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Evaluation of the Quality of Health Information on the Internet: An Analysis of Brazillian Initiatives

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The Internet and Health in Brazil

Abstract

Health information is produced on the Internet without evaluating its quality. Incomplete, contradictory, incorrect, or incomprehensible information can be harmful to health. But quality information can bring benefits to both citizens and health managers. This chapter analyzes Brazilian initiatives to evaluate the quality of health information based on the three systematic reviews on the subject. We found that the Brazilian academic production in this field does not follow international trends. Two Brazilian institutional initiatives are in place, namely, the “Regional Medical Council of São Paulo” and the “Internet, Health, and Society Laboratory” (LaISS) of the Oswaldo Cruz Foundation. LaISS made two evaluations that followed international literature and introduced innovative methods. We conclude that the pre-Internet communication culture seems to predominate among Brazilian health officials. Information and communication technologies are of secondary importance to public health managers and researchers.

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Notes

  1. 1.

    Chapter 15 addresses the theme of “massive open online courses” (MOOCs).

  2. 2.

    The SciELO.org Portal offers more than 360 open-access journals. It is one of the main sources of Brazilian scientific information and encompasses a significant portion of the country’s academic production.

  3. 3.

    In Brazil, there are other open-access multidisciplinary bibliographic databases, such as Oasis.Br, LivRe, and BDTD or disciplinary-specific databases. There are also institutional repositories from several Brazilian research institutions.

  4. 4.

    Studies selected were Silva et al. (2005), Barbosa and Martins (2007), Gondim and Falcão (2007), Souza et al. (2008), Santos et al. (2010), Silva and Gubert (2010), Leite and Correia (2011), Carlini et al. (2012), Gondim et al. (2012), Lins and Marin (2012), Cubas and Felchner (2012), Silveira et al. (2012), Del Giglio et al. (2012), Mori et al. (2013), Bastos et al. (2014), Pithon et al. (2014), Sousa et al. (2015), Chaves et al. (2015), Monteiro et al. (2016), Paolucci et al. (2017), and Pereira Neto et al. (2017).

  5. 5.

    The Oswaldo Cruz Foundation is one of the most important science and technology institutions in Latin America. It builds on the ideas of health promotion and social development, producing scientific and technological knowledge, and being an agent of citizenship. This is the official site: https://portal.fiocruz.br/en/content/foundation

  6. 6.

    Physician Sérgio Arouca (1941/2003) provided theoretical insights and participated in the creation of the Unified Health System (SUS), a system that ensures comprehensive, universal, and equal access to the entire Brazilian population. It ranges from simple outpatient care to organ transplants (Law No. 8080 of 19 September 1990).

  7. 7.

    “A systematic review attempts to identify, appraise and synthesize all the empirical evidence that meets pre-specified eligibility criteria to answer a given research question. Researchers conducting systematic reviews use explicit methods aimed at minimizing bias, in order to produce more reliable findings that can be used to inform decision making” (Cochrane Library 2018).

  8. 8.

    As of the writing of this chapter (October 2017), the Web of Science indicated that this article had been quoted about 800 times. It can therefore be considered the main reference in the field of evaluation of the quality of health information on the Internet.

  9. 9.

    Web of Science indicates that this study published in 2015 was cited about 10 times (October 2017).

  10. 10.

    Most articles analyzed were published in English. The five papers mentioned below are published exclusively in Portuguese, namely, Souza et al. (2008), Silva and Gubert (2010), Cubas and Felchner (2012), Silveira et al. (2012), and Paolucci et al. (2017).

  11. 11.

    In the biomedical area, articles were published in the following journals: Arquivos Brasileiros de Oftalmologia (1); International Archives of Otorhinolaryngology (1); Revista da Associação Médica Brasileira (1); Einstein, Instituto Israelita de Ensino e Pesquisa Albert Einstein (1); Revista Paulista de Pediatria (1); Revista Brasileira de Otorrinolaringologia (1); Revista Brasileira de Saúde Materno Infantil (1); Revista CEFAC, Associação Brasileira de Motricidade Orofacial (1); and Jornal de Pediatria (1).

  12. 12.

    In the public health area, papers were published in the following journals: Revista de Saúde Pública (2), Ciências e Saúde Coletiva (2), Saúde em Debate (1), Trabalho Educação e Saúde (1), and Revista da Sociedade Brasileira de Medicina Tropical (1).

  13. 13.

    In the other health areas, papers were published in the following journals: CoDAS, Jornal da Sociedade Brasileira de Fonoaudiologia (1); Revista Odonto Ciência (1); Acta Paulista de Enfermagem (1); Revista da Escola de Enfermagem da Universidade de São Paulo (1); and Dental Press Journal of Orthodontics (1).

  14. 14.

    The HONcode of Conduct for medical and health websites (HONcode): https://www.hon.ch/HONcode/Webmasters/Conduct.html

  15. 15.

    The DISCERN Instrument: http://www.discern.org.uk/discern_instrument.php

  16. 16.

    The first section contains eight questions, namely: Are the aims clear? Does it achieve its aims? Is it relevant? Is it clear what sources of information were used to compile the publication (other than the author or producer)? Is it clear when the information used or reported in the publication was produced? Is it balanced and unbiased? Does it provide details of additional sources of support and information? Does it refer to areas of uncertainty?

  17. 17.

    The second section contains seven questions, namely: Does it describe how each treatment works? Does it describe the benefits of each treatment? Does it describe the risks of each treatment? Does it describe what would happen if no treatment is used? Does it describe how the treatment choices affect overall quality of life? Is it clear that there may be more than one possible treatment choice? Does it provide support for shared decision-making?

  18. 18.

    In this case, there are three options: “low, serious or extensive shortcomings”; “moderate, potentially important but not serious shortcomings”; and “high, minimal shortcomings.”

  19. 19.

    The manual, available in Portuguese, is available at this website: http://www.cremesp.org.br/?siteAcao=PublicacoesConteudoSumario&id=26

  20. 20.

    The Brazilian Civil Rights Framework for the Internet was enacted in April 2014 through Law 12.965. Its passage is discussed in Chap. 2.

  21. 21.

    Resolution 97/2001 of CREMSP was published in the Official Gazette of the State of São Paulo (section 1 number 45) on March 9, 2001.

  22. 22.

    The other two papers announce that the Manual of Ethical Principles for Medical and Health Websites on the Internet is annexed to this resolution and will become effective as of the date of its publication (March 9, 2001).

  23. 23.

    The eight HONcode principles are authoritative, complementarity, privacy, attribution, justifiability, transparency, financial disclosure, and advertising policy. See https://www.hon.ch/HONcode/Webmasters/Conduct.html

  24. 24.

    The issue of information security on the Internet is addressed in Chap. 11.

  25. 25.

    Sole paragraph of Article 37 establishes that: “Distance medical care provided as per telemedicine or of another method will be subjected to the regulation of the Federal Council of Medicine.”

  26. 26.

    In Portuguese, “Manguinhos” is the plural diminutive of the word “mangue,” which means “mangrove” in English, thus, “small mangrove.”

  27. 27.

    The minimum wage is the lowest legally defined monetary payment that a worker must receive in a company for his services in Brazil for 1 month’s work. The minimum wage amount is defined by a national law decree and is reassessed annually based on the current cost of living of the population. Currently, the monthly minimum wage in Brazil is 954 reais, approximately 297 US Dollars, or 10 US dollars per day.

  28. 28.

    Militia is the generic name of military or paramilitary organizations, not legally recognized, composed of ordinary armed citizens who fight with drug traffickers and police over power in the favelas of various Brazilian cities (Misse 2011).

  29. 29.

    The Millennium Goals were enacted through the United Nations Millennium Declaration adopted by the 191 member states on September 8, 2000.

  30. 30.

    This presentation will be based on the two research reports produced by the LaISS team (Pereira Neto and Paolucci 2014; Pereira Neto et al. 2016).

  31. 31.

    The National Household Sample Survey – PNAD of the Brazilian Institute of Geography and Statistics (IBGE), a body linked to the Brazilian Federal Government, investigates on a quarterly basis a set of situational information on the trends and fluctuations of the labor force and, annually, structural themes relevant to understanding the Brazilian socioeconomic reality. In 2016, the PNAD revealed that 44.5 million Brazilians received on average R$ 747 (about US$200/May 2018) per month, less than the minimum wage. Meanwhile, the country’s 889,000 highest paid people received an average of R$ 27,000 (about US$4000/May 2018) per month. That is, only 1% earns 36 times more than half the average worker does. The difference is evident when we find that the richest 10% keep 43% of all earnings.

  32. 32.

    A Fiocruz unit focused on clinical research, teaching, reference services, and infectious diseases care.

  33. 33.

    A Fiocruz unit that operates in the areas of research, technological development, and innovation, providing reference services for the diagnosis of infectious and genetic diseases and vector control.

  34. 34.

    LASER is “a research, education, and advisory unit that aims to institutionalize, disseminate, and update the evaluation and monitoring of endemic process control programs.” For more information, see http://www6.ensp.fiocruz.br/laser/

  35. 35.

    Residency aims to “promote the development of attributes for the higher education multiprofessional health team to work in the Family Health Teams and in the Family Health Support Centers (NASF).” For more information, see http://www.ensp.fiocruz.br/portal-ensp/ensino/cursos/index.php?idcurso=488&indtipo=2&menu=1213

  36. 36.

    This information was retrieved from LaISS’ website: http://laiss.ensp.fiocruz.br/pesquisa/buscar

References

  • Albarrak, Ahmed, Rafiuddin Mohammed, Nasriah Zakaria, Lujain Alyousef, Noura Almefgai, Hend Alqahtani, Hanan Alamer, and Ahlam Alsulaiman. 2016. The impact of obesity related websites on decision making among students in Saudi Arabia. Saudi Pharmaceutical Journal 24: 605–610.

    Article  Google Scholar 

  • Barbosa, Andréa Lima, and Elisabeth Nogueira Martins. 2007. Evaluation of Internet websites about floaters and light flashes in patient education. Arquivos Brasileiros de Oftalmologia 70: 839–843.

    Article  Google Scholar 

  • Bastos, Bárbara, Deborah Ferrari, Bárbara Guimarães Bastos, and Deborah Viviane Ferrari. 2014. Babies’ portal website hearing aid section: Assessment by audiologists. International Archives of Otorhinolaryngology 18: 338–346.

    Article  Google Scholar 

  • Brasil. 2017. Plano nacional pelo fim da tuberculose. Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Vigilância das Doenças Transmissíveis. http://portalarquivos.saude.gov.br/images/pdf/2017/fevereiro/24/Plano-Nacional-Tuberculose.pdf. Accessed 12 Jan 2018.

  • Carlini, Beatriz Helena, Telmo Mota Ronzani, Leonardo Fernandes Martins, Henrique Pinto Gomide, and Isabel Cristina Weiss de Souza. 2012. Demand for and availability of online support to stop smoking. Revista de Saúde Pública 46: 1066–1081.

    Article  Google Scholar 

  • Charnock, Deborah, and Sasha Shepperd. 2004. Learning to DISCERN online: Applying an appraisal tool to health websites in a workshop setting. Health Education Research 19: 440–446.

    Article  Google Scholar 

  • Chaves, Juliana Nogueira, Ana Lívia Libardi, Raquel Sampaio Agostinho-Pesse, Marina Morettin, and Kátia de Freitas Alvarenga. 2015. Telessaúde: avaliação de websites sobre triagem auditiva neonatal na Língua Portuguesa. CoDAS 27: 526–533.

    Article  Google Scholar 

  • Cheng, Christina, and Matthew Dunn. 2015. Health literacy and the Internet: A study on the readability of Australian online health information. Australian & New Zealand Journal of Public Health 39: 309–314.

    Article  Google Scholar 

  • Chirinos, Narda Estela Calsin, Betina Hörner Schlindwein Meirelles, and Andréa Barbará Silva Bousfield. 2017. Relationship between the social representations of health professionals and people with tuberculosis and treatment abandonment. Texto Contexto – Enfermagem 26: 1–8.

    Google Scholar 

  • CFM – Conselho Federal de Medicina. 2010. Código de Ética Médica – Atual. http://www.rcem.cfm.org.br/index.php/cem-atual#cap14. Accessed 28 Jan.

  • Clavier, Carole, Yan Sénéchal, Stéphane Vibert, and Louise Potvin. 2012. A theory-based model of translation practices in public health participatory research. Sociology of Health & Illness 34: 791–805.

    Article  Google Scholar 

  • CREMESP – Conselho Regional de Medicina do Estado de São Paulo. 2001. Regional Council of Medicine of the State of São Paulo. Resolução CREMESP n° 97, de 20 de fevereiro de 2001. São Paulo. http://www.cremesp.org.br/?siteAcao=PublicacoesConteudoSumario&id=26. Accessed 28 Jan.

  • Cochrane Library. 2018. About Cochrane reviews http://www.cochranelibrary.com/about/about-cochrane-systematic-reviews.html. Accessed 6 June 2017.

  • Cubas, Marcia Regina, and Paulo Cesar Zimmermann Felchner. 2012. Analysis of information sources about breast self examination available on the Internet. Ciência & Saúde Coletiva 17: 965–970.

    Article  Google Scholar 

  • Del Giglio, Adriana, Beatrice Abdala, Carolina Ogawa, Daniel Amado, Diego Carter, Fernanda Gomieiro, Fernanda Salama, Marina Shiroma, and Auro del Giglio. 2012. Quality of internet information available to patients on websites in Portuguese. Revista da Associação Médica Brasileira 58: 645–649.

    Article  Google Scholar 

  • Eysenbach, Gunther. 2001. What is e-health? Journal of Medical Internet Research 3: e20.

    Article  CAS  Google Scholar 

  • Eysenbach, Gunther, John Powell, Oliver Kuss, and Eun-Ryoung Sa. 2002. Empirical Studies Assessing the Quality of Health Information for Consumers on the World Wide Web: A Systematic Review. JAMA 287: 2691–2700.

    Article  Google Scholar 

  • Fernandes, Tania Maria, and Renato Gama-Rosa Costa. 2013. As comunidades de Manguinhos na história das favelas no Rio de Janeiro. Tempo 19: 117–133.

    Article  Google Scholar 

  • Freire, Paulo. 1976. Education, the practice of freedom. London: Writers and Readers Publishing Cooperative.

    Google Scholar 

  • Fritsch, Alexander, and Holger Sigmund. 2016. Review platforms in hospitality. In Open tourism, ed. Roman Egger, Igor Gula, and Dominik Walcher, 229–238. Heidelberg: Springer.

    Chapter  Google Scholar 

  • Gondim, Ana Paula Soares, and Cláudio Borges Falcão. 2007. Evaluation of Brazilian online pharmacies. Revista de Saúde Pública 41: 297–300.

    Article  Google Scholar 

  • Gondim, Ana Paula Soares, Davi Pontes Weyne, and Bruno Sousa Pinto Ferreira. 2012. Quality of health and medication information on Brazilian websites. Einstein (São Paulo) 10: 335–341.

    Article  Google Scholar 

  • HON – Health On the Net Foundation. 2010. HONcode: Guidelines – Operational definition of the HONcode principles. http://www.hon.ch/HONcode/Guidelines/guidelines.html. Accessed 8 Oct 2017.

  • IBGE – Brazilian Institute of Geography and Statistics. 2017. Brasil/São Paulo panorama. https://cidades.ibge.gov.br/brasil/sp/panorama. Accessed 12 Jan 2018.

  • IPP – Instituto Pereira Passos. 2013. Bairros cariocas. http://pcrj.maps.arcgis.com/apps/MapJournal/index.html?appid=096ae1e5497145838ca64191be66f3e3. Accessed 10 Nov 2017.

  • Lagan, Briege, Marlene Sinclair, and W. George Kernohan. 2011. What is the impact of the internet on decision-making in pregnancy? A global study. Birth-Issues In Perinatal Care 38: 336–345.

    Article  Google Scholar 

  • Lee, Helena, and Natalie Pang. 2017. Information scent – Credibility and gaze interactions: An eye-tracking analysis in information behaviour. Information Research 22: 20–23.

    Google Scholar 

  • Leite, Filipa, and André Correia. 2011. Quality evaluation of websites with information on childhood dental caries in Portuguese language. Revista Odonto Ciência 26: 116–120.

    Article  Google Scholar 

  • Lévy, Pierre. 2001. Cyberculture. 1st ed. Minnesota: University of Minnesota Press.

    Google Scholar 

  • Lima, Carla Moura. 2010. Vozes de quem sofre: discutindo a Saúde Ambiental na Bacia do Canal do Cunha. In Território, participação popular e saúde: Manguinhos em debate, orgs. Carla Moura Lima and Leonardo Brasil Bueno, 63–80. Rio de Janeiro: ENSP/Fiocruz.

    Google Scholar 

  • Lins, Thaís Honório, and Heimar de Fátima Marin. 2012. Evaluation of a website on nursing care in the post anesthesia recovery room. Acta Paulista de Enfermagem 25: 109–115.

    Article  Google Scholar 

  • Misse, Michel. 2011. Crime organizado e crime comum no Rio de Janeiro: diferenças e afinidades. Revista de Sociologia e Política 19: 13–25.

    Article  Google Scholar 

  • Monteiro, Gisele da Silva Gomes, Maíra Macário de Assis, Maria Alvim Leite, Larissa Loures Mendes, Gisele da Silva Gomes Monteiro, Maíra Macário de Assis, Maria Alvim Leite, and Larissa Loures Mendes. 2016. Assessing the nutritional information for children younger than two years old available on popular websites. Revista Paulista de Pediatria 34: 287–292.

    PubMed Central  Google Scholar 

  • Moreno, Juan, José Manuel Morales Del Castillo, Carlos Porcel, and Enrique Herrera-Viedma. 2010. A quality evaluation methodology for health-related websites based on a 2-tuple fuzzy linguistic approach. Soft Computing 14: 887–897.

    Article  Google Scholar 

  • Mori, Satomi, Iveth Yamaguchi Whitaker, Heimar de Fátima Marin, Satomi Mori, Iveth Yamaguchi Whitaker, and Heimar de Fátima Marin. 2013. Evaluation of an educational website on First Aid. Revista da Escola de Enfermagem da USP 47: 950–957.

    Article  Google Scholar 

  • O’Neil, Cathy. 2016. Weapons of math destruction: How big data increases inequality and threatens democracy. New York: Crown.

    Google Scholar 

  • Paolucci, Rodolfo. 2015. Métodos para avaliação da qualidade de informação em sites de saúde: revisão sistemática (2001–2014). Master’s thesis, Fundação Oswaldo Cruz, Rio de Janeiro.

    Google Scholar 

  • Paolucci, Rodolfo, André Pereira Neto, and Rafaela Luzia. 2017. Information quality assessment on tuberculosis sites: Analysis of a participatory experience. Saúde em Debate 41: 84–100.

    Article  Google Scholar 

  • Pariser, Eli. 2011. The filter bubble: What the internet is hiding from you. New York: Penguin Books.

    Google Scholar 

  • Park, Hayoung, Sang-Il Lee, Hee Hwang, Yoon Kim, Eun-Young Heo, Jeong-Whun Kim, and Kyooseob Ha. 2015. Can a health information exchange save healthcare costs? Evidence from a pilot program in South Korea. International Journal of Medical Informatics 84: 658–666.

    Article  Google Scholar 

  • Pereira Neto, André, and Rodolfo Paolucci. 2014. Quality of information on dengue sites: Analysis of a innovative experience. Rio de Janeiro: FIOCRUZ/ENSP.

    Google Scholar 

  • Pereira Neto, André, Rafaela Luzia, Rodolfo Paolucci, Leticia Barbosa, and Otávio Porto. 2016. Quality of information on tuberculosis sites: Analysis of second innovative experience. Rio de Janeiro: FIOCRUZ/ENSP.

    Google Scholar 

  • Pereira Neto, André de Faria, Rodolfo Paolucci, Regina Paiva Daumas, and Rogério Valls de Souza. 2017. Participatory evaluation of the quality of health information on the internet: The case of dengue sites. Ciência e Saúde Coletiva 22: 1955–1968.

    Article  Google Scholar 

  • Pithon, Matheus Melo, Elinailton Silva dos Santos, Matheus Melo Pithon, and Elinailton Silva dos Santos. 2014. Information available on the internet about pain after orthognathic surgery: A careful review. Dental Press Journal of Orthodontics 19: 86–92.

    Article  Google Scholar 

  • Powell, John, Nadia Inglis, Jennifer Ronnie, and Shirley Large. 2011. The characteristics and motivations of online health information seekers: Cross-sectional survey and qualitative interview study. Journal of Medical Internet Research 13: e20.

    Article  Google Scholar 

  • Santos, Vagner, Marcelle Maria Portal, Maristela Ferigolo, Denise Conceição Mesquita Dantas, Helena Maria Tannhauser Barros, and Carolina Sturm Trindade. 2010. Sites on drugs of abuse: Resources for assessment. Trabalho, Educação e Saúde 8: 575–585.

    Article  Google Scholar 

  • Scheffer, Mário, Aureliano Biancarelli, and Alex Cassenote. 2011. Demografia médica no Brasil: dados gerais e descrições de desigualdades. São Paulo: Conselho Regional de Medicina do Estado de São Paulo e Conselho Federal de Medicina.

    Google Scholar 

  • Silva, Leonardo Victor España Rueda, João Ferreira De Mello Jr., and Olavo Mion. 2005. Evaluation of Brazilian web site information on allergic rhinitis. Revista Brasileira de Otorrinolaringologia 71: 590–597.

    Article  Google Scholar 

  • Silva, Rosângela Quirino, and Muriel Bauermann Gubert. 2010. The quality of information on maternal breast feeding and complementary feeding on Brazilian internet sites available for health professionals. Revista Brasileira de Saúde Materno Infantil 10: 331–340.

    Article  Google Scholar 

  • Silveira, Priscilla Carla Menezes, Antônia Eliana dos Santos Costa, and Cleone Cassemiro de Lima. 2012. Stuttering in the web: Quality of information. Revista CEFAC 14: 430–437.

    Article  Google Scholar 

  • Sousa, Pedro, Helena Fonseca, Pedro Gaspar, and Filomena Gaspar. 2015. Usability of an internet-based platform (Next.Step) for adolescent weight management. Jornal de Pediatria 91: 68–74.

    Article  Google Scholar 

  • Souza, Camila Luciano Narciso, Zélia Profeta Luz, and Ana Rabello. 2008. Analysis of the information on visceral leishmaniasis available through Brazilian portals of the worldwide web – Internet. Revista da Sociedade Brasileira de Medicina Tropical 41: 352–357.

    Article  Google Scholar 

  • Spoelman, Wouter, Tobias Bonten, Margot Waal, Ton Drenthen, Ivo Smeele, Markus Nielen, and Niels Chavannes. 2016. Effect of an evidence-based website on healthcare usage: An interrupted time-series study. BMJ Open 6: e013166.

    Article  Google Scholar 

  • WHO – World Health Organization. 2018. Neglected tropical diseases. http://www.who.int/neglected_diseases/diseases/en/. Accessed 4 Nov 2017.

  • Xiang, Zheng, Qianzhou Du, Yufeng Ma, and Weiguo Fan. 2017. A comparative analysis of major online review platforms: Implications for social media analytics in hospitality and tourism. Tourism Management 58: 51–65.

    Article  Google Scholar 

  • Zhang, Yan, Yalin Sun, and Bo Xie. 2015. Quality of health information for consumers on the web: A systematic review of indicators, criteria, tools, and evaluation results. Journal of the Association for Information Science & Technology 66: 2071–2084.

    Article  Google Scholar 

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Pereira Neto, A., Paolucci, R. (2019). Evaluation of the Quality of Health Information on the Internet: An Analysis of Brazillian Initiatives. In: Pereira Neto, A., Flynn, M. (eds) The Internet and Health in Brazil . Springer, Cham. https://doi.org/10.1007/978-3-319-99289-1_10

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