Skip to main content
Top
Published in: BMC Medical Informatics and Decision Making 1/2013

Open Access 01-12-2013 | Research article

Generic medicines: an evaluation of the accuracy and accessibility of information available on the internet

Authors: Suzanne S Dunne, Niamh M Cummins, Ailish Hannigan, Bill Shannon, Colum Dunne, Walter Cullen

Published in: BMC Medical Informatics and Decision Making | Issue 1/2013

Login to get access

Abstract

Background

Internationally, generic medicines are increasingly seen as a key strategy to reduce healthcare expenditure, therefore awareness and knowledge transfer regarding generic medicines are valid areas of research. Although the Internet is a frequently used source of medical information, the accuracy of material found online is variable. The aim of this study was to evaluate information provided on the Internet regarding generic medicines in terms of quality of information and readability.

Methods

Internet searches for information regarding generic medicine were completed, with a pre-defined search term, using the Google search engine, in five English-speaking geographical regions (US, UK, Ireland, Canada and Australia). Search results likely to be looked at by a searcher were collated and assessed for the quality of generic medicine-related information in the websites, using a novel customised Website Quality Assessment (WQA) tool; and for readability, using existing methods. The reproducibility of the tools between two independent reviewers was evaluated and correlations between WQA score, readability statistics and Google search engine results page ranking were assessed.

Results

Wikipedia was the highest-ranking search result in 100% of searches performed. Considerable variability of search results returned between different geographical regions was observed, including that websites identified in the Australian search generated the highest number of country specific websites; searches performed using computers with Irish, British, American and Canadian IP addresses appear to be more similar to each other than the google.com search performed in Australia; and the Canadian google.ca results show a notable difference from any of the other searches. Of the 24 websites assessed, none scored a perfect WQA score. Notably, strong correlation was seen between WQA and readability scores and ranking on google.com search results.

Conclusions

This novel evaluation of websites providing information on generic medicines showed that, of the websites likely to be seen by a searcher, none demonstrated a combination of scoring highly on quality of information (as evinced by WQA score) and readability. Therefore, there is a gap in online knowledge provision on this topic which, if filled by a website designed using the WQA tool developed in this study, has an improved likelihood of ranking highly in google.com search results.
Appendix
Available only for authorised users
Literature
1.
go back to reference Showghi NN, Williams AC: Information about male chronic pelvic and urogenital pain on the internet: an evaluation of internet resources. Pain Med. 2012, 13 (10): 1275-1283. 10.1111/j.1526-4637.2012.01466.x.CrossRefPubMed Showghi NN, Williams AC: Information about male chronic pelvic and urogenital pain on the internet: an evaluation of internet resources. Pain Med. 2012, 13 (10): 1275-1283. 10.1111/j.1526-4637.2012.01466.x.CrossRefPubMed
2.
go back to reference Adams SA: Revisiting the online health information reliability debate in the wake of “web 2.0”: an inter-disciplinary literature and website review. Int J Med Inform. 2010, 79 (6): 391-400. 10.1016/j.ijmedinf.2010.01.006.CrossRefPubMed Adams SA: Revisiting the online health information reliability debate in the wake of “web 2.0”: an inter-disciplinary literature and website review. Int J Med Inform. 2010, 79 (6): 391-400. 10.1016/j.ijmedinf.2010.01.006.CrossRefPubMed
3.
go back to reference Wong LM, Yan H, Margel D, Fleshner NE: Urologists in cyberspace: a review of the quality of health information from American urologists’ websites using three validated tools. Can Urol Assoc J. 2013, 7 (3–4): 100-107.PubMedPubMedCentral Wong LM, Yan H, Margel D, Fleshner NE: Urologists in cyberspace: a review of the quality of health information from American urologists’ websites using three validated tools. Can Urol Assoc J. 2013, 7 (3–4): 100-107.PubMedPubMedCentral
4.
go back to reference Cahn L: Focus on the patent cliff to maximize generic savings. Manag Care. 2012, 21 (11): 28-32.PubMed Cahn L: Focus on the patent cliff to maximize generic savings. Manag Care. 2012, 21 (11): 28-32.PubMed
5.
go back to reference Schommer JC: Going over the patent cliff. Minn Med. 2011, 94 (10): 42-43.PubMed Schommer JC: Going over the patent cliff. Minn Med. 2011, 94 (10): 42-43.PubMed
6.
7.
go back to reference Diaz J, Griffith R, Ng J, Reinert S, Friedmann P, Moulton A: Patients’ use of the internet for medical information. J Gen Intern Med. 2002, 17 (3): 180-185. 10.1046/j.1525-1497.2002.10603.x.CrossRefPubMedPubMedCentral Diaz J, Griffith R, Ng J, Reinert S, Friedmann P, Moulton A: Patients’ use of the internet for medical information. J Gen Intern Med. 2002, 17 (3): 180-185. 10.1046/j.1525-1497.2002.10603.x.CrossRefPubMedPubMedCentral
8.
go back to reference Langille M, Bernard A, Rodgers C, Hughes S, Leddin D, van Zanten SV: Systematic review of the quality of patient information on the internet regarding inflammatory bowel disease treatments. Clin Gastroenterol Hepatol. 2010, 8 (4): 322-328. 10.1016/j.cgh.2009.12.024.CrossRefPubMed Langille M, Bernard A, Rodgers C, Hughes S, Leddin D, van Zanten SV: Systematic review of the quality of patient information on the internet regarding inflammatory bowel disease treatments. Clin Gastroenterol Hepatol. 2010, 8 (4): 322-328. 10.1016/j.cgh.2009.12.024.CrossRefPubMed
9.
go back to reference Livas C, Delli K, Ren Y: Quality evaluation of the available Internet information regarding pain during orthodontic treatment. Angle Orthod. 2013, 83 (3): 500-506. 10.2319/052512-435.1. doi: 10.2319/052512-435.1CrossRefPubMed Livas C, Delli K, Ren Y: Quality evaluation of the available Internet information regarding pain during orthodontic treatment. Angle Orthod. 2013, 83 (3): 500-506. 10.2319/052512-435.1. doi: 10.2319/052512-435.1CrossRefPubMed
10.
go back to reference Fraval A, Ming Chong Y, Holcdorf D, Plunkett V, Tran P: Internet use by orthopaedic outpatients - current trends and practices. Australasian Med J. 2012, 5 (12): 633-638.CrossRef Fraval A, Ming Chong Y, Holcdorf D, Plunkett V, Tran P: Internet use by orthopaedic outpatients - current trends and practices. Australasian Med J. 2012, 5 (12): 633-638.CrossRef
11.
go back to reference Colon Y: Searching for pain information, education, and support on the internet. J Pain Palliat Care Pharmacother. 2013, 27 (1): 71-73. 10.3109/15360288.2012.758218. doi: 10.3109/15360288.2012.758218CrossRefPubMed Colon Y: Searching for pain information, education, and support on the internet. J Pain Palliat Care Pharmacother. 2013, 27 (1): 71-73. 10.3109/15360288.2012.758218. doi: 10.3109/15360288.2012.758218CrossRefPubMed
12.
go back to reference Peterson MW, Fretz PC: Patient use of the internet for information in a lung cancer clinic. Chest J. 2003, 123 (2): 452-457. 10.1378/chest.123.2.452.CrossRef Peterson MW, Fretz PC: Patient use of the internet for information in a lung cancer clinic. Chest J. 2003, 123 (2): 452-457. 10.1378/chest.123.2.452.CrossRef
13.
go back to reference Helft PR, Eckles RE, Johnson-Calley CS, Daugherty CK: Use of the internet to obtain cancer information among cancer patients at an urban county hospital. J Clin Oncol. 2005, 23 (22): 4954-4962. 10.1200/JCO.2005.09.621.CrossRefPubMed Helft PR, Eckles RE, Johnson-Calley CS, Daugherty CK: Use of the internet to obtain cancer information among cancer patients at an urban county hospital. J Clin Oncol. 2005, 23 (22): 4954-4962. 10.1200/JCO.2005.09.621.CrossRefPubMed
14.
go back to reference Vordermark D, Kölbl O, Flentje M: The internet as a source of medical information investigation in a mixed cohort of radiotherapy patients. Strahlenther Onkol. 2000, 176 (11): 532-535. 10.1007/PL00002322.CrossRefPubMed Vordermark D, Kölbl O, Flentje M: The internet as a source of medical information investigation in a mixed cohort of radiotherapy patients. Strahlenther Onkol. 2000, 176 (11): 532-535. 10.1007/PL00002322.CrossRefPubMed
15.
go back to reference Powell J, Clarke A: Internet information-seeking in mental health: population survey. Br J Psychiatry. 2006, 189 (3): 273-277. 10.1192/bjp.bp.105.017319.CrossRefPubMed Powell J, Clarke A: Internet information-seeking in mental health: population survey. Br J Psychiatry. 2006, 189 (3): 273-277. 10.1192/bjp.bp.105.017319.CrossRefPubMed
16.
go back to reference Lissman TL, Boehnlein JK: A critical review of internet information about depression. Psychiatr Serv. 2001, 52 (8): 1046-1050. 10.1176/appi.ps.52.8.1046.CrossRefPubMed Lissman TL, Boehnlein JK: A critical review of internet information about depression. Psychiatr Serv. 2001, 52 (8): 1046-1050. 10.1176/appi.ps.52.8.1046.CrossRefPubMed
17.
go back to reference Alsaadi MM: Evaluation of internet use for health information by parents of asthmatic children attending pediatric clinics in Riyadh, Saudi Arabia. Ann Saudi Med. 2012, 32 (6): 630-636.PubMed Alsaadi MM: Evaluation of internet use for health information by parents of asthmatic children attending pediatric clinics in Riyadh, Saudi Arabia. Ann Saudi Med. 2012, 32 (6): 630-636.PubMed
18.
go back to reference Agricola E, Gesualdo F, Pandolfi E, Gonfantini MV, Carloni E, Mastroiacovo P, Tozzi AE: Does googling for preconception care result in information consistent with international guidelines? A comparison of information found by Italian women of childbearing age and health professionals. BMC Med Inform Decis Mak. 2013, 13 (1): 14-10.1186/1472-6947-13-14.CrossRefPubMedPubMedCentral Agricola E, Gesualdo F, Pandolfi E, Gonfantini MV, Carloni E, Mastroiacovo P, Tozzi AE: Does googling for preconception care result in information consistent with international guidelines? A comparison of information found by Italian women of childbearing age and health professionals. BMC Med Inform Decis Mak. 2013, 13 (1): 14-10.1186/1472-6947-13-14.CrossRefPubMedPubMedCentral
19.
go back to reference Gondim AP, Weyne DP, Ferreira BS, Gondim AP, Weyne DP, Ferreira BS: Quality of health and medication information on Brazilian websites. Einstein (Sao Paulo, Brazil). 2012, 10 (3): 335-341. 10.1590/S1679-45082012000300014.CrossRef Gondim AP, Weyne DP, Ferreira BS, Gondim AP, Weyne DP, Ferreira BS: Quality of health and medication information on Brazilian websites. Einstein (Sao Paulo, Brazil). 2012, 10 (3): 335-341. 10.1590/S1679-45082012000300014.CrossRef
20.
go back to reference Del Giglio A, Abdala B, Ogawa C, Amado D, Carter D, Gomieiro F, Salama F, Shiroma M, Del Giglio A: Quality of internet information available to patients on websites in Portuguese. Rev Assoc Med Bras. 2012, 58 (6): 645-649.CrossRefPubMed Del Giglio A, Abdala B, Ogawa C, Amado D, Carter D, Gomieiro F, Salama F, Shiroma M, Del Giglio A: Quality of internet information available to patients on websites in Portuguese. Rev Assoc Med Bras. 2012, 58 (6): 645-649.CrossRefPubMed
21.
go back to reference Dunne S, Shannon B, Dunne C, Cullen W: A review of the differences and similarities between generic drugs and their originator counterparts, including economic benefits associated with usage of generic medicines, using Ireland as a case study. BMC Pharmacol Toxicol. 2013, 14 (1): 1-10.1186/2050-6511-14-1.CrossRefPubMedPubMedCentral Dunne S, Shannon B, Dunne C, Cullen W: A review of the differences and similarities between generic drugs and their originator counterparts, including economic benefits associated with usage of generic medicines, using Ireland as a case study. BMC Pharmacol Toxicol. 2013, 14 (1): 1-10.1186/2050-6511-14-1.CrossRefPubMedPubMedCentral
22.
go back to reference Baumgärtel C: Myths, questions, facts about generic drugs in the EU. Gen Biosimilars Initiat J. 2012, 1 (1): 34-38. 10.5639/gabij.2012.0101.009.CrossRef Baumgärtel C: Myths, questions, facts about generic drugs in the EU. Gen Biosimilars Initiat J. 2012, 1 (1): 34-38. 10.5639/gabij.2012.0101.009.CrossRef
25.
go back to reference Eysenbach G, Kohler C: How do consumers search for and appraise health information on the world wide web? Qualitative study using focus groups, usability tests, and in-depth interviews. BMJ. 2002, 324 (7337): 573-577. 10.1136/bmj.324.7337.573.CrossRefPubMedPubMedCentral Eysenbach G, Kohler C: How do consumers search for and appraise health information on the world wide web? Qualitative study using focus groups, usability tests, and in-depth interviews. BMJ. 2002, 324 (7337): 573-577. 10.1136/bmj.324.7337.573.CrossRefPubMedPubMedCentral
26.
go back to reference Hansen DL, Derry HA, Resnick PJ, Richardson CR: Adolescents searching for health information on the Internet: an observational study. J Med Internet Res. 2003, 5 (4): e25-10.2196/jmir.5.4.e25.CrossRefPubMedPubMedCentral Hansen DL, Derry HA, Resnick PJ, Richardson CR: Adolescents searching for health information on the Internet: an observational study. J Med Internet Res. 2003, 5 (4): e25-10.2196/jmir.5.4.e25.CrossRefPubMedPubMedCentral
31.
go back to reference Kincaid JP, Fishburne RP, Rogers RL, Chissom BS: Derivation of New Readability Formulas (Automated Readability Index, Fog Count and Flesch Reading Ease Formula) for Navy Enlisted Personnel. 1975, Springfield, Virginia: National Technical Information Service, 22151- Kincaid JP, Fishburne RP, Rogers RL, Chissom BS: Derivation of New Readability Formulas (Automated Readability Index, Fog Count and Flesch Reading Ease Formula) for Navy Enlisted Personnel. 1975, Springfield, Virginia: National Technical Information Service, 22151-
32.
go back to reference Law MR, Mintzes B, Morgan SG: The sources and popularity of online drug information: an analysis of top search engine results and web page views. Ann Pharmacother. 2011, 45 (3): 350-356. 10.1345/aph.1P572.CrossRefPubMed Law MR, Mintzes B, Morgan SG: The sources and popularity of online drug information: an analysis of top search engine results and web page views. Ann Pharmacother. 2011, 45 (3): 350-356. 10.1345/aph.1P572.CrossRefPubMed
33.
35.
go back to reference Judd T, Kennedy G: Expediency-based practice? Medical students’ reliance on Google and Wikipedia for biomedical inquiries. Br J Educ Technol. 2011, 42 (2): 351-360. 10.1111/j.1467-8535.2009.01019.x.CrossRef Judd T, Kennedy G: Expediency-based practice? Medical students’ reliance on Google and Wikipedia for biomedical inquiries. Br J Educ Technol. 2011, 42 (2): 351-360. 10.1111/j.1467-8535.2009.01019.x.CrossRef
36.
go back to reference Allahwala UK, Nadkarni A, Sebaratnam DF: Wikipedia use amongst medical students – new insigh1ts into the digital revolution. Med Teach. 2013, 35 (4): 337-doi: 10.3109/0142159X.2012.737064CrossRefPubMed Allahwala UK, Nadkarni A, Sebaratnam DF: Wikipedia use amongst medical students – new insigh1ts into the digital revolution. Med Teach. 2013, 35 (4): 337-doi: 10.3109/0142159X.2012.737064CrossRefPubMed
38.
go back to reference Yasseri T, Kornai A, Kertesz J: A practical approach to language complexity: a Wikipedia case study. PloS one. 2012, 7 (11): e48386-10.1371/journal.pone.0048386.CrossRefPubMedPubMedCentral Yasseri T, Kornai A, Kertesz J: A practical approach to language complexity: a Wikipedia case study. PloS one. 2012, 7 (11): e48386-10.1371/journal.pone.0048386.CrossRefPubMedPubMedCentral
39.
go back to reference Kint M, Hart DP: Should clinicians edit Wikipedia to engage a wider world web?. BMJ. 2012, 345: e4275-10.1136/bmj.e4275. doi: 10.1136/bmj.e4275CrossRefPubMed Kint M, Hart DP: Should clinicians edit Wikipedia to engage a wider world web?. BMJ. 2012, 345: e4275-10.1136/bmj.e4275. doi: 10.1136/bmj.e4275CrossRefPubMed
40.
go back to reference Heilman JM, Kemmann E, Bonert M, Chatterjee A, Ragar B, Beards GM, Iberri DJ, Harvey M, Thomas B, Stomp W, Martone MF, Lodge DJ, Vondracek A, de Wolff JF, Liber C, Grover SC, Vickers TJ, Mesko B, Laurent MR: Wikipedia: a key tool for global public health promotion. J Med Internet Res. 2011, 13 (1): e14-10.2196/jmir.1589.CrossRefPubMedPubMedCentral Heilman JM, Kemmann E, Bonert M, Chatterjee A, Ragar B, Beards GM, Iberri DJ, Harvey M, Thomas B, Stomp W, Martone MF, Lodge DJ, Vondracek A, de Wolff JF, Liber C, Grover SC, Vickers TJ, Mesko B, Laurent MR: Wikipedia: a key tool for global public health promotion. J Med Internet Res. 2011, 13 (1): e14-10.2196/jmir.1589.CrossRefPubMedPubMedCentral
41.
go back to reference Chou WY, Prestin A, Lyons C, Wen KY: Web 2.0 for health promotion: reviewing the current evidence. Am J Public Health. 2013, 103 (1): e9-e18. 10.2105/AJPH.2012.301071.CrossRefPubMedPubMedCentral Chou WY, Prestin A, Lyons C, Wen KY: Web 2.0 for health promotion: reviewing the current evidence. Am J Public Health. 2013, 103 (1): e9-e18. 10.2105/AJPH.2012.301071.CrossRefPubMedPubMedCentral
42.
go back to reference Mackey TK, Liang BA: The global counterfeit drug trade: patient safety and public health risks. J Pharm Sci. 2011, 100 (11): 4571-4579. 10.1002/jps.22679.CrossRefPubMed Mackey TK, Liang BA: The global counterfeit drug trade: patient safety and public health risks. J Pharm Sci. 2011, 100 (11): 4571-4579. 10.1002/jps.22679.CrossRefPubMed
49.
go back to reference Bates BR, Romina S, Ahmed R, Hopson D: The effect of source credibility on consumers’ perceptions of the quality of health information on the internet. Med Inform Internet Med. 2006, 31 (1): 45-52. 10.1080/14639230600552601.CrossRefPubMed Bates BR, Romina S, Ahmed R, Hopson D: The effect of source credibility on consumers’ perceptions of the quality of health information on the internet. Med Inform Internet Med. 2006, 31 (1): 45-52. 10.1080/14639230600552601.CrossRefPubMed
50.
go back to reference Dunne S, Cummins N, Hannigan A, Shannon B, Dunne C, Cullen W: A Method for the Design and Development of Medical or Health Care Information Websites to Optimize Search Engine Results Page Rankings on Google. Journal of medical Internet research. 2013, 15 (8): Dunne S, Cummins N, Hannigan A, Shannon B, Dunne C, Cullen W: A Method for the Design and Development of Medical or Health Care Information Websites to Optimize Search Engine Results Page Rankings on Google. Journal of medical Internet research. 2013, 15 (8):
Metadata
Title
Generic medicines: an evaluation of the accuracy and accessibility of information available on the internet
Authors
Suzanne S Dunne
Niamh M Cummins
Ailish Hannigan
Bill Shannon
Colum Dunne
Walter Cullen
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Medical Informatics and Decision Making / Issue 1/2013
Electronic ISSN: 1472-6947
DOI
https://doi.org/10.1186/1472-6947-13-115

Other articles of this Issue 1/2013

BMC Medical Informatics and Decision Making 1/2013 Go to the issue