Medlineplus and Consumer Health Initiatives at nlm/nih october 20, 2000



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MEDLINEplus and Consumer Health Initiatives at NLM/NIH

  • October 20, 2000

  • Annual Meeting, Mid-Atlantic Chapter

  • of the Medical Library Association

  • Adam Glazer, Reference Librarian

  • National Library of Medicine


Overview

  • MEDLINEplus

  • NLM Gateway

  • ClinicalTrials.gov

  • AgePage

  • Electronic Health Information Projects

  • HEALTHINFOQUEST

  • Consumer Health: An Online Manual

  • The Public Library and Consumer Health: Meeting Community Needs Through Resource Identification and Collaboration



MEDLINEplus

  • History and development

  • Components and technology

  • Content arrangement, selection guidelines

  • Evaluation and feedback

  • Future plans









October 22, 1998

  • Public Library pilot project

  • 22 health topics

  • Where did the topics come from?

    • MeSH
    • Planetree
    • Consumer health Web sites
    • User searches
  • 116,000 hits first month



October 22, 1998 - September 21, 1999



September 22, 1999 - August 23, 2000



August 24, 2000 - present



MEDLINEplus Today

  • Comprehensive health resource

    • 414 topics (diseases, wellness issues)
    • Links to organizations, libraries, directories
    • Drug information
    • Encyclopedia
  • Over 2.5 million page hits/month





Major Components

  • Health Topic pages

    • Links - full text on NIH and other sites
    • Prepackaged MEDLINE searches
    • ClinicalTrials.gov links
  • Drug information via USP DI®

  • Medical encyclopedia via adam.com



Technology

  • Database of records (Oracle)

    • Includes information on sites and contacts
    • Over 13,000 records
  • Web-based input system (Cold Fusion)

    • Remote access
  • Authorities and rules

  • Review and approval process

  • HTML generated nightly for Web





Quality Checks

  • Broken links fixed nightly

  • Individual records reviewed before approved

  • Pages reviewed before release to public

  • Pages reviewed after release



MEDLINEplus Strengths

  • User-driven topics

  • User-driven design

  • NIH collaborations

  • Authoritative information

  • Private

  • Semi-annual topic evaluation

  • Nightly link checking

  • Selective, not comprehensive resource





Content Arrangement

  • Multiple access points (A-Z, categories)

  • Related categories; related topics

  • Topic pages have table of contents arrangement; point to full text information

  • Prepackaged MEDLINE searches

  • using PubMed

  • Links to ClinicalTrials.gov



Selection Issues

  • Abundant health information on the Web

    • Not always authoritative
    • Often with agenda
  • Nature of Web sites: constant change



Selection Guidelines

  • Linked from “About MEDLINEplus

  • Emphasis on resources from government health organizations, especially NIH Institutes

  • Collaborate with NIH Institutes on content development and review



Selection Guidelines (2)

  • Must be authoritative, accurate and well maintained

  • Educational, not selling product

  • NLM contacts organizations about

    • displaying advisory boards
    • technical issues (frames)




NIH Collaboration

  • Focus on NIH information

  • Information Officers and staff

    • Organizations
    • Sites
    • Topics and arrangement
  • Institute staff reviewing topic page



30 Most Requested September 2000 (1-15)

  • Diabetes

  • Shingles

  • Fibromyalgia

  • AIDS

  • Skin Diseases

  • Breast Cancer

  • Foot/ankle Injuries

  • Thyroid Diseases

  • Multiple Sclerosis



30 Most Requested September 2000 (16-30)

  • Arthritis

  • Depression

  • Heart Diseases

  • Anemia

  • About Your Medications

  • Spinal Stenosis

  • Mouth & Throat Disorders



MEDLINE Searches

  • “Canned” searches created by NLM Reference Staff

  • Tailored for the consumer

    • Current, English, clinical
    • 20-70 references
    • Cover selected aspects of topic
  • Search PubMed each time



Canned PubMed Search





ClinicalTrials.gov Links

  • Introduced - February 2000

  • Mutual links through MeSH



Online Tour Released September 13th



Frequently Asked Questions Released September 13th



Feedback and Evaluation

  • Customer Service (phone, E-mail)

  • Comment link on every page



Comments - Jan - Sep 2000 N=1195



Recent Comments

  • “I am very impressed with your website. The layout is very clear and easy to navigate... Now that I have visited, I will surely return. Many thanks to you and your staff for the creation of a truly worthwhile site.” (9/21/00)



Recent Comments

  • “Your information has been very helpful to my wife and I and we want you to know we greatly appreciate it. Thank You!!!” (9/18/00)



Recent Comments

  • “I wanted to tell you what a wonderful web site you have created and continue to develop. You have helped me, my students and our patients/families more than you might know… I wish there was a way to better thank you.” (9/3/00)



Experience to Date

  • Over 13,000 records in system

  • Over 1000 organizations

    • over 400 for display
  • Over 100 organizations contacted

  • Sites change

  • Hard to keep up



Future

  • Health news

  • Patient education modules

  • AgePage (National Institute on Aging)

  • Additional drug information

  • Share links with local / regional Web sites



Coming Soon - Health News



Full News Story



Topic with News



Summarizing MEDLINEplus...

  • MEDLINEplus is:

  • Selective

  • Highly reviewed

  • Private

  • Responsive

  • Growing



NLM Gateway http://gateway.nlm.nih.gov/







ClinicalTrials.gov http://clinicaltrials.gov/





AgePage

  • Cooperative effort between the National Library of Medicine and the National Institute on Aging

  • Reflects NLM’s efforts of reaching out to special populations







Electronic Health Information Projects

  • Announced in January 2000

  • Projects will run from 12 to 18 months

  • More than $1 million invested

  • Projects target people who lack access to computers and computer skills

  • Originally involved 49 projects; four more were recently added



http://www.nlm.nih.gov/news/press_releases/ehip.html



http://www.nlm.nih.gov/nno/hipprojects.html



http://www.nlm.nih.gov/news/hipprojects2.html



JAMA 2000 Apr 5;283(13):1675-6.









For more information...



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