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BMJ 1999;318:647-649 ( 6 March )

Information in practice

Published criteria for evaluating health related web sites: review

Paul Kim, research assistanta Thomas R Eng, study directora Mary Jo Deering, research fellowa Andrew Maxfield, directorb

a Health Communication and Telehealth, Office of Disease Prevention and Health Promotion, US Department of Health and Human Services, Washington DC, USA, b National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Washington DC

Correspondence to: Dr Eng [log in to unmask]

Objective: To review published criteria for specifically evaluating health related information on the world wide web, and to identify areas of consensus.
Design: Search of world wide web sites and peer reviewed medical journals for explicit criteria for evaluating health related information on the web, using Medline and Lexis-Nexis databases, and the following internet search engines: Yahoo!, Excite, Altavista, Webcrawler, HotBot, Infoseek, Magellan Internet Guide, and Lycos. Criteria were extracted and grouped into categories.
Results: 29 published rating tools and journal articles were identified that had explicit criteria for assessing health related web sites. Of the 165 criteria extracted from these tools and articles, 132 (80%) were grouped under one of 12 specific categories and 33 (20%) were grouped as miscellaneous because they lacked specificity or were unique. The most frequently cited criteria were those dealing with content, design and aesthetics of site, disclosure of authors, sponsors, or developers, currency of information (includes frequency of update, freshness, maintenance of site), authority of source, ease of use, and accessibility and availability.
Conclusions: Results suggest that many authors agree on key criteria for evaluating health related web sites, and that efforts to develop consensus criteria may be helpful. The next step is to identify and assess a clear, simple set of consensus criteria that the general public can understand and use.


Key messages

  • Many organisations and individuals have published criteria to evaluate health related information on the world wide web

  • A literature and world wide web search found that the most frequently cited criteria were those dealing with content, design and aesthetics of site, disclosure of authors, sponsors, or developers, currency of information, authority of source, and ease of use

  • Criteria related to confidentiality and privacy were only cited by one author

  • Consensus regarding critical criteria for evaluation of web based health information seems to be emerging

  • Our results indicate that many authors agree on key criteria for evaluating health related web sites, and that efforts to develop a set of key criteria may be helpful





© British Medical Journal 1999



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