Webside Manner

We are drowning today in medical information — and, by and large, that’s a wonderful thing.

It was only a generation or so ago that it was considered radical when a bunch of Boston feminists dug out the kind of information we feel entitled to today and published the first Our Bodies, Ourselves, a nitty-gritty, user-friendly medical guide for women.

Now, 62.6 million Americans, 37 percent use the Internet for medical information. In just a year, from August, 2004 to August, 2005, visits to medical Web sites grew a whopping 23 percent, according to ComScore Media Metrix, an Internet audience measurement company based in Reston, Virginia.

With such a surfeit, the challenge these days is to find trustworthy medical information amid all the profit-driven, misleading, or just plain erroneous stuff on the Net.

With 350 big medical sites to choose from, and thousands more lesser sites, zooming in efficiently on reliable information takes some practice. On the other hand, that’s what I do all day.

So here, without further ado, are my favorite sites — the ones I use frequently and trust for carefully-vetted, understandable information.

The government does a wonderful job on medical Web sites. The best site by far for researching any disease — and the only site you really need if you’re trying to get the basics in a few hours — is www.nih.gov, run by the National Institutes of Health. From the main NIH site, you can get reasonably detailed information on many diseases, plus links to other excellent government sites such as www.clinicaltrials.gov, which lets you plug in your diseaseand state and get information on studies you can join.

Other good government sites for researching diseases and general health information are www.medlineplus.gov, which is run by the NIH and the National Library of Medicine, www.healthfinder.gov, put together by the department of Health and Human Services, and www.cancer.gov, run by the National Cancer Institute.

And if you’re really a medical junkie, or have already mastered the basics of your disease and want to read medical studies, try PubMed, www.pubmed.gov, a search service from the National Library of Medicine that provides access to more than 11 million citations in medical journals.

Among the nongovernmental sites, my favorite is Consumer Reports, www.consumerreportsmedicalguide.org. Much of the information here is free, though for some of the specific material, you have to pay $19 a year or $4.95 per month. Consumer Reports also compiles a list of what it deems the 20 best sites on the Web at www.healthratings.org.

The country’s most popular medical site is WebMD, www.webmd.com, which also ranks number one for quality on Consumer Reports’ top 20 list. In the interest of full disclosure, I have a contract with WebMD to publish columns. That said, I find the site too busy visually. On the other hand, there’s a good reason the site is popular — it’s extensive and quite user-friendly.

Among the sites run by teaching hospitals, my favorite is the Mayo Clinic’s, www.mayoclinic.com. It has clear information on many diseases and carries the two seals of approval you should look for on any medical Web site, one from Health on the Net, www.healthonnet.org, and the other from URAC, www.urac.org. Both of these independent, non-profit organizations use specific criteria to vet information on health Web sites.

Many medical schools also have Web sites, though some of these are better at promoting their own doctors or research than giving general medical information. One good one is Harvard’s. Go to www.hms.harvard.edu and then click on “consumer information,” then “intelihealth.” The site is owned by Aetna, Inc. but Harvard Medical School has editorial responsibility. The site has encyclopedic health information, as well as reviews of breaking medical news stories, an “ask-the-expert” feature that answers selected e-mailed questions and a number of interactive tools.

If it’s drug information you’re looking for, skip the U.S. Food and Drug Administration’s site, because it’s not very helpful, and instead go to www.PDRHealth.com. This site gives consumer-friendly information based on FDA-approved information taken from the Physicians’ Desk Reference, the doctors’ bible of drug information. Or try www.safemedication.com, run by the American Society of Health-System Pharmacists.

For comparisons of cost, safety, and effectiveness of some commonly prescribed drugs, check out Consumer Reports’ relatively new offering, Best Buy Drugs, www.crbestbuydrugs.org.

Three final thoughts:
Steer clear of sites that promote a particular product, treatment, or doctor.
Check out your health plan on the Web. Some offer medical as well as insurance information.
And visit — with caution — the patient advocacy groups for whatever disease you’re interested in. Some of the information may be biased, but visiting these sites may at least suggest questions to ask your doctors about new treatments. Many patient advocacy sites also guide you to support groups.

Bottom line? It can be a jungle out there in medical cyberspace. But if you stick to the reputable sites, you can quickly become a very savvy patient. — Judy Foreman

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

  
© 2006 Rocket Publishing Company, Inc.    760.942.2330     P.O. Box 676130, Rancho Santa Fe, CA 92067