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Assessing, Controlling, and Assuring the Quality of Medical Information on the Internet: Title and subTitle BreakCaveant Lector et Viewor—Let the Reader and Viewer Beware FREE

William M. Silberg; George D. Lundberg, MD; Robert A. Musacchio, PhD
[+] Author Affiliations

Mr Silberg is Editorial Director, New Media Office, Scientific Information and Multimedia Group (e-mail: Bill_Silberg@ama-assn.org); Dr Lundberg is Editor, JAMA (e-mail: George_Lundberg@ama-assn.org); and Dr Musacchio is Vice President of Information Resources and Chief Information Officer (e-mail: Robert_Musacchio @ama-assn.org), American Medical Association, Chicago, III.


JAMA. 1997;277(15):1244-1245. doi:10.1001/jama.1997.03540390074039
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Health care professionals and patients alike should view with equal parts delight and concern the exponential growth of the Internet (the Net), and especially its graphical, user-friendly subset, the World Wide Web (the Web), as a medical information delivery tool.1,2 Delight because the Internet hosts a large number of high-quality medical resources and poses seemingly endless opportunities to inform, teach, and connect professionals and patients alike. Concern because the fulfillment of that promise remains discouragingly distant. Technical glitches aside, when it comes to medical information, the Internet too often resembles a cocktail conversation rather than a tool for effective health care communication and decision making.

See also p 1258.

The problem is not too little information but too much, vast chunks of it incomplete, misleading, or inaccurate, and not only in the medical arena.3,4 The Net—and especially the Web—has the potential to become the world's largest vanity press.

REFERENCES

Lundberg GD, for the JAMA Review Group.  One multimedia medical world . JAMA . 1995;;274:655.
Kassirer J.  The next transformation in the delivery of health care . N Engl J Med . 1995;;332:52-54.
Achenbach J.  Reality check: you can't believe everything you read, but you'd better believe this . Washington Post . (December 4) , 1996;:C1.
 Medical help on the Internet . Consumer Rep . 1997;;62:27-31.
Lundberg GD.  Providing reliable medical information to the public—caveat lector . JAMA . 1989;;262:945-946.
 Guarding the guardians: research on editorial peer review: selected proceedings from the First International Congress on Peer Review in Biomedical Publication . JAMA . 1990;;263:1317-1441.
Ferguson T. Health Online . Reading, Mass: Addison-Wesley Publishing Co; 1996;:201-236.
Widman L, Tong D.  Requests for medical advice from patients and families to health care providers who publish on the World Wide Web . Arch Intern Med . 1997;; 157:209-212.
Health on the Net Foundation, http://www.hon.ch. Accessed March 20, 1997.
Public hearings, Food and Drug Administration and the Internet, Advertising and Promotion of Medical Products; October 16-17, 1996
Silver Spring, Md. Hearing transcript available (http://www.fda.gov/opacom/morechoices/transcript1096/fdainet.html). Accessed March 18, 1997.

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Interactive Graphics

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Lundberg GD, for the JAMA Review Group.  One multimedia medical world . JAMA . 1995;;274:655.
Kassirer J.  The next transformation in the delivery of health care . N Engl J Med . 1995;;332:52-54.
Achenbach J.  Reality check: you can't believe everything you read, but you'd better believe this . Washington Post . (December 4) , 1996;:C1.
 Medical help on the Internet . Consumer Rep . 1997;;62:27-31.
Lundberg GD.  Providing reliable medical information to the public—caveat lector . JAMA . 1989;;262:945-946.
 Guarding the guardians: research on editorial peer review: selected proceedings from the First International Congress on Peer Review in Biomedical Publication . JAMA . 1990;;263:1317-1441.
Ferguson T. Health Online . Reading, Mass: Addison-Wesley Publishing Co; 1996;:201-236.
Widman L, Tong D.  Requests for medical advice from patients and families to health care providers who publish on the World Wide Web . Arch Intern Med . 1997;; 157:209-212.
Health on the Net Foundation, http://www.hon.ch. Accessed March 20, 1997.
Public hearings, Food and Drug Administration and the Internet, Advertising and Promotion of Medical Products; October 16-17, 1996
Silver Spring, Md. Hearing transcript available (http://www.fda.gov/opacom/morechoices/transcript1096/fdainet.html). Accessed March 18, 1997.
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