Skip to main content

Level 0: Searching – Finding – Trusting – Acting – Risking One’s Life?

  • Chapter
  • 1500 Accesses

Part of the book series: Health Informatics ((HI))

Abstract

The Internet and mobile apps have become so commonplace that using them to find health information and guidance is a natural consequence. Surveys confirm large and still rising figures of citizens actually searching and interpreting such information. Surveys also demonstrate alarming deficiencies:

  • Irrational management of information

  • Deceived self assessment of one’s competence

  • Erroneous interpretation of found advice

Regarding the indeterminacy and inaccuracy of widely used search engines when using lay language and the extent of intentionally biased material it is amazing how little Internet caused harm is reported. Attempts to emulate human instincts to search for trust anchors through sensual trustmarks for high quality resources have by and large failed. Commonly acknowledged quasi authorities such as the NLM or Wikipedia do not excel in quality.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   49.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   89.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   99.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Notes

  1. 1.

    Google is a trademark of Google Inc.

  2. 2.

    Some of the found websites highlight urgent diagnoses but others just list them.

  3. 3.

    Google is a trademark of Google Inc., also in combinations google.com, google.ca. Yahoo! is a trademark of Yahoo! Inc. Bing is a registered trademark of Microsoft. For better readability theTM and® signs are not attached to every occurrence of the trademarked symbols in this section.

  4. 4.

    Pew Research Center is a Washington DC based “nonpartisan fact tank …trends shaping America and the World.”

  5. 5.

    Health On the Net Foundation, http://www.hon.ch

  6. 6.

    Meanwhile merged to form the WG Consumer and Pervasive Health Informatics.

  7. 7.

    These observations were collected on March 14, 2015, and things may be different on March 15. However, the general impression of NLM’s policy of “Let’s show all the related stuff we have” has been the same throughout visits in the past.

References

  1. Brockes MC, Neuhaus Bühler RP, Schulz E, Neumann CL, Schmidt-Weitmann S. Medizinische Online-Beratung im Universitätsspital Zürich vor und nach Einführung einer Bearbeitungsgebühr (in German). Dtsch Med Wochenschr. 2010;135:231–5. doi: 10.1055/s-0029-1244838.

    Article  CAS  PubMed  Google Scholar 

  2. Boyer C. e-mail Feb 8, 2015. Personal communication. C. Boyer is Executive Director of Health On the Net Foundation.

    Google Scholar 

  3. Chumber S, Huber J, Ghezzi P. A methodology to analyze the quality of health information on the internet. Diabetes Educ. 2015;41(1):95–105. doi: 10.1177/0145721714560772.

    Article  PubMed  Google Scholar 

  4. Clauson KA, Polen HH, Boulos MNK, Dzenowagis H. Scope, completeness, and accuracy of drug information in wikipedia. Ann Pharmacother. 2008;42:1814–21. doi: 10.1345/aph.1L474.

    Article  PubMed  Google Scholar 

  5. Crocco AG, Villasis-Keever M, Jadad AR. Analysis of cases of harm associated with use of health information on the internet. JAMA. 2002;287(21):2869–72. doi: 10.1001/jama.287.21.2869.

    Article  PubMed  Google Scholar 

  6. Davis JJ, Cross E, Crowley J. Pharmaceutical websites and the communication of risk information. J Health Commun. 2007;12:29–39. doi: 10.1080/10810730601091326.

    Article  PubMed  Google Scholar 

  7. Harris PR, Sillence E, Briggs P. Perceived threat and corroboration: key factors that improve a predictive model of trust in internet-based health information and advice. JMIR. 2011;13(3):e51. doi: 10.2196/jmir.1821.

    PubMed Central  PubMed  Google Scholar 

  8. Jank S, Bertsche T, Herzog W, Haefeli WE. Patient knowledge on oral anticoagulants: results of a questionnaire survey in Germany and comparison with the literature. Int J Clin Pharmacol Ther. 2008;46:280–8.

    Article  CAS  PubMed  Google Scholar 

  9. Keselman A, Logan R, Smith CA, Leroy G, Zeng-Treitler Q. Developing informatics tools and strategies for consumer-centered health communication. JAMIA. 2008;15(4):473–83. doi: 10.1197/jamia.M2744; http://jamia.bmj.com/content/15/4/473.short.

    Google Scholar 

  10. Kuehn BM. More than one-third of US individuals use the internet to self-diagnose. JAMA. 2013;309(8):756–7. doi: 10.1001/jama.2013.629.

    Article  CAS  PubMed  Google Scholar 

  11. Lovett KM, Liang BA, Mackey TK. Risks of online direct-to-consumer tumor markers for cancer screening. J Clin Oncol. 2012;30(13):1411–4. doi: 10.1200/JCO.2011.37.8984.

    Article  PubMed  Google Scholar 

  12. Law MR, Mintzes B, Morgan G. The sources and popularity of online drug information: an analysis of top search engine results and web page views. Ann Pharmacother. 2011;45:350–6. doi: 10.1345/aph.1P572.

    Article  PubMed  Google Scholar 

  13. Muchnik L, Aral S, Taylor SJ. Social influence bias: a randomized experiment. Science. 2013;341:647–50. doi: 10.1126/science.1240466.

    Article  CAS  PubMed  Google Scholar 

  14. Mitchell J, Read J. Attention-deficit hyperactivity disorder, drug companies and the internet. Clin Child Psychol Psychiatry. 2012;17(1):121–39. doi: 10.1177/1359104510396432.

    Article  PubMed  Google Scholar 

  15. Phillips CV, Wang C, Guenzel B. You might as well smoke; the misleading and harmful public message about smokeless tobacco. Biomed Cent Public Health. 2005;5(31). doi: 10.1186/1471-2458-5-31.

  16. Di Pietro NC, Whiteley L, Mizgalewicz A, Illes J. Treatment for neurodevelopmental disorders: evidence, advocacy and the internet. J Autism Dev Disord. 2013;43(1):122–33. doi: 10.1007/s10803-012-1551-7.

    Article  PubMed  Google Scholar 

  17. Robertson-Lang L, Major S, Hemming H. An exploration of search patterns and credibility issues among older adults seeking online health information. Can J Aging. 2011;30(4):630–45. doi: 10.1017/S071498081100050X.

    Article  Google Scholar 

  18. Rotter JB. A new scale for the measurement of interpersonal trust. J Pers. 1967;35(4):651–65.

    Article  CAS  PubMed  Google Scholar 

  19. Recupero PR, Rainey SE. Characteristics of E-therapy web sites. J Clin Psychiatry. 2006;67:1435–40.

    Article  PubMed  Google Scholar 

  20. Silberg WM, Lundberg GD, Musacchio RA. Assessing, controlling, and assuring the quality of medical information on the internet: caveant lector et viewor – Let the reader and viewer beware. JAMA. 1997;15(277):1244–5.

    Article  Google Scholar 

  21. Tu HT, Cohen GR. Striking jump in consumers seeking health information. http://www.amcp.org/WorkArea/DownloadAsset.aspx?id=12579, 2008. Tracking Report 20, Accessed 21 Sept 2013.

  22. Tu HT. Surprising decline in consumers seeking health information. http://www.hschange.org/CONTENT/1260/1260.pdf, 2011. Tracking Report 26, Accessed 21 Sept 2013.

  23. Volsky PG, Baldassari CM, Mushti S, Derkay CS. Quality of internet information in pediatric otolaryngology: a comparison of three most referenced websites. Int J Pediatr Otorhinolaryngol. 2012;76(9):1312–6. doi: 10.1016/j.ijporl.2012.05.026.

    Article  PubMed  Google Scholar 

  24. van Voorhees BW, Hsiung RC, Marko-Holguin M, Houston TK, Fogel J, Lee R, Ford DE. Internal versus external motivation in referral of primary care patients with depression to an internet support group: randomized controlled trial. JMIR. 2013;15(3):e42. doi: 10.2196/jmir.2197.

    PubMed Central  PubMed  Google Scholar 

  25. Wogalter MS, Mayhorn CB. Trusting the internet: cues affecting perceived credibility. Int J Technol Hum Interact. 2008;4(1):75–93. doi: 10.4018/jthi.2008010105.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Wetter, T. (2016). Level 0: Searching – Finding – Trusting – Acting – Risking One’s Life?. In: Consumer Health Informatics. Health Informatics. Springer, Cham. https://doi.org/10.1007/978-3-319-19590-2_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-19590-2_3

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-19589-6

  • Online ISBN: 978-3-319-19590-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics