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E-Medicine and Health Care Consumers: Recognizing Current Problems and Possible Resolutions for a Safer Environment

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Abstract

Millions of Americans access the Internet forhealth information, which is changing the waypatients seek information about, and oftentreat, certain medical conditions. It isestimated that there may be as many as 100,000health-related Web sites. Theavailability of so much health informationpermits consumers to assume more responsibilityfor their own health care. At the same time,it raises a number of issues that need to beaddressed. The health information available toInternet users may be inaccurate orout-of-date. Potential conflicts of interestresult from the blurring of the distinctionbetween advertising and professional healthinformation. Also, potential threats to privacymay result from data mining. Health care consumers need to be able toevaluate the quality of the informationprovided on the Internet. Various evaluativemechanisms such as codes of ethics, ratingsystems, and seals of approval have beendeveloped to aid in this process. Theeffectiveness of these solutions is evaluated inthis paper. Finally, the paper addresses theimportance of including patients in developingstandardized quality assurance systems for online health information.

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References

  • Achenbach, J. (1996, December 4) Reality Check: You Can't Believe Everything You Read, But You'd Better Believe This. Washington Post, p. C1.

  • Adelhard, K. (2000) Quality Assurance of Medical Information on the Internet. Studies in Health Technology and Informatics 77, 284–287.

    Google Scholar 

  • Adelhard K. and Obst, O. (1999) Evaluation of Medical Internet Sites. Methods of Information in Medicine 38(2), 75–79.

    Google Scholar 

  • Americans seek health information online (1999, August 5) Reuters Health.

  • Anderson, J.G. (1999) The Business of Cyberhealthcare. MD Computing 16(6), 23–25.

    Google Scholar 

  • Anderson, J.G. (2000) Health Information on the Internet: Let the Viewer Beware (caveat viewor). MD Computing 17(4), 19–21.

    Google Scholar 

  • Anderson, J.G. (2001) CyberHealthcare: Reshaping the Physician-Patient Relationship. MD Computing 18(1, 21–22.

    Google Scholar 

  • Anderson, J.G. and Goodman, K.J. (2002) Ethics and Information Technology: A Case-Based Approach to a Health Care System in Transition. New York: Springe.

    Google Scholar 

  • Bader, S.A. and Braude, R.M. (1998) “Patient Informatics”: Creating New Partnerships in Medical Decision Making. Academic Medicine 73(4), 408–411.

    Google Scholar 

  • Ball, M.J. and Lillis, J. (2001) E-health: Transforming the Physician/Patient Relationship. International Journal of Medical Informatics 61(1), 1–10.

    Google Scholar 

  • Berland, G.K., Elliott, M.C., Morales, L.S., Algazy, J.I., Kravitz, R.L., Broder, M.S., Kanouse, D.E., Munoz, J.A., Puyol, J.A., Lara, M., Watkins, K.E., Yang, H. and McGlynn, E.A. (2001) Health Information on the Internet: Accessibility, Quality and Readability in English and Spanish. Journal of the American Medical Association 285, 2612–2621.

    Google Scholar 

  • Bottles, K. (2000) Patients and Doctors: Some Thoughts on an Evolving Relationship Amid Unprecedented Change. Health Affairs 8(3), 34–36.

    Google Scholar 

  • Chase, M. (2000, February 8) Do Sponsors Sway Health Web Sites? Wall Street Journal, p. B7.

  • Cochrane, J.D. (1999, May) Healthcare @ the Speed of Thought. Integrated Healthcare Report, 1–14, 16-17.

  • Coelho, P.C. (1998) The Internet: Increasing Information, Decreasing Certainty. Journal of the American Medical Association 280, 1454.

    Google Scholar 

  • D'Alessandro, D.M. and Dosa, N.P. (2001) Empowering Children and Families with Information Technology. Archives of Pediatrics and Adolescent Medicine 155, 1131–1136.

    Google Scholar 

  • Eysenbach, G. (2000) Consumer Health Informatics. British Medical Journal 320, 1713–1716.

    Google Scholar 

  • Eysenbach, G. and Diepgen, T.L. (1998) Towards Quality Management of Medical Information on the Internet: Evaluation, Labeling, and Filtering of Information. British Medical Journal 317, 1496–1500.

    Google Scholar 

  • Eysenbach, G., Sa, E.R. and Diepgen, T.L. (1999) Shopping Around the Internet Today and Tomorrow: Towards the Millennium of Cybermedicine [Electronic version]. British Medical Journal 319, 1294–1298.

    Google Scholar 

  • Federal Trade Commission (2001, June) Virtual “Treatments” Can be Real-world Deceptions. Retrieved December 13, 2001, from http://www.ftc.gov/bcp/conline/pubs/alerts/ mrclalrt.pdf

  • Foley, J. (1996) Data Dilemma. Information Week. June 10, pp. 14–16.

  • Foubister, V. (2000, July 31) Developing Rules for the Web. American Medical News Retrieved July 27, 2000, from http://www.ama-assn.org/sci-pubs/amnews/pick_00/ prsa0731.htm

  • Goldsmith, J. (2000) How Will the Internet Change Our Health System? Health Affairs 19(1), 148–156.

    Google Scholar 

  • Guidelines for AMA Web sites (2000) Journal of the American Medical Association 283, 1602–1606.

    Google Scholar 

  • Harris Interactive (2001, April 25) 100 Million US Net Users Are 'Cyberchondriacs.' Retrieved December 10, 2001, from http://www.nua.ie/surveys/index.cgi

  • Harrow, Jr., R.O. (1998, February 15) Prescription Sales, Privacy Fears: CVS, Giant Share Customer Records with Drug Marketing Firm. The Washington Post, p. A1.

  • Health on the Internet Foundation (1997, April) HON Code of Conduct (HONcode) for Medical and Health Web Sites. Retrieved September 19, 2001, from http://www.hon.ch/ HONcode/Conduct.html

  • Hersh, W.R., Gorman, P.N. and Sacherek, L.S. (1998) Applicability and Quality of Information for Answering Clinical Questions on the Web. Journal of the American Medical Association 280, 1307–1308.

    Google Scholar 

  • Impicciatore, P., Pandolfini, C., Casella, N. and Bonati, M. (1997) Reliability of Health Information for the Public on the WorldWideWeb: Systematic Survey of Advice on Managing Fever in Children at Home. British Medical Journal 314, 1875–1879.

    Google Scholar 

  • Jadad, A.R. (1999) Promoting Partnerships: Challenges for the Internet Age. British Medical Journal 319, 761–764.

    Google Scholar 

  • Jadad, A.R. and Gagliardi, A. (1998) Rating Health Information on the Internet. Navigating to Knowledge or to Babel? Journal of the American Medical Association 279, 611–614.

    Google Scholar 

  • Kassirer, J.P. (1995) The Next Transformation in the Delivery of Health Care. New England Journal of Medicine 332, 52–54.

    Google Scholar 

  • Kassirer, J.P. (2000) Patients, Physicians, and the Internet. Health Affairs 19(6), 115–123.

    Google Scholar 

  • Landro, L. (2000, April 28) Cancer Support Sites Are Raising Questions About Medical Privacy. The Wall Street Journal, p. B1.

  • Levit, K., Cowan, C., Lazenby, H., Sensenig, A., McDonnell, P., Stiller, J., Martin, A. and the Health Accounts Team (2000) Trends: Health Spending in 1998: Signals of Change. Health Affairs 19(1), 124–132.

    Google Scholar 

  • Licciardone, J.C., Herron, K.M., Clark, A.J. and Squires, D. (1998) Clinic-based Health InformationWeb Site for International Travelers. Journal of the American Medical Association 280, 1310.

    Google Scholar 

  • Lindberg D.A.B. and Humphreys, B.L. (1998) Medicine and Health on the Internet. The Good, the Bad, and the Ugly. Journal of the American Medical Association 280, 1303–1304.

    Google Scholar 

  • Medical Help on the Internet (1997) Consumer Reports 62, 27–31.

    Google Scholar 

  • Pal, B. (2000) Internet Helps Communication Between Doctors and Patients. British Medical Journal 320, 59.

    Google Scholar 

  • PRNewswire (1999, October 25) Minnesota Takes the Lead on Agreement to Protect 41 Million Americans. Retrieved April 11, 2000, from http://www.epic.org/privacy/medical/ merck.txt.

  • Pallen, M. (1995) Guide to the Internet: The World Wide Web. British Medical Journal 311, 1552–1556.

    Google Scholar 

  • Rippen, H. and Risk, A. (2000, February 18) E-health Ethics Draft Code. E-health Ethics Initiative. Journal of Medical Internet Research 2(1), Article e2. Retrieved December 10, 2001, from http://www.jmir.org/2000/1/e2

  • Rose, S., Bruce, J. and Maffulli, N. (1998)Accessing the Internet for Patient Information about Orthopedics. Journal of the American Medical Association 280, 1309.

    Google Scholar 

  • Sheppard, S., Charnock, D. and Gann, B. (1999) Helping Patients Access High Quality Health Information. British Medical Journal 319, 764–766.

    Google Scholar 

  • Shortliffe, E.H. and Perrault, L. (1990) Medical Informatics: Computer Applications in Health Care. Reading, MA: Addison-Wesley.

    Google Scholar 

  • Silberg, W.M., Lundberg, G.D. and 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. Journal of the American Medical Association 277, 1244–1245.

    Google Scholar 

  • Stolberg, S.G. (1999, June 25) Trade Agency Finds Web Slippery with Snake Oil. New York Times, p. A16.

  • The Internet and Health: Quality and Care (2000) Health Affairs 19(6), 103.

  • U.S. Congressional Office of Technology Assessment (1993) Protecting Privacy in ComputerizedMedical Information (OTA-TCT-576). Washington, DC: U.S.Government Printing Office.

    Google Scholar 

  • Widman, L. and Tong, D. (1997) Requests for Medical Advice from Patients and Families to Health Care Providers Who Publish on the World Wide Web Archives of Internal Medicine 157, 209–212.

    Google Scholar 

  • Winker, M.A., Flanagin, A., Chi-Lum, B., White, J., Andrews K., Kennett, R.L., DeAngelis C.D. and Musacchio, R.A. (2000) Guidelines for Medical and Health Information Sites on the Internet. Principles Governing AMA Web Sites. Journal of the American Medical Association 283, 1600–1601.

    Google Scholar 

  • Wyatt J.C. (1997) Commentary: Measuring Quality and Impact of the World Wide Web. British Medical Journal 314, 1879–1881.

    Google Scholar 

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Authors and Affiliations

  1. Department of Communication, College of Communications & Information Studies, University of Kentucky, Grehan Building, Lexington, KY, 40506-0042, USA

    Maria Brann

  2. Department of Sociology & Anthropology, Purdue University, Stone Hall, Lafayette, IN, 47907-2039, USA

    James G. Anderson

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  1. Maria Brann
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  2. James G. Anderson
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Brann, M., Anderson, J.G. E-Medicine and Health Care Consumers: Recognizing Current Problems and Possible Resolutions for a Safer Environment. Health Care Analysis 10, 403–415 (2002). https://doi.org/10.1023/A:1023483327756

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