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HI Newsletter Vol. 1, Issue 5, sent 02 Dec 2003
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Welcome to the 5th issue of the HealthInsite Newsletter, focussing this month on the quality of health information. There has been a lot of discussion in the media lately about the sometimes poor quality of health information available online. This month we will look at ways that you can assess the quality of health information for yourself. We'll also look at where you can find information about the evidence behind different treatment choices so you can make more informed healthcare and wellbeing decisions. This newsletter has a lot of detailed information so please let me know if you think we've included too much. Please feel free to also let us know if you have any problems with the newsletter or if you have any suggestions for future editions by sending an email to: mailto:healthinsite.feedback@health.gov.au ------------------------------------------------------------ IN THIS ISSUE Vol 1, Issue 5 ------------------------------------------------------------ => Assessing Quality of Information => Scientific Evidence => Reviews of Evidence - Cochrane Collaboration => Cochrane for Consumers - Informed Health Online => Your Feedback - Complementary Medicines => Partner Spotlight - Alzheimer's Association WA => Latest Resources => Hot Tip - Partner Process Assures Quality => What's on Next Month ------------------------------------------------------------ Assessing the Quality of Information ------------------------------------------------------------ When you are about to buy a new car you might look at all the options available and then choose the one that best suits your circumstances. You might also gather some evidence to help you make your decision. You might talk to the salesperson, read the manufacturer's brochures or talk to people who have previously bought the product. You might also see if Choice Magazine, NRMA, RACV (or other affiliated organisations) have done a comparison of brands and models. The more independent the source of information, the stronger the evidence is likely to be. Health decisions can be much more complex. Some people are very happy to go along with whatever their health professional recommends but others like to do some independent research of their own before they go back to their health professional with questions and further discussion. Health information is available from a wide range of other sources and it is often difficult to tell if information can be trusted - this is especially true of information available on the Internet. Is it up to date? Is it objective? Is the information written by a trusted expert? The Internet is a valuable source of health information that can help you understand your health issues as well as those of your friends or families. HealthInsite was developed to help you find reliable information. All the partner websites that HealthInsite links to have gone through a strict approval process to ensure that information available meets our high quality standards. But how do you assess the quality of other information? We've created a specific topic page to help you decide if the information you find on the Internet is of good quality. Many of these principles also apply to information from other sources too. How to Assess Health Information Online topic page can be found at: http://www.healthinsite.gov.au/shortlinks/sLink.cfm?n=5&l=2 ------------------------------------------------------------ Scientific Evidence - Where does it come from? ------------------------------------------------------------ Health care decisions are far more important and more complicated than buying a new car. When you see a health professional about a health problem you might discuss a few different treatment options. How do you decide which one is right for you? What sources of information are available to you and your doctor or other health professional? All around the world researchers are conducting studies to determine if medicines or treatments are effective and safe and their long term side effects and benefits. Some of the research goes on before the medicines or treatments are approved for use and some continue on after it is publicly available. You may even know someone who has been involved in a clinical trial - perhaps for a new diabetes or asthma treatment. The research is done under tightly controlled conditions and the results are published widely in journals available to your health professional and may be reported in the general media. This research is very important because it provides evidence about the effectiveness of particular treatments/medicines that help you and your health professional to work out what is the best option for you. There are different levels of evidence. For example, several independent randomised controlled trials finding the same results for a treatment could be considered a higher level of evidence than the opinions of respected authorities based on their clinical experience. But often the highest level of scientific research has not been conducted and this does not mean that the treatment is not effective. Opinion and clinical experience form a strong basis on which to make a decision. For more information about randomised control trials and systematic reviews in consumer friendly language you may like to visit: http://www.informedhealthonline.org/item.aspx?tabid=22&pagerequest=5 ------------------------------------------------------------ Cochrane Collaboration - Reviews of Evidence ------------------------------------------------------------ As we understand more about what causes diseases and as medical technology and treatment options increase, it becomes more difficult for health professionals to keep up to date with new information. The Cochrane Collaboration is a not-for-profit international organisation that aims to help people make well-informed decisions about health care. The Collaboration brings together the results from well-conducted clinical trials conducted all over the world in the form of systematic reviews. The Australian Government has negotiated a national licence that allows anyone in Australia to access the library free of charge. Simply go to: http://www.update-software.com/clibng/cliblogon.htm and click the 'Log on anonymously' button to bring up the opening screen. ------------------------------------------------------------ Cochrane for Consumers - Informed Health Online ------------------------------------------------------------ Informed Health Online is one of HealthInsite's information partners. The recently revamped website is excellent and provides consumer friendly summaries of Cochrane Reviews along with lots of other useful information. The Informed Health Online website has been designed to help people understand health care research. It is also a resource for consumers and others who want to become involved in health research activities, including the Cochrane Collaboration. Informed Health Online can be found at: http://www.informedhealthonline.org/item.aspx The site is easy to manage but you might like to visit their 'site tips' for some really useful suggestions about how to find what you want. Site tips are available at: http://www.informedhealthonline.org//item.aspx?tabindex=1&tabid=28 ------------------------------------------------------------ Your Feedback - Complementary Medicines ------------------------------------------------------------ We often receive emails asking for information about complementary medicines including products that claim to provide 'miracle cures'. These are quite difficult to answer because there is often little scientific evidence available to support or to challenge claims of effectiveness. We usually try to give people a starting point for where to find more information. If you want to find out more about a particular complementary medicine you may like to do a search in the Cochrane Library or Informed Health Online to see if any systematic reviews have been conducted. There are other types of evidence besides scientific including evidence that is based on traditional use of a substance or product. This includes traditional systems of medicine which are used by indigenous populations all over the world. The Therapeutic Goods Administration has produced guidelines which outline the requirements that complementary medicines must meet before they can be listed for use in Australia. The publication also defines evidence based on traditional use. Guidelines for Levels and Kinds of Evidence to Support Indications and Claims is available from the Therapeutic Goods Administration at: http://www.tga.gov.au/docs/pdf/tgaccevi.pdf You may also like to do an Internet search and ask the questions outlined in the How to Assess Health Information Online topic page which can be found at: http://www.healthinsite.gov.au/shortlinks/sLink.cfm?n=5&l=2 *-----------------In Brief------------------* The National Health and Medical Research Council has just released new Clinical Practice Guidelines for the Management of Overweight and Obesity in Adults, Adolescents and Children. The Guidelines are designed primarily as a resource for doctors but they are an excellent resource for anyone concerned about obesity and overweight. The Guidelines can be downloaded free at: http://www.obesityguidelines.gov.au *-----------------In Brief------------------* ------------------------------------------------------------ Partner Spotlight - Alzheimer's Association WA ------------------------------------------------------------ Hazel Hawke's announcement that she is suffering from Alzheimer's Disease has turned the spotlight on 160,000 other sufferers and their carers in Australia. She said ''Although I would obviously prefer not to have Alzheimer's, I continue to live a happy and healthy life, with the love and support of family and friends. I hope that, as a community, we can work towards this as a reality for all those similarly affected.'' Her greatest wish is that by speaking out she will be able to promote openness, awareness and support for all people living with dementia. Alzheimer's Association WA represents and supports individuals with dementia and their carers, and advances their interests at a personal, community and political level. The Association also aims to create awareness of Alzheimer's disease and related disorders in the community. Currently only the Alzheimer Association WA is a HealthInsite partner but there are Alzheimer's Associations in every state. Alzheimer's Association WA (including links to other Alzheimer's Associations) is available at: http://www.alzheimers.asn.au/index.php HealthInsite has several topic pages which you may find useful including: Alzheimer's Disease topic page at: http://www.healthinsite.gov.au/topics/Alzheimer_s_Disease Dementia topic page http://www.healthinsite.gov.au/topics/Dementia ------------------------------------------------------------ Latest Resources ------------------------------------------------------------ The HealthInsite team regularly adds new items to the database including new information partners, new topic pages and news items. You can find a list of new and updated material added to the database in the past month at: http://www.healthinsite.gov.au/search/newsletter_search.cfm?id=6 ------------------------------------------------------------ Hot Tip - Partner process ensures quality ------------------------------------------------------------ We're delighted that five new partners have joined the HealthInsite family: Australian Prostate Cancer Collaboration available at: http://www.prostatehealth.org.au/index.html Cancer Council Australia http://www.cancer.org.au/ Consumers' Health Forum of Australia http://www.chf.org.au/ DepressioNet http://www.depressionet.com.au/ Women's Health Victoria http://www.whv.org.au/ A list of all our partners can be found at: http://www.healthinsite.gov.au/shortlinks/sLink.cfm?n=5&l=3 But how did they become partners? Organisations and websites who wish to become partners must go through the HealthInsite quality assessment process. This involves an initial self-assessment by the organisation and the HealthInsite Editorial Team according to the HealthInsite Publishing Standards. The Standards look at four areas: Quality of information, for example: Are the authors of the information qualified? Is the information accurate? Is it appropriate for the target audience? Authentication, for example: Does it include a clear and explicit title, creator, publisher and date? Technical issues, for example: Does it work and is it presented well? Accessibility, for example: Does it cater for a range of hardware and software that users may have? Can it be used by people with disabilities? Once the initial assessment phase is completed, websites are then assessed by the HealthInsite Editorial Board, an independent group of health professionals and consumer representatives. In reaching a decision, the Editorial Board will consider the overall quality of the proposed information partner's quality assurance process and the appropriateness of the information for consumers. After the Editorial Board gives approval, the organisation signs a four-year Deed of Agreement with HealthInsite that sets out the ongoing roles and responsibilities of both the organisation and HealthInsite. As you can see, it's quite a long process but it means that you can trust that the information available through HealthInsite is of the highest standard possible. We welcome applications from any organisations that provide consumer health information. Organisations can nominate themselves or you may like to recommend an organisation or website to us. We can then contact the organisation about becoming a partner. More information about becoming an information partner can be found at: http://www.healthinsite.gov.au/shortlinks/sLink.cfm?n=5&l=4 ------------------------------------------------------------ What's on Next Month ------------------------------------------------------------ We'll publish the next issue in mid December before the Christmas break. We'll look at resources to help you cope with the Christmas season including tips for travelling, healthy eating, and managing the all too common problems of overindulgence (hic). For some people Christmas can be a time of loneliness, isolation and conflict so we'll also look at resources to help you cope with these issues as well. ------------------------------------------------------------ Till then, take care The Editorial Team HealthInsite ------------------------------------------------------------
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