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Advice and support
Health information online
In some ways, the Internet has made searching for health information
a lot easier than previously. Instead of having to visit your local
library and search through lots of textbooks, you can just type in
a few words and have hundreds of thousands of web pages at your fingertips.
This page gives you a few hints and tips on finding reliable health
information. Please let us know what you think of them.
It is vital to remember three things when you're looking for health
information on the Internet:
- No one is in charge of the Internet - anyone can post information, and
there is no one checking that the information is correct.
- There are some people who use the Internet to make money, either
by selling medicines illegally or recommending a wonder cure that
doesn't work.
- Remember that healthcare in other countries is organised in different
ways to the UK. Some treatments might not be available in the UK
or be offered to different people. In addition, some conditions
or medicines have different names in different countries.
Search engines - a word of warning!
It's the easiest thing in the world. Just type in a few words into
a search engine, such as Google or Yahoo, and get lots of web pages
back in seconds. However, there are ways of searching using a search
engine that save you ploughing through thousands of pages to get
the one that you want.
- In most cases, you can specify whether you want to search all of the
Internet or just pages from the UK. For health information, it's generally
a better idea to limit your search to UK pages. Another way of doing this
is to add UK to the words you type in the search box.
- Being as specific as possible can also help reduce the number
of pages that come back. For instance, if you want to know about
heart disease in children, type heart disease children into
the search box, rather than just heart disease.
- Using quotation marks to search for two or more words linked
together can also help you find the information you want. For example,
if you type in children in hospital without quotation marks
into Google, you get over 98 million 'hits', whereas if you type in "children
in hospital", you get far fewer at 115,000 hits.
- Remember that the pages appearing first in a list of results
might not be the most relevant. For instance, organisations can
pay to have their web page appear high in results lists.
Searching using search engines gets easier with time as you get
to know how they work. Although they're a useful tool for finding
health information on the Internet, there are smarter ways outlined
below.
Gateway sites
A gateway site is a site that just contains links to other pages.
It's a bit like a directory of other websites.
- There are various gateway sites available in the UK, but the best one
for health information is called OMNI (Organising Medical Networked Information),
which is available at www.omni.ac.uk.
All of the websites and pages indexed in OMNI have been checked against
a series of criteria, to make sure that the information is reliable, unbiased,
and up to date. You can search OMNI by typing words into the search box.
Alternatively, you can browse websites or pages by clicking on the browse
link and then using a subject heading. Once you have a list of search results,
you can read a bit more about them in the summary and then click on the
link to take you directly to the website itself.
- Another useful website is the Family Village website at www.familyvillage.wisc.edu/Specific.htm.
This is based at the University of Wisconsin in the United States
but indexes information from other countries as well. The library
section is arranged alphabetically and covers lots of diseases and
conditions. Under each entry, you can find chat rooms and support
groups as well as information resources. However, as this site is
American, check where the information comes from as things differ
between the UK and United States.
- The main UK website for support groups is Contact a Family available
at www.cafamily.org.uk.
It's the umbrella organisation for most of the support groups for
children's diseases and conditions. It also contains information
sheets on various topics, such as living without a diagnosis and
siblings, as well as links to support groups (and their websites
if they have one). Where possible, we add support group details
to our Great Ormond Street Hospital (GOSH) factsheets, but you can
also find details at the Contact a Family website. Please note that
you can access five of their web pages free in any 30-day period,
but after that a subscription is required.
How to evaluate other websites
When you find a website covering your subject of interest, you
need to ask yourself a series of questions before accepting what
the website says. Remember to be cautious when reading any information
on the Internet. A website that appears to be credible might not
be all it seems. Learning to think critically about information is
a vital skill in using information well. The sorts of questions you
should be asking include:
- Who has produced the information and posted it on the Internet? Follow
any links on the site that say 'home' or 'about us' to find out more. Look
at the web address itself. In the UK, a web address ending in 'ac.uk' comes
from an academic institution and one ending in 'nhs.uk' comes from a hospital
or health organisation. Generally, the web managers of large organisations
like this have quite strict rules for what can be posted on their websites,
so look at these first. If a web address contains a '˜' sign, this
can mean it is someone's personal home page and might not be subject to
these rules. Visit websites produced by organisations you trust first,
those from academic or NHS organisations should be the most reliable UK
ones.
- Look at the date the information was produced and/or posted.
As a general rule, be wary of any information produced more than
four years ago. Medicine moves quickly and new information might
have been discovered.
- Ask yourself about the purpose of the website. Is it trying to
recommend a particular product to you or a specific company? If
the website is selling something, the information it provides may
be biased.
Finding articles in medical journals
Sometimes, you might want to find articles written about your area
of interest that are published in medical journals. This can often
be helpful if you are trying to find information on a rare condition
or new treatment. There are various databases available but the most
widely used one is called PubMed, which is available at www.pubmed.gov.
Remember that this, and other databases, were designed to be searched
by doctors and scientists, rather than lay people, so you might have
to think around the subject to find the keywords on which to search.
It's also worth remembering that it is often 'unusual' cases that
are published in medical journals, rather than the 'normal'. This
can give you a distorted view of a condition so bear this in mind
when searching.
- The first step is to type a word or phrase into the search box at the
top of the screen. If you seem to be getting irrelevant results or none
at all, think about other words or phrases you could use.
- You can also search for a particular author. For instance, if
you want to find out what your doctor has published, you can search
on his or her name in PubMed. It is helpful to know your doctor's
initials (unless he or she has a very unusual name), as this will
limit the number of results that come back. Remember if you are using a doctor's initials to type them in like this "bloggs j".
- Once you get the results of your search, you can look at the
references to the articles. The reference is the information you
need to be able to find the full article in a journal.
- If you click on the author link or the abstract button to the
left, you can see the full reference and often a summary of the
full article, called an abstract.
- Some articles are available on the Internet for free, that is,
the 'full text' is available. There is often a button somewhere
on this screen and clicking it will give you more information about
viewing the complete article. However, a lot of the journals
on PubMed require a subscription or other payment to view the article.
- If articles do not come with 'full text', you can always order
them through your local library, using something called an 'inter-library
loan' scheme. You will need to make a note of the complete reference,
including the authors, title of the article, journal name, volume,
issue and page numbers. The inter-library loan scheme might not
be free but the article can often be delivered within a week or
two.
Using the information you find
Once you've found the information you were looking for, you need
to decide what to do with it next. It's easy to find lots of credible
websites but you could end up with only a pile of paper and no idea
what to do next.
- Talk to your doctor about the information you've found. Be wary, though,
of taking a large pile of print outs along to an appointment. This can
be very off-putting for some doctors. It might be less intimidating if
you use the information you find to put together a list of questions to
ask your doctor.
- Ask your doctor to recommend websites to you. Most doctors keep
up to date with websites in their specialist area. They may even
be involved in producing one. Alternatively, ask at your local Pals
(Patient Advice and Liaison Service) or Information Centre. They
might produce reading lists.
- Make a note of where you found the information. Most web browsers
can be set up to print the web address of any pages you print. Make
sure the date is included as well. Information on the Internet can
change daily and there's no guarantee that if you go back to a site
a few weeks later that the same information will still be there.
Other useful websites to visit
There are lots of websites containing information for patients,
and here are a few examples. Appearance in this list does not constitute
an endorsement from Great Ormond Street Hospital.
- Patient UK www.patient.co.uk
This website lists
many of the support groups in the UK and contains factsheets on common
conditions and operations.
- NHS Choices www.nhs.uk
This website contains information on conditions, treatments, local services and healthy living.
- Medline Plus http://medlineplus.gov/
This is
an American site but contains thousands of information sheets in
the health encyclopaedia section, mainly covering common conditions.
It is also a useful source of illustrations.
- Health Information Resources www.library.nhs.uk
This is the central library website for all information within the NHS. The 'for patients' section contains links to over 100 accredited information sites.
- Safe kids www.safekids.co.uk
This website has a number of child safety videos of
between two and four minutes in length that cover
CPR, Choking and Recovery.
- NHS Baby LifeCheck www.babylifecheck.co.uk
NHS Baby LifeCheck is designed to provide information and advice to mums, dads and carers of babies aged five to eight months, covering topics such as: development, talking and playing, feeding, healthy teeth, safety, sleep routine, immunisations and being a parent.
If you would like to recommend any general health sites (not
specific to any one disease or group of diseases), please tell us
and we will see whether we can include it in the next edition of this
page.
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