抗生素(英文精品) Assessing the Quality of Online Health Information A Case Study of Web Search for Use of Antibiotics for Ear Infections总结概括.pptVIP

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2018-04-02 发布于天津
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抗生素(英文精品) Assessing the Quality of Online Health Information A Case Study of Web Search for Use of Antibiotics for Ear Infections总结概括.ppt

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12/5/06 Assessing the Quality of Online Health Information:A Case Study of Web Search for Use of Antibiotics for Ear Infections Maggie Holland University of Rochester 12/5/06 Acknowledgments Dongwen Wang, PhD Maria Fagnano 12/5/06 Introduction Healthcare consumers are turning to the Internet: 8 million/day (Pew/Internet 2006) Lack of quality control (Mis)informed consumers affect physician practices Parental demand leads to unnecessary prescriptions (Bauchner et al 1999, Kuzujanakis et al 2003) 12/5/06 Quality on the Internet Many indicators of quality have been suggested, inconsistent results Carpal tunnel: Google toolbar rating, inlinks, “unbiased” discussion indicated accuracy (Frické et al 2005) 5 common health topics combined: weak correlation with source citation, date of update, evidence hierarchy (Kunst et al 2002) How to define accuracy / completeness? 12/5/06 Methods For each website, determine if the recommendations include Watch wait option Taking full course of any prescribed antibiotics For each Web site, record characteristics likely to be associated with information quality 12/5/06 Results 277 unique pages 95 (34%) were relevant Others included ads for related products lists of links without any unique content articles discussing vaccines and other somewhat related topics 12/5/06 Results Includes “watch wait” as a treatment option? 31% Includes recommendation to finish the full course of antibiotics? 40% Includes both? 15% 12/5/06 Characteristics associated with updated recommendations Characteristics weakly associated with updated recommendations 12/5/06 Conclusions Hard to know what to trust Parents who depend on Internet information may be misinformed Demand antibiotics Not understand need to finish full course of antibiotics Sites should be more careful about updating to latest information Currently, limited incentive to do so 12/5/06 Limitations Limited generalizability Not a random sample One specific condition Consumers may find informat