The amassing of health information on the Internet and World Wide Web
continues unabated. Patients anxious to participate in decisions about
their own treatment have turned to the Internet to confirm diagnoses,
validate physician-recommended treatment, or seek alternative therapi
es. While increased information for patients has been linked to improv
ed outcomes, there are inherent dangers associated with the kind of un
authenticated information available on the Web. The authors discuss th
e nature of these dangers as well as review the advantages for patient
s of ''information therapy'' (improved access to health information).
They also examine how the Internet has begun to affect the physician-p
atient relationship, and describe how the Internet and information tec
hnology can be effectively used by physicians in patient care. They re
commend that I-he academic health sciences community seize the opportu
nity to take the lead in ensuring that patients have access to reliabl
e health information, and suggest that ''patient informatics'' be inte
grated by academic physicians and educators into the teaching of clini
cal skills.