapy.
Source
Journal of Clinical Pharmacy & Therapeutics. 24(3):159-63, 1999 Jun.
MeSH Subject Headings
*Drug Information Services
*Drug Therapy
*Evidence-Based Medicine
Human
*Internet
Patient Care Planning
Quality Control
Abstract
Although the Internet lacks many of the features of a desirable drug information system, it has increasing potential to inform evidence-based patient management. This article considers three contributions that the Internet can make to evidence-based pharmacotherapy; as a delivery mechanism for textual documents, as a complementary source of intelligence and as a source of value-added information. Focusing on exemplar sites, rather than on drug and information sources in general, the author reviews the usefulness and availability of current resources. While limitations of the technology presently constrain its use for direct patient care and the quality of any information must be critically appraised, the Internet has already proved a valuable source for drug evaluation, education, research and audit.

Citation 53.
ALT="Full Text" ALIGN="top"

Unique Identifier
99368601
PubMed Identifier
10439728
Authors
Tramer MR.
Title
How can we cope with the Internet? [letter; comment]. [see comments].
Comments
Comment on: Anesth Analg. 1999 Aug;89(2):520-5, Comment in: Anesth Analg. 2000 May;90(5):1246
Source
Anesthesia & Analgesia. 89(2):271-2, 1999 Aug.
Local Messages
Check holdings at Cooper, Stratford, New Brunswick, Newark
MeSH Subject Headings
Anesthesiology / st [Standards]
Communication
Critical Care / st [Standards]
Human
*Internet / st [Standards]
*Publishing / st [Standards]
Quality Control
Support, Non-U.S. Gov't

Citation 54.

Unique Identifier
99360180
PubMed Identifier
10431511
Authors
Eysenbach G. Diepgen TL.
Institution
Dept. of Clinical Social Medicine, University of Heidelberg, Germany.
Title
Labeling and filtering of medical information on the Internet.
Source
Methods of Information in Medicine. 38(2):80-8, 1999 Jun.
Local Messages
Check holdings at Newark
MeSH Subject Headings
Human
*Information Services / og [Organization & Administration]
*Information Storage and Retrieval
*Internet
*Quality Assurance, Health Care / mt [Methods]
Software
Vocabulary, Controlled
Abstract
Internet information undergoes no quality controls and virtually anybody can publish anything. Because of this, it is difficult for searchers to take information retrieved from the Internet at face value. A related problem is the uncontrolled promotion of medical products on the Internet. A further problem of todays Internet is that authors use no uniform keywords and other descriptive labels, which deteriorates the quality of search results. A solution for all these problems could be widespread use of descriptive and evaluative metainformation associated with medical Internet information. Our concept is based on a recently established infrastructure for assigning metadata to Internet information, the so-called PICS Standard (Platform for Internet Content Selection). We prototyped a PICS-based rating vocabulary for medical information (med-PICS), containing descriptive and evaluative categories, to be used by the webauthor and third-party label services (such as medical associations), respectively. We propose an international effort to assign metadata to medical Internet information.

Citation 55.

Unique Identifier
99327908
PubMed Identifier
10399709
Authors
Sacile R. Wiley T. Lombardo C.
Institution
Department of International Affairs of the National Institute for Cancer Research (INRC) of Genova, Italy.
Title
Quality assurance guidelines for a biomedical information web system: the working experience of the BreakIT project. [Review] [10 refs]
Source
Medical Informatics & the Internet in Medicine. 24(2):109-20, 1999 Apr-Jun.
MeSH Subject Headings
Breast Neoplasms / di [Diagnosis]
Breast Neoplasms / th [Therapy]
Female
*Guidelines
Human
*Internet / st [Standards]
Italy
*Medical Informatics / st [Standards]
Quality Control
Reproducibility of Results
Sensitivity and Specificity
Software / st [Standards]
Support, Non-U.S. Gov't
User-Computer Interface
Abstract
The paper outlines the quality control issues that arise in the implementation of a Web site which delivers biomedical information. At the heart of this study is the need for a methodology to guarantee that the information contained in the site is viable and accurate from both an informatic and a content point of view. This methodology is currently adopted in the Web development of the BreakIT project sponsored by the EU INFO2000 Programme. [References: 10]

Citation 56.

Unique Identifier
99324769
PubMed Identifier
10396447
Authors
Branfoot T. Oliver CW.
Institution
Airedale General Hospital, West Yorkshire, UK.
Title
A review of the quality of trauma protocols on the Internet. [Review] [11 refs]
Source
Injury. 30(1):1-7, 1999 Jan.
Local Messages
Check holdings at Cooper, Stratford, Newark
MeSH Subject Headings
*Clinical Protocols / st [Standards]
Decision Making
Documentation / st [Standards]
Great Britain
Human
*Information Services / st [Standards]
*Internet / st [Standards]
Peer Review, Research
*Quality of Health Care
Traumatology / st [Standards]
United States
*Wounds and Injuries / th [Therapy]
Abstract
A review of trauma protocols found on the Internet was performed in September 1997 to evaluate the content, presentation and usefulness of these resources. A wide variation was found in the nature of these protocols, the educational content and the academic strengths of the web pages. We attempted to define a protocol and a scoring system to assess these documents and reviewed each accordingly. [References: 11]

Citation 57.

Unique Identifier
99078508
PubMed Identifier
9861515
Authors
Boyer C. Selby M. Scherrer JR. Appel RD.
Institution
Health On the Net Foundation, Geneva, Switzerland. celia.boyer@hon.ch
Title
The Health On the Net Code of Conduct for medical and health Websites.
Source
Computers in Biology & Medicine. 28(5):603-10, 1998 Sep.
Local Messages
Check holdings at Newark
MeSH Subject Headings
Advertising
Confidentiality
Credentialing
*Ethics, Medical
*Ethics, Professional
Financial Support
Guidelines
Human
*Internet / st [Standards]
Medical Informatics / st [Standards]
Policy Making
Publishing / st [Standards]
Quality Control
Telemedicine / st [Standards]
Abstract
Internet has become one of the most used communication media. This and the fact that no constraining information publishing policy exists have created an urgent need to control the quality of information circulating through this media. To this purpose, the Health On the Net Foundation has initiated the Code of Conduct (HONcode) for the health/medical domain. This initiative proposes guidelines to information providers, with the aim, on the one hand, of raising the quality of data available on the Net and, on the other hand, of helping to identify Internet sites that are maintained by qualified people and contain reliable data. The HONcode mainly includes the following ethical aspects: the authors credentials, the date of the last modification with respect to clinical documents, confidentiality of data, source data reference, funding and the advertising policy. This article presents the HONcode and its evolution since it was launched in 1996.

Citation 58.

Unique Identifier
99086624
PubMed Identifier
9869800
Authors
McLeod SD.
Title
The quality of medical information on the Internet. A new public health concern. [Review] [19 refs]
Source
Archives of Ophthalmology. 116(12):1663-5, 1998 Dec.
Local Messages
Check holdings at Cooper, Stratford, New Brunswick, Newark
MeSH Subject Headings
Delivery of Health Care / st [Standards]
Human
*Internet / st [Standards]
*Medical Informatics / st [Standards]
Ophthalmology / st [Standards]
*Public Health / st [Standards]
Quality Control
Reproducibility of Results

Citation 59.
ALT="Full Text" ALIGN="top"

Unique Identifier
99051215
PubMed Identifier
9831581
Authors
Eysenbach G. Diepgen TL.
Institution
Unit for Medical Informatics, Epidemiology, and Public Health, Department of Dermatology, University Hospital Erlangen, Hartmannstrasse 14, 91052 Erlangen, Germany. Gunther.Eysenbach@derma.med.uni-erlangen.de
Title
Towards quality management of medical information on the internet: evaluation, labelling, and filtering of information. [see comments]. [Review] [30 refs]
Comments
Comment in: BMJ. 1998 Nov 28;317(7171):1469-70, Comment in: BMJ. 1999 Apr 24;318(7191):1144-5, Comment in: BMJ. 1999 Aug 7;319(7206):385-6
Source
BMJ. 317(7171):1496-500, 1998 Nov 28.
Local Messages
Check holdings at all UMDNJ libraries
MeSH Subject Headings
Information Storage and Retrieval
*Internet / st [Standards]
*Medical Informatics / st [Standards]
Quality Control
Reference Standards

Citation 60.
ALT="Full Text" ALIGN="top"

Unique Identifier
99008434
PubMed Identifier
9794303
Authors
Hersh WR. Gorman PN. Sacherek LS.
Title
Applicability and quality of information for answering clinical questions on the Web.
Source
JAMA. 280(15):1307-8, 1998 Oct 21.
Local Messages
Check holdings at all UMDNJ libraries
MeSH Subject Headings
*Internet
*Medical Informatics Applications
*Quality Assurance, Health Care

Citation 61.

Unique Identifier
98444458
PubMed Identifier
9771496
Authors
Kiley R.
Institution
Welcome Trust, London, UK. r.kiley@wellcome.ac.uk
Title
Quality of medical information on the Internet.
Source
Journal of the Royal Society of Medicine. 91(7):369-70, 1998 Jul.
Local Messages
Check holdings at Stratford, Newark
MeSH Subject Headings
*Computer Communication Networks / st [Standards]
Databases / st [Standards]
Human
*Information Services / st [Standards]
Quackery
Quality Control

Citation 62.
ALT="Full Text" ALIGN="top"

Unique Identifier
98396808
PubMed Identifier
9728636
Authors
Malet GF. Busis NA.
Title
Internet health ratings systems: knowledge vs Babel. [letter; comment].
Comments
Comment on: JAMA. 1998 Feb 25;279(8):611-4
Source
JAMA. 280(8):698; discussion 699, 1998 Aug 26.
Local Messages
Check holdings at all UMDNJ libraries
MeSH Subject Headings
Computer Communication Networks / st [Standards]
*Computer Communication Networks
Medical Informatics / st [Standards]
*Medical Informatics
Quality Control

Citation 63.
ALT="Full Text" ALIGN="top"

Unique Identifier
98396807
PubMed Identifier
9728635
Authors
Clarke HF.
Title
Internet health ratings systems: knowledge vs Babel. [letter; comment].
Comments
Comment on: JAMA. 1998 Feb 25;279(8):611-4
Source
JAMA. 280(8):698; discussion 699, 1998 Aug 26.
Local Messages
Check holdings at all UMDNJ libraries
MeSH Subject Headings
Computer Communication Networks / st [Standards]
*Computer Communication Networks
Medical Informatics / st [Standards]
*Medical Informatics
Quality Control

Citation 64.
ALT="Full Text" ALIGN="top"

Unique Identifier
98396809
PubMed Identifier
9728637
Authors
Rippen HE. Guard R. Kragen M. Byrns P. Silber D. Buckovich S.
Title
Internet health ratings systems: knowledge vs Babel. [letter; comment].
Comments
Comment on: JAMA. 1998 Feb 25;279(8):611-4
Source
JAMA. 280(8):698-9, 1998 Aug 26.
Local Messages
Check holdings at all UMDNJ libraries
MeSH Subject Headings
Computer Communication Networks / st [Standards]
*Computer Communication Networks
Medical Informatics / st [Standards]
*Medical Informatics
Quality Control
Support, U.S. Gov't, P.H.S.

Citation 65.
ALT="Full Text" ALIGN="top"

Unique Identifier
98396806
PubMed Identifier
9728634
Authors
Badgett RG. Lawrence JC.
Title
Internet health ratings systems: knowledge vs Babel. [letter; comment].
Comments
Comment on: JAMA. 1998 Feb 25;279(8):611-4
Source
JAMA. 280(8):697-8; discussion 699, 1998 Aug 26.
Local Messages
Check holdings at all UMDNJ libraries
MeSH Subject Headings
Computer Communication Networks / st [Standards]
*Computer Communication Networks
Medical Informatics / st [Standards]
*Medical Informatics
Quality Control

Citation 66.
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Unique Identifier
98342279
PubMed Identifier
9677206
Authors
Coulter A.
Title
Evidence based patient information. is important, so there needs to be a national strategy to ensure it. [letter; comment]. [see comments].
Comments
Comment on: BMJ. 1998 Jul 25;317(7153):263-4, Comment on: BMJ. 1998 Jul 25;317(7153):264-5, Comment in: BMJ. 1999 Feb 13;318(7181):461, Comment in: BMJ. 1999 Feb 13;318(7181):461-2, Comment in: BMJ. 1999 Feb 13;318(7181):462
Source
BMJ. 317(7153):225-6, 1998 Jul 25.
Local Messages
Check holdings at all UMDNJ libraries
MeSH Subject Headings
*Evidence-Based Medicine
Human
Information Services / st [Standards]
*Information Services
Quality Control

Citation 67.

Unique Identifier
99455799
PubMed Identifier
10621388
Authors
Garrison S.
Institution
Duke University Medical Center Library, Durham, NC 27710, USA.
Title
Evaluating health Internet sites: a white papers criteria.
Source
Medical Reference Services Quarterly. 17(3):41-7, 1998 Fall.
Local Messages
Check holdings at Stratford, New Brunswick, Newark
MeSH Subject Headings
Evaluation Studies
*Health Care Sector
*Information Services / st [Standards]
*Internet / st [Standards]
Quality Control
Societies
United States

Citation 68.

Unique Identifier
99163333
PubMed Identifier
10344953
Authors
Gann B.
Institution
Centre for Health Information Quality, Winchester, UK.
Title
Centre for Health Information Quality.
Source
Health Libraries Review. 15(4):295-6, 1998 Dec.
MeSH Subject Headings
Great Britain
*Health Education
*Information Centers
*Information Services / st [Standards]
Internet
Quality Control
State Medicine / st [Standards]

Citation 69.

Unique Identifier
96315510
PubMed Identifier
10159428
Authors
Phillips DF.
Title
Is the Internet a health hazard?.
Source
Hospital Technology Series. 15(7):4-5, 1996 Jun.
MeSH Subject Headings
*Computer Communication Networks / st [Standards]
*Health Education / st [Standards]
Quality Control
Referral and Consultation
United States

Citation 70.
ALT="Full Text" ALIGN="top"

Unique Identifier
98146162
PubMed Identifier
9486757
Authors
Jadad AR. Gagliardi A.
Institution
Health Information Research Unit, Canadian Cochrane Network and Centre, McMaster University, Hamilton, Ontario. jadada@fhs.mcmaster.ca
Title
Rating health information on the Internet: navigating to knowledge or to Babel? [see comments]. [Review] [14 refs]
Comments
Comment in: JAMA. 1998 Aug 26;280(8):697-8; discussion 699, Comment in: JAMA. 1998 Aug 26;280(8):698-9, Comment in: JAMA. 1998 Aug 26;280(8):698; discussion 699
Source
JAMA. 279(8):611-4, 1998 Feb 25.
Local Messages
Check holdings at all UMDNJ libraries
MeSH Subject Headings
Computer Communication Networks / st [Standards]
*Computer Communication Networks
Medical Informatics / st [Standards]
*Medical Informatics
Quality Control
Support, Non-U.S. Gov't
Abstract
CONTEXT: The rapid growth of the Internet has triggered an information revolution of unprecedented magnitude. Despite its obvious benefits, the increase in the availability of information could also result in many potentially harmful effects on both consumers and health professionals who do not use it appropriately. OBJECTIVES: To identify instruments used to rate Web sites providing health information on the Internet, rate criteria used by them, establish the degree of validation of the instruments, and provide future directions for research in this area. DATA SOURCES: MEDLINE (1966-1997), CINHAL (1982-1997), HEALTH (1975-1997), Information Science Abstracts (1966 to September 1995), Library and Information Science Abstracts (1969-1995), and Library Literature (1984-1996); the search engines Lycos, Excite, Open Text, Yahoo, HotBot, Infoseek, and Magellan; Internet discussion lists; meeting proceedings; multiple Web pages; and reference lists. INSTRUMENT SELECTION: Instruments used at least once to rate the quality of Web sites providing health information with their rating criteria available on the Internet. DATA EXTRACTION: The name of the developing organization, Internet address, rating criteria, information on the development of the instrument, number and background of people generating the assessments, and data on the validity and reliability of the measurements. DATA SYNTHESIS: A total of 47 rating instruments were identified. Fourteen provided a description of the criteria used to produce the ratings, and 5 of these provided instructions for their use. None of the instruments identified provided information on the interobserver reliability and construct validity of the measurements. CONCLUSIONS: Many incompletely developed instruments to evaluate health information exist on the Internet. It is unclear, however, whether they should exist in the first place, whether they measure what they claim to measure, or whether they lead to more good than harm. [References: 14]

Citation 71.
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Unique Identifier
97420666
PubMed Identifier
9276651
Authors
Culver JD. Gerr F. Frumkin H.
Institution
Department of Environmental and Occupational Health, Rollins School of Public Health of Emory University, Atlanta, GA 30322, USA.
Title
Medical information on the Internet: a study of an electronic bulletin board. [see comments].
Comments
Comment in: J Gen Intern Med. 1997 Aug;12(8):511-2
Source
Journal of General Internal Medicine. 12(8):466-70, 1997 Aug.
Local Messages
Check holdings at Cooper, Stratford, New Brunswick, Newark
MeSH Subject Headings
Alternative Medicine
Arm / pp [Physiopathology]
*Computer Communication Networks
Cumulative Trauma Disorders / pp [Physiopathology]
Hand / pp [Physiopathology]
Human
Patient Education
Quality Assurance, Health Care
*Self-Help Groups
Support, U.S. Gov't, P.H.S.
Abstract
OBJECTIVE: To assess medical information provided in a medically oriented Internet discussion group, in terms of the professional status of the individuals providing information, the consistency of the information with standard medical practice, and the nature of the evidence cited in support of specific claims or recommendations. DESIGN: Standardized review of 1,658 consecutive messages on a particular online discussion group during a 5-month period. SETTING: An online discussion group for sufferers of painful hand and arm conditions. SUBJECTS: All participants in this discussion group during the study period. MEASUREMENTS AND MAIN RESULTS: Professional training of those offering medical information, consistency of the advice and recommendations offered with conventional medical practice, and nature of evidence cited in support of medical claims were determined. Of all messages, 55.9% (927) addressed a medical topic. Of these, 79% (732) provided medical information, of which 89.3% (654) were authored by persons without professional medical training, and 5.1% (37) were authored by trained health professionals. Approximately one third of the medical information provided was classified as unconventional. Personal experience was the basis of information provided in 61% of the nonprofessionals messages and 13.5% of the professionals messages, while no source was given as the basis of information provided in 29.8% of the nonprofessionals messages and 67.6% of the professionals messages. A published source was cited in 9.2% of the nonprofessionals and 18.9% of the professionals messages. CONCLUSIONS: These findings suggest that medical information available on Internet discussion groups may come from nonprofessionals and may be unconventional, based on limited evidence, and/or inappropriate.

Citation 72.
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Unique Identifier
97417515
PubMed Identifier
9272888
Authors
Strauss K.
Title
Quality of medical information on the Internet. [letter; comment].
Comments
Comment on: JAMA. 1997 Apr 16;277(15):1244-5
Source
JAMA. 278(8):632; discussion 632-3, 1997 Aug 27.
Local Messages
Check holdings at all UMDNJ libraries
MeSH Subject Headings
*Computer Communication Networks / st [Standards]
*Information Services / st [Standards]
*Medical Informatics / st [Standards]
Quality Control

Citation 73.
ALT="Full Text" ALIGN="top"

Unique Identifier
97417514
PubMed Identifier
9272887
Authors
Mack J.
Title
Quality of medical information on the Internet. [letter; comment].
Comments
Comment on: JAMA. 1997 Apr 16;277(15):1244-5
Source
JAMA. 278(8):632; discussion 632-3, 1997 Aug 27.
Local Messages
Check holdings at all UMDNJ libraries
MeSH Subject Headings
*Computer Communication Networks / st [Standards]
*Information Services / st [Standards]
*Medical Informatics / st [Standards]
Quality Control

Citation 74.

Unique Identifier
98019829
PubMed Identifier
9356981
Authors
Wootton JC.
Institution
Richard and Hinda Rosenthal Center for Complementary &#38; Alternative Medicine, Columbia University, College of Physicians and Surgeons, New York, New York, USA.
Title
The quality of information on womens health on the Internet.
Source
Journal of Womens Health. 6(5):575-81, 1997 Oct.
Local Messages
Check holdings at New Brunswick
MeSH Subject Headings
Adult
*Computer Communication Networks
Female
Human
*Information Services / st [Standards]
Knowledge, Attitudes, Practice
Quality Control
*Women's Health
Abstract
The World Wide Web is an excellent information resource for professionals and the public to gain clinical knowledge. Internet technology has changed the way we perceive and present data because of the speed with which complex data manipulations are now possible and the vast quantities of data involved. The need for current, comprehensive data gave rise to a prevailing tradition of clear, factual, and impartial information resources on the Internet. Most arguments in favor of regulating and restricting the information that is accessible to patients underestimate the power of the new health care consumers and fail to distinguish between quality of information and quality of knowledge.

Citation 75.
ALT="Full Text" ALIGN="top"

Unique Identifier
97256510
PubMed Identifier
9103351
Authors
Silberg WM. Lundberg GD. Musacchio RA.
Title
Assessing, controlling, and assuring the quality of medical information on the Internet: Caveant lector et viewor--Let the reader and viewer beware. [see comments].
Comments
Comment in: JAMA. 1997 Aug 27;278(8):632; discussion 632-3
Source
JAMA. 277(15):1244-5, 1997 Apr 16.
Local Messages
Check holdings at all UMDNJ libraries
MeSH Subject Headings
Computer Communication Networks / st [Standards]
*Computer Communication Networks
Information Services / st [Standards]
*Information Services
Medical Informatics / st [Standards]
*Medical Informatics
Publishing
Quality Assurance, Health Care
Quality Control

Citation 76.

Unique Identifier
96315510
PubMed Identifier
10159428
Authors
Phillips DF.
Title
Is the Internet a health hazard?.
Source
Hospital Technology Series. 15(7):4-5, 1996 Jun.
MeSH Subject Headings
*Computer Communication Networks / st [Standards]
*Health Education / st [Standards]
Quality Control
Referral and Consultation
United States

Citation 77.

Unique Identifier
96205708
PubMed Identifier
10157639
Authors
van Leeuwen D. Marks L.
Institution
HANYS Services, Inc., Albany, NY, USA.
Title
Using the Internet for professional development.
Source
Journal for Healthcare Quality. 18(3):22-3,; quiz 23, 42, 1996 May-Jun.
Local Messages
Check holdings at New Brunswick
MeSH Subject Headings
*Administrative Personnel / ed [Education]
*Career Mobility
*Computer Communication Networks / ut [Utilization]
Education, Continuing
Organizational Culture
*Quality Assurance, Health Care / og [Organization & Administration]
Total Quality Management
United States
Abstract
This article relates how having access to and learning to use the Internet can benefit the careers of quality management professionals. Some ways to use the Internet for career enhancement are addressed, and some basic terms are explained.

Citation 78.

Unique Identifier
97042878
PubMed Identifier
8888076
Authors
Marra CA. Carleton BC. Lynd LD. Marra F. McDougal AR. Chow D. McKerrow R.
Institution
Pharmaceutical and Outcomes Research Program, British Columbia's Children's and Women's Hospitals, Vancouver, Canada. cmarra@unixg.ubc.ca
Title
Drug and poison information resources on the Internet, Part 2: Identification and evaluation. [Review] [8 refs]
Source
Pharmacotherapy. 16(5):806-18, 1996 Sep-Oct.
Local Messages
Check holdings at Cooper, New Brunswick, Newark
MeSH Subject Headings
Comparative Study
*Computer Communication Networks / og [Organization & Administration]
*Drug Information Services / og [Organization & Administration]
Evaluation Studies
Information Systems
Medical Informatics
Poisoning
Quality Control
Abstract
The Internet is a potential source of information for practitioners and researchers of pharmaceutical sciences. Despite its explosive growth and popularity, pharmacists and other health care providers have been slow to use the Internet as a source of clinical information. We have identified and evaluated several sites available on the Internet that are devoted to providing information related to professional practice, pharmacotherapy, and toxicology. We have concerns, however, regarding the quality of the available information and advise users to be cautious in using the data they obtain. [References: 8]