Finding and Evaluating Finding and Evaluating Medical I nformation - - PowerPoint PPT Presentation
Finding and Evaluating Finding and Evaluating Medical I nformation on Medical I nformation on the I nternet the I nternet Peter J. Ziemkowski, MD Peter J. Ziemkowski, MD MSU/Kalamazoo Center for Medical Studies MSU/Kalamazoo Center for
MSU/Kalamazoo Center for Medical Studies MSU/Kalamazoo Center for Medical Studies Family Medicine Residency Program Family Medicine Residency Program
MSU/Kalamazoo Center for Medical Studies MSU/Kalamazoo Center for Medical Studies Family Medicine Residency Program Family Medicine Residency Program
61% of American adults use the internet for information.
– – 63% of American adult internet users have searched for medical 63% of American adult internet users have searched for medical information about a disease. information about a disease. – – = = 93 million people
93 million people
– – Half of these searchers use internet Half of these searchers use internet as their first resource.
as their first resource.
– – Tend to use general internet search sites Tend to use general internet search sites
Google, MSN search, Yahoo… …
What about physicians?
– – 98% of medical residents use the internet 98% of medical residents use the internet
What about physicians?
– – 98% of medical residents use the internet 98% of medical residents use the internet – – 40 40-
50% of practicing physicians use information technology for clinical care clinical care
What about physicians?
– – 98% of medical residents use the internet 98% of medical residents use the internet – – 40 40-
50% of practicing physicians use information technology for clinical care clinical care
So just how do we know that his information is any good?
National Network of Libraries of Medicine Libraries of Medicine (NNLM) WebSite Evaluation (NNLM) WebSite Evaluation Criteria Criteria
– – 42 questions 42 questions – – each worth + / each worth + / -
1-
3 points
Authority,
Currency,
Information,
Scope/Selection,
Audience,
Value,
Accuracy,
Advertising,
Navigation,
Speed,
Access
– – Rated overall on scale Rated overall on scale
25 = Poor
26-
50 = Weak
51-
60 = Average
61-
70 = Good
71-
80 = Excellent
Health Resources on the Internet, National Network of Libraries of Medicine, http://nnlm.gov/train/hri/ (accessed April 10, 2005)
Accurate?
?
– – Does it appear to contain fact? Does it appear to contain fact? – – Does this information agree with the most recent you are Does this information agree with the most recent you are aware of, or can you verify it? aware of, or can you verify it?
Qualified?
?
– – Are their qualifications apparent and verifiable? Are their qualifications apparent and verifiable?
Objective?
?
– – Are there any hidden agendas such as a support for a Are there any hidden agendas such as a support for a commercial product? commercial product?
Timely?
?
– – When and how often is it updated? When and how often is it updated?
Complete?
?
– – Are any important facts or suggestions missing? Are any important facts or suggestions missing?
Adapted from Health Resources on the Internet, National Network of Libraries of Medicine, http://nnlm.gov/train/hri/ (accessed April 10, 2005)
Univ of Iowa, Hardin MD
www.lib.uiowa.edu/hardin/md/ www.lib.uiowa.edu/hardin/md/
Yahoo: www.yahoo.com www.yahoo.com/health /health
Google: directory.google.com directory.google.com/Top/Health/Medicine/ /Top/Health/Medicine/
Medical Matrix: www.medmatrix.org www.medmatrix.org
www.aafp.org
www.mayo.com
Windows Live Search
Goal is to “ “hand write the top 20,000 search hand write the top 20,000 search terms terms” ”
Being listed at top of an internet search engine is no guarantee of quality. guarantee of quality.
The seeker needs to determine the quality of internet information information
Tools exist to help evaluate that quality
– – They can be cumbersome and difficulty to apply at the point of They can be cumbersome and difficulty to apply at the point of care. care.
Simple tools (heuristics) need be developed to allow physicians to estimate quality of internet information at the physicians to estimate quality of internet information at the point of care. point of care.
Patients need to be taught sources of good quality internet health information. health information.
– – www.familydoctor.org www.familydoctor.org – – www.medlineplus.gov www.medlineplus.gov
Health Resources on the Internet, National Network of National Network of Libraries of Medicine, Libraries of Medicine, http://nnlm.gov/train/rhi/ http://nnlm.gov/train/rhi/
Google, Google, Inc, Google, Inc, www.google.com www.google.com
Internet, the Mainstreaming of Online Life, Pew Internet & Pew Internet & American Life Project, American Life Project, http://www.pewinternet.org/pdfs/Internet_Status_2005.pdf http://www.pewinternet.org/pdfs/Internet_Status_2005.pdf
Fox, S. Dr. Google’ ’s office never closes, s office never closes, Pew Internet & Pew Internet & American Life Project, American Life Project, http://www.pewinternet.org/PPF/r/41/presentation_display.as http://www.pewinternet.org/PPF/r/41/presentation_display.as p p
Parekh SG, Nazarian, DG, Lim CK, Adoption of information , Adoption of information technology by resident physicians. technology by resident physicians. Clin Orthop Relat Res. Clin Orthop Relat Res. 2004 Apr; (421): 107 2004 Apr; (421): 107-
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Miller RH, Hillman, JM, Given RS, Physician use of IT: results Physician use of IT: results for the Deloitte Research Survey, J Healthc Inf Manag, 2004 for the Deloitte Research Survey, J Healthc Inf Manag, 2004 Winter, 18 (1): 72 Winter, 18 (1): 72-
80
– – Online Health Search 2006 Online Health Search 2006
http://www.pewinternet.org/PPF/r/190/report_display. asp asp
– – Finder Answers Online in Sickness and in Health Finder Answers Online in Sickness and in Health
http://www.pewinternet.org/PPF/r/183/report_display. asp asp
– – Health Information Online Health Information Online
http://www.pewinternet.org/PPF/r/139/report_display. asp asp
– – Prescription Drugs Online Prescription Drugs Online
http://www.pewinternet.org/PPF/r/139/report_display. asp asp