The DOI matches its Crossref record, with a small difference in title or year; 24 of the 26 references it cites were found in a registry or an index.
Towards quality management of medical information on the internet: evaluation, labelling, and filtering of informationHallmarks for quality of informationQuality on the internetAssuring quality and relevance of internet information in the real world
Open accessAbstract
# Towards quality management of medical information on the internet: evaluation, labelling, and filtering of information {#article-title-2} The principal dilemma of the internet is that, while its anarchic nature is desirable for fostering open debate without censorship, this raises questions about the quality of information available, which could inhibit its usefulness. While the internet allows “medical minority interest groups to access information of critical interest to them so that morbidity in these rare conditions can be lessened,”1 it also gives quacks such as the “cancer healer” Ryke Geerd Hamer a platform (http://www.geocities.com/HotSprings/3374/index.htm).2–4 Quality is defined as “the totality of characteristics of an entity that bear on its ability to satisfy stated and implied needs.”5 For quality to be evaluated, these needs have to be defined and translated into a set of quantitatively or qualitatively stated requirements for the characteristics of an entity that reflect the stated and implied needs. So how can we define consumers' “needs” in the case of medical information on the internet? The quality of medical information is particularly important because misinformation could be a matter of life or death.6 Thus, studies investigating the “quality of medical information” on the various internet venues—websites,7 mailing lists and newsgroups, 8 9 and in email communication between patients and doctors10—are mostly driven by the concern of possible endangerment for patients by low quality medical information. Thus, quality control measures should aim for the Hippocratic injunction “first, do no harm.” Most papers published so far about the problem of quality of medical internet information focus on assessing reliability, but, as box 1 shows, this should be only one aspect of quality measures aiming for “first, do no harm.” Another should be to provide context. Although these two problems are different in nature and different measures may be proposed to solve them, we discuss a common measure that could … Correspondence to: Dr Bonati
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Citations
Cites
Schulz (1995) · doi:10.1001/jama.1995.03520290060030 · Cited by 5,634
Assessing, Controlling, and Assuring the Quality of Medical Information on the Internet
Silberg, W. M. (1997) · JAMA · doi:10.1001/jama.277.15.1244 · Cited by 2,433
Silberg, W. M., Lundberg, G. D., & Musacchio, R. A. (1997) · PubMed · Cited by 875
Strong Regularities in World Wide Web Surfing
Huberman, B. A., Pirolli, P. L. T., Pitkow, J. E., & Lukose, R. M. (1998) · Science · doi:10.1126/science.280.5360.95 · Cited by 753
Rating Health Information on the Internet
Jadad, A. R., & Gagliardi, A. R. (1998) · JAMA · doi:10.1001/jama.279.8.611 · Cited by 695
Impicciatore, P., Pandolfini, C., Casella, N., & Bonati, M. R. (1997) · BMJ · doi:10.1136/bmj.314.7098.1875 · Cited by 622
Self-citationDonabedian, A. (1980) · Cited by 314
Commentary: measuring quality and impact of the world wide web: Table 1
Wyatt, J. C. (1997) · BMJ · doi:10.1136/bmj.314.7098.1879 · Cited by 270
Medical information on the internet
Culver, J. D., Gerr, F., & Frumkin, H. (1997) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.1997.00084.x · Cited by 185
Poison on Line — Acute Renal Failure Caused by Oil of Wormwood Purchased through the Internet
Weisbord, S. D., Soule, J. B., & Kimmel, P. L. (1997) · New England Journal of Medicine · doi:10.1056/nejm199709183371205 · Cited by 173
Research works printed but not linked: 8
- Nigel, 1997, German “quack healer” arrested [news]., Lancet, 349, 1679, 10.1016/S0140-6736(05)62658-X · DOI
- 10.1001/jama.1997.03540390074039 · DOI
- Krauskopf, 1996, Label syntax and communi-cation protocols., World Wide Web J, 1, 45
- Miller, 1996, Rating services and rating systems (and their machine-readable descriptions)., World Wide Web J, 1, 23
- Gray JAM .Evidence-based healthcare. London:Churchill Livingstone,1997. · DOI
- Wyatt, 1997, Commentary: measuring quality and impact of the world wide web., BMJ, 314, 1879, 10.1136/bmj.314.7098.1879 · DOI
- Impicciatore, 1997, Reliability of health information for the public on the world wide web: systematic survey of advice on managing fever in children at home., BMJ, 314, 1875, 10.1136/bmj.314.7098.1875 · DOI
- Jadad, 1998, Rating health information on the internet., Navigating to knowledge or to Babel? JAMA, 279, 611
Cited by
Sorted by citations
Items 401–458 of 458
A Evaluation Study on Foreign Science & Technology Online Databases
Kim, S. (2002) · Journal of Information Management · doi:10.1633/jim.2002.33.1.061 · Cited by 1
Sinden, D. (2008) · Summit (Simon Fraser University) · Cited by 1
A MeSH based intelligent search intermediary for consumer health information systems.
Göbel, G., Masser, J., & Pfeiffer, K. (2000) · PubMed · Cited by 1
Su, K. C., Waldren, S., & Patrick, T. B. (2004) · PubMed · Cited by 1
The web 2.0 Internet: Democratized Internet collaborations in the healthcare sector
Hughes, B. (2010) · LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) · Cited by 1
Lazarenko, E. (2017) · Figshare · doi:10.4225/03/5892938e1c3a0 · Cited by 1
ORTHOPAEDICS, NETWORKS AND COMPUTERS J. F. Myles Clough, Christopher W. Oliver
Clough, J. F. M., & Oliver, C. (2002) · Journal of Bone and Joint Surgery - British Volume · doi:10.1302/0301-620x.84b4.0840481 · Cited by 1
Janda, A., Adla, T., Feberová, J., Hladíková, M., Naidr, J. P., Jiránová, J., & Kasal, P. (2005) · Technology and Health Care · Cited by 1
Professional Information About Urinary Incontinence on the World Wide Web
Diering, C. L., & Palmer, M. H. (2001) · Journal of Wound Ostomy and Continence Nursing · doi:10.1097/00152192-200101000-00012 · Cited by 1
Computer-Based Patient Education Resources and Instruction
Garcia, C. (2002) · Computers in health care · doi:10.1007/978-1-4613-0069-4_9 · Cited by 1
An Assessment of the Currency of Free Science Information on the Web
Chen, C., Tang, Q., Yuan, Y., Wu, Z., Huang, X., Chen, S., Hua, H., Ran, C., & Li, M. (2007) · Springer eBooks · doi:10.1007/978-3-540-77010-7_48
Intelligent Support for Resource Quality Evaluation and Description in Health Information Portals
Xie, J., Burstein, F., & Evans, J. (2008)
Internet y el paciente dermatológico
Chinchilla, D., & KAMINSKY, A. R. D. (2002)
Semantics-based Automated Quality Assessment of Depression Treatment Web Documents
Zhang, Y. (2013) · Scholarship@Western (Western University)
Structural Changes in Health Care Systems — The Advent of “E-Healthcare”
Willich, S. N. (2001) · Springer eBooks · doi:10.1007/978-94-015-9708-1_6
Usher, W. T. (2008) · Griffith Research Online · doi:10.25904/1912/3380
La Biblioteca Virtual de Aldebarán (BVA). Recursos electrónicos gratuitos útiles en un hospital
Martín, M. R. D. C., & del Castillo, F. L. R. (2006) · El Profesional de la Informacion · doi:10.3145/epi.2006.jan.03
Internet und Berufsdermatologie
Bock, M., Elste, F., & Diepgen, T. L. (2004) · Der Hautarzt · doi:10.1007/s00105-003-0653-8
Self-citationTrust in online medical tourism information: having cosmetic surgery in South Korea
Ractham, P., Nakayama, M., & Chen, C. C. (2013) · Journal of the Association for Information Systems
Establishing a Biomedical Virtual Organisation through a Portal: Lessons Learned from HEALTHAGENTS
Delgado, C. A. D. M., & González–Vélez, H. (2008)
Malone, S. L. (2009) · D-Scholarship@Pitt (University of Pittsburgh)
Información electrónica: una herramienta para mejorar la atención farmacéutica al paciente con VIH
Mairal, M. E., Andrés, J. L. P., de Apodaca, R. F. R., & Fernández, M. R. (2001) · Farmacia Hospitalaria
Search Engines: Finding What You Want
Letendre, P. (2001) · Laboratory Medicine · doi:10.1309/trgj-26e9-qmvv-fahw
Internet, presse, médias : nouveaux éléments dans la communication médicale
Liebens, F., Aimont, M., Carly, B., Pastijn, A., Swimberg, S., Rozenberg, S., & Degueldre, M. (2005) · DSpace (Centre National De La Recherche Scientifique)
Evaluation of the Quality and Contents of Obesity Patient Education on Internet
Nagappa, A. N., Pranov, B., Allani, P. K., Sowndarya, P., & Nikhil, S. B. (2012) · Journal of Pharmaceutical Research · doi:10.18579/jpcrkc/2012/11/1/79333
THE INTERNET – MEANS OF COMMUNICATION AND PROMOTION OF THE VIRTUAL MEDICAL WORLD
Bălan, A. (2010) · RePEc: Research Papers in Economics
Eysenbach, G. (2008) · Elpub digital library
Self-citationTorabi, M., McGovern, J. P., Adolescents, D., Hawker, L., Tisone, A., Schulman, A., & Tynes, S. (2000)
Razão instrumental e comunicação em saúde
da Saúde, M., & Pública, N. D. S. (2003)
A Critical Analysis of Consumer Oriented Abdominal Aortic Aneurysm Information on the Internet
Werner‐Gibbings, K., & Qasabian, R. A. (2016) · Journal of Vascular Medicine & Surgery · doi:10.4172/2329-6925.1000242
Medicine and the Internet: a survey of the information highway.
Indrajit, I., Nangpal, S., & Roy, N. (2000) · PubMed
Click c@refully before you quote: citing internet-based sources.
Litynski, G. S. (1999) · PubMed Central
(2013) · De Gruyter eBooks · doi:10.1515/9783110814569.285
Strategies for health services
Lee, C. E. (2015) · doi:10.1093/med/9780199661756.003.0242
da Silva, M. A. D. O. N. (2018) · International Journal of Developmental and Educational Psychology Revista INFAD de psicología · doi:10.17060/ijodaep.2017.n2.v1.1127
Linares, D. E., & Subrahmanyam, K. (2012) · IGI Global eBooks · doi:10.4018/978-1-4666-0315-8.ch055
“M@dNotes Project”. Giving colour to Grey Literature
Pizzanelli, M., & Jamoulle, M. (2019) · Revista Brasileira de Medicina de Família e Comunidade · doi:10.5712/rbmfc14(41)1759
The health and social care information needs and behaviour of people with a visual impairment.
Beverley, C. (2009) · White Rose eTheses Online (University of Leeds, The University of Sheffield, University of York)
Dobrogowska-Schlebusch, E., & Niedźwiecka, B. (2014) · Zagadnienia Informacji Naukowej - Studia Informacyjne · doi:10.36702/zin.552
Cardio Online Reader – Conjunctions in Cardiology Knowledge
Papíkova, M. Z. V., & Vesely, A. (2011) · European Journal for Biomedical Informatics · doi:10.24105/ejbi.2011.07.1.13
Strategies for health services
Lee, C. E., & Baum, F. E. (2021) · doi:10.1093/med/9780198816805.003.0101
The World Virtual University and the Internet: http://www.websurg.com
Marescaux, J., & Mutter, D. (2007) · Springer eBooks · doi:10.1007/978-3-540-39600-0_4
(2005) · Technology and Health Care · doi:10.3233/thc-2005-13503
Dagne, M. B., Terhune, E., Barsoum, M., Pizarro, A. B., Rizvi, A., Francis, D., Viswanathan, M., Sathe, N. A., Welch, V. A., Duque, T. G., et al. (2024) · doi:10.2196/preprints.64868
Beyond the data thicket: The essential role of libraries in confronting infodemics
Sivaprasad, P., Thanuskodi, S., & Athulya, S. (2024) · Journal of Knowledge & Communication Management · doi:10.5958/2277-7946.2024.00006.7
McNally, K., Báez, J. C., & Goldkind, L. (2025) · Families in Society The Journal of Contemporary Social Services · doi:10.1177/10443894251359325
Lee, H.-S., Hong, G.-U., Jeong, W., Oh, K. H., & Jun, J. K. (2025) · Health Communication · doi:10.1080/10410236.2025.2587893
Significance, limitations and methods of internet research in the field of drugs and addiction
Rouault, T., & Fellinger, É. (2003)
Scientific papers: a confidence space on the internet thanks to the HONcode: WRAPIN ( >)
Boyer, C. (2002) · Technology and Health Care
Effektive Kommunikation mit Internetpatienten
Jäger, S. (2015) · Forum · doi:10.1007/s12312-015-1284-6
Conceptualising Resource Discovery on the Internet
Hannemyr, G. (2000)
Forced to Learn: Community-based Correctional Education
Mottern, R., Davis, C. A., & Ziegler, M. (2013) · doi:10.21428/88de04a1.88de8c1c · Cited by 1
Metadata
- Authors
- Eysenbach, G., Gray, J. A. M., Bonati, M., Arunachalam, S., Diepgen, T. L., Impicciatore, P., & Pandolfini, C.
- Affiliations
- Mario Negri Institute for Pharmacological Research (IT)
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 1998-11-28
- Volume
- 317
- Issue
- 7171
- Pages
- 1496-1502
- ISSN
- 0007-1447 (ISSN-L)
- 0959-8138
- 1468-5833
- PMC
- PMC1114339
- OpenAlex
- W2080271974
- Cited by
- 461
- References
- 26
- Citations by year
- 2025: 4 · 2024: 4 · 2023: 1 · 2022: 4 · 2021: 8 · 2020: 9 · 2019: 10 · 2018: 10 · 2017: 5 · 2016: 10 · 2015: 13 · 2014: 16 · 2013: 18 · 2012: 13
- FWCI
- 10.37
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.bmj.com/company/legal-information/terms-conditions/legal-information/tdm-licencepolicy (tdm)
- Locations
- BMJ (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- DigitalGeorgetown (Georgetown University Library) (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
- Social Sciences › Sociology and Political Science › Misinformation and Its Impacts
- Physical Sciences › Computer Science › Information Systems › Information Retrieval and Search Behavior
- Keywords
- online health information, quality management, information evaluation, information filtering, misinformation, reliability, context, patient safety, online health information sources
- MeSH terms
- Medical Informatics, Quality Control, Reference Standards, Information Storage and Retrieval, Internet
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