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Infoxication in health. Health information overload on the Internet and the risk of important information becoming invisible/Infoxicacion en salud. La sobrecarga de informacion sobre salud en la web y el riesgo de que lo importante se haga invisible/Infoxicacao em saude. A sobrecarga de informacao em saude na internet e o risco de ficar invisivel o que e importante

Objective. The objectives of this study were to: 1) raise awareness of the volume of quality health information on the Internet; 2) explore perceptions of information professionals with regard to the use of qualified sources for health decision-making; and 3) make recommendations that facilitate str...

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Published in:Revista panamericana de salud pública 2017-09, Vol.41 (6)
Main Authors: D'Agostino, Marcelo, Mejia, Felipe Medina, Ma, Novillo-O, Hazrum, Flavio, de Cosio, Federico G
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container_title Revista panamericana de salud pública
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creator D'Agostino, Marcelo
Mejia, Felipe Medina
Ma
Novillo-O
Hazrum, Flavio
de Cosio, Federico G
description Objective. The objectives of this study were to: 1) raise awareness of the volume of quality health information on the Internet; 2) explore perceptions of information professionals with regard to the use of qualified sources for health decision-making; and 3) make recommendations that facilitate strengthening health worker capacities and institutional competencies related to digital literacy. Methods. A non-experimental, descriptive cross-sectional study was conducted with a non-probability sample of 32 information professionals from nine countries. Internet information was compiled on the volume of content in Internet tools, social networks, and health information sources. Searches in English and Spanish were carried out using the keywords Ebola, Zika, dengue, chikungunya, safe food, health equity, safe sex, and obesity. Finally, information was obtained on opportunities for formal education on the subjects of digital literacy, information management, and other related topics. Results. Selecting only four diseases with a high impact on public health in May 2016 and averaging minimum review time for each information product, it would take more than 50 years without sleeping to consult everything that is published online about dengue, Zika, Ebola, and chikungunya. Conclusion. We conclude that public health would benefit from: health institutions implementing formal knowledge management strategies; academic health sciences institutions incorporating formal digital literacy programs; and having health workers who are professionally responsible and functional in the information society. Keywords Information centers; confidentiality; information services; information theory; medical informatics; data display; information storage and retrieval; information science. Objetivo. Este estudio tiene como objetivos 1) crear conciencia del volumen de informacion en salud existente en la web de calidad, 2) explorar la percepcion de profesionales de la informacion con relacion al uso de fuentes cualificadas en la toma de decisiones en salud, y 3) presentar recomendaciones que permitan fortalecer las capacidades de los trabajadores de la salud y las competencias institucionales relacionadas con la alfabetizacion digital. Metodos. Se realizo un estudio no experimental descriptivo transversal con una muestra no probabilistica de 32 profesionales de la informacion de nueve paises. Se recopilo informacion de internet sobre el volumen de contenidos existentes en herramientas we
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Health information overload on the Internet and the risk of important information becoming invisible/Infoxicacion en salud. La sobrecarga de informacion sobre salud en la web y el riesgo de que lo importante se haga invisible/Infoxicacao em saude. A sobrecarga de informacao em saude na internet e o risco de ficar invisivel o que e importante</title><source>Open Access: PubMed Central</source><creator>D'Agostino, Marcelo ; Mejia, Felipe Medina ; Ma ; Novillo-O ; Hazrum, Flavio ; de Cosio, Federico G</creator><creatorcontrib>D'Agostino, Marcelo ; Mejia, Felipe Medina ; Ma ; Novillo-O ; Hazrum, Flavio ; de Cosio, Federico G</creatorcontrib><description>Objective. The objectives of this study were to: 1) raise awareness of the volume of quality health information on the Internet; 2) explore perceptions of information professionals with regard to the use of qualified sources for health decision-making; and 3) make recommendations that facilitate strengthening health worker capacities and institutional competencies related to digital literacy. Methods. A non-experimental, descriptive cross-sectional study was conducted with a non-probability sample of 32 information professionals from nine countries. Internet information was compiled on the volume of content in Internet tools, social networks, and health information sources. Searches in English and Spanish were carried out using the keywords Ebola, Zika, dengue, chikungunya, safe food, health equity, safe sex, and obesity. Finally, information was obtained on opportunities for formal education on the subjects of digital literacy, information management, and other related topics. Results. Selecting only four diseases with a high impact on public health in May 2016 and averaging minimum review time for each information product, it would take more than 50 years without sleeping to consult everything that is published online about dengue, Zika, Ebola, and chikungunya. Conclusion. We conclude that public health would benefit from: health institutions implementing formal knowledge management strategies; academic health sciences institutions incorporating formal digital literacy programs; and having health workers who are professionally responsible and functional in the information society. Keywords Information centers; confidentiality; information services; information theory; medical informatics; data display; information storage and retrieval; information science. Objetivo. Este estudio tiene como objetivos 1) crear conciencia del volumen de informacion en salud existente en la web de calidad, 2) explorar la percepcion de profesionales de la informacion con relacion al uso de fuentes cualificadas en la toma de decisiones en salud, y 3) presentar recomendaciones que permitan fortalecer las capacidades de los trabajadores de la salud y las competencias institucionales relacionadas con la alfabetizacion digital. Metodos. Se realizo un estudio no experimental descriptivo transversal con una muestra no probabilistica de 32 profesionales de la informacion de nueve paises. Se recopilo informacion de internet sobre el volumen de contenidos existentes en herramientas web, redes sociales y fuentes de informacion en salud. Se realizaron busquedas en ingles y en espanol utilizando las palabras clave Ebola, Zika, Dengue, Chikungunya, Safe food, Health equity, Safe sex, y Obesit. Por ultimo, se obtuvo informacion sobre la oferta de formacion formal en temas de alfabetizacion digital, gestion de informacion y otros relacionados. Resultados. Seleccionando solo cuatro enfermedades de alto impacto en salud publica en mayo de 2016 y promediando un tiempo de revision minimo de cada producto de informacion, se tardaria mas de 50 anos seguidos sin dormir para consultar todo lo publicado en linea sobre Dengue, Zika, Ebola y Chikungunja. Conclusion. Se concluye que la salud publica se beneficiaria con instituciones de salud que implementaran estrategias formales de gestion del conocimiento, con instituciones academicas de ciencias de la salud que incorporaran programas formales de alfabetizacion digital y con trabajadores de la salud cuyo desarrollo profesional sea responsable y funcional en la sociedad de la informacion. Palabras clave Centros de informacion; confidencialidad; servicios de informacion; teoria de la informacion; informatica medica; presentacion de datos; almacenamiento y recuperacion de la informacion; y ciencia de la informacion. Objetivos. 1) Conscientizar sobre o volume de informacao em saude de qualidade existente na internet, 2) explorar a percepcao dos profissionais da informacao sobre o uso de fontes qualificadas na tomada de decisao em saude e 3) fazer recomendacoes para reforcar o preparo dos profissionais de saude e as competencias institucionais quanto a alfabetizacao digital. Metodos. Foi realizado estudo transversal descritivo nao experimental em uma amostra nao probabilistica com 32 profissionais da informacao de nove paises. Foi coletada informacao da internet sobre o volume de conteudos existentes sobre ferramentas de internet, redes sociais e fontes de informacao em saude. Foram realizadas buscas em ingles e espanhol utilizando as palavras-chave Ebola, Zika, Dengue, Chikungunya, Safe food, Health equity, Safe sex, e Obesity. E foi obtida informacao sobre a oferta de cursos de formacao em alfabetizacao digital, gestao da informacao e outros topicos relacionados. Resultados. Com a selecao de apenas quatro doencas de alto impacto em saude publica em maio de 2016, com tempo de revisao medio minimo para cada produto de informacao, seriam necessarios mais de 50 anos continuos, sem intervalo para dormir, para consultar todo o conteudo publicado online sobre dengue, zika, Ebola e chikungunya. Conclusao. Conclui-se que existiria beneficio para a saude publica se as instituicoes de saude implementassem estrategias formais de gestao do conhecimento, as instituicoes academicas de ciencias da saude incorporassem programas formais de alfabetizacao digital e os profissionais de saude investissem em desenvolvimento profissional responsavel e pratico na sociedade da informacao. Palavras-chave Centros de informacao; confidencialidade; servicos de informacao; teoria da informacao; informatica medica; apresentacao de dados; armazenamento e recuperacao da informacao; ciencia da informacao.</description><identifier>ISSN: 1020-4989</identifier><language>spa</language><publisher>Pan American Health Organization</publisher><ispartof>Revista panamericana de salud pública, 2017-09, Vol.41 (6)</ispartof><rights>COPYRIGHT 2017 Pan American Health Organization</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids></links><search><creatorcontrib>D'Agostino, Marcelo</creatorcontrib><creatorcontrib>Mejia, Felipe Medina</creatorcontrib><creatorcontrib>Ma</creatorcontrib><creatorcontrib>Novillo-O</creatorcontrib><creatorcontrib>Hazrum, Flavio</creatorcontrib><creatorcontrib>de Cosio, Federico G</creatorcontrib><title>Infoxication in health. Health information overload on the Internet and the risk of important information becoming invisible/Infoxicacion en salud. La sobrecarga de informacion sobre salud en la web y el riesgo de que lo importante se haga invisible/Infoxicacao em saude. A sobrecarga de informacao em saude na internet e o risco de ficar invisivel o que e importante</title><title>Revista panamericana de salud pública</title><description>Objective. The objectives of this study were to: 1) raise awareness of the volume of quality health information on the Internet; 2) explore perceptions of information professionals with regard to the use of qualified sources for health decision-making; and 3) make recommendations that facilitate strengthening health worker capacities and institutional competencies related to digital literacy. Methods. A non-experimental, descriptive cross-sectional study was conducted with a non-probability sample of 32 information professionals from nine countries. Internet information was compiled on the volume of content in Internet tools, social networks, and health information sources. Searches in English and Spanish were carried out using the keywords Ebola, Zika, dengue, chikungunya, safe food, health equity, safe sex, and obesity. Finally, information was obtained on opportunities for formal education on the subjects of digital literacy, information management, and other related topics. Results. Selecting only four diseases with a high impact on public health in May 2016 and averaging minimum review time for each information product, it would take more than 50 years without sleeping to consult everything that is published online about dengue, Zika, Ebola, and chikungunya. Conclusion. We conclude that public health would benefit from: health institutions implementing formal knowledge management strategies; academic health sciences institutions incorporating formal digital literacy programs; and having health workers who are professionally responsible and functional in the information society. Keywords Information centers; confidentiality; information services; information theory; medical informatics; data display; information storage and retrieval; information science. Objetivo. Este estudio tiene como objetivos 1) crear conciencia del volumen de informacion en salud existente en la web de calidad, 2) explorar la percepcion de profesionales de la informacion con relacion al uso de fuentes cualificadas en la toma de decisiones en salud, y 3) presentar recomendaciones que permitan fortalecer las capacidades de los trabajadores de la salud y las competencias institucionales relacionadas con la alfabetizacion digital. Metodos. Se realizo un estudio no experimental descriptivo transversal con una muestra no probabilistica de 32 profesionales de la informacion de nueve paises. Se recopilo informacion de internet sobre el volumen de contenidos existentes en herramientas web, redes sociales y fuentes de informacion en salud. Se realizaron busquedas en ingles y en espanol utilizando las palabras clave Ebola, Zika, Dengue, Chikungunya, Safe food, Health equity, Safe sex, y Obesit. Por ultimo, se obtuvo informacion sobre la oferta de formacion formal en temas de alfabetizacion digital, gestion de informacion y otros relacionados. Resultados. Seleccionando solo cuatro enfermedades de alto impacto en salud publica en mayo de 2016 y promediando un tiempo de revision minimo de cada producto de informacion, se tardaria mas de 50 anos seguidos sin dormir para consultar todo lo publicado en linea sobre Dengue, Zika, Ebola y Chikungunja. Conclusion. Se concluye que la salud publica se beneficiaria con instituciones de salud que implementaran estrategias formales de gestion del conocimiento, con instituciones academicas de ciencias de la salud que incorporaran programas formales de alfabetizacion digital y con trabajadores de la salud cuyo desarrollo profesional sea responsable y funcional en la sociedad de la informacion. Palabras clave Centros de informacion; confidencialidad; servicios de informacion; teoria de la informacion; informatica medica; presentacion de datos; almacenamiento y recuperacion de la informacion; y ciencia de la informacion. Objetivos. 1) Conscientizar sobre o volume de informacao em saude de qualidade existente na internet, 2) explorar a percepcao dos profissionais da informacao sobre o uso de fontes qualificadas na tomada de decisao em saude e 3) fazer recomendacoes para reforcar o preparo dos profissionais de saude e as competencias institucionais quanto a alfabetizacao digital. Metodos. Foi realizado estudo transversal descritivo nao experimental em uma amostra nao probabilistica com 32 profissionais da informacao de nove paises. Foi coletada informacao da internet sobre o volume de conteudos existentes sobre ferramentas de internet, redes sociais e fontes de informacao em saude. Foram realizadas buscas em ingles e espanhol utilizando as palavras-chave Ebola, Zika, Dengue, Chikungunya, Safe food, Health equity, Safe sex, e Obesity. E foi obtida informacao sobre a oferta de cursos de formacao em alfabetizacao digital, gestao da informacao e outros topicos relacionados. Resultados. Com a selecao de apenas quatro doencas de alto impacto em saude publica em maio de 2016, com tempo de revisao medio minimo para cada produto de informacao, seriam necessarios mais de 50 anos continuos, sem intervalo para dormir, para consultar todo o conteudo publicado online sobre dengue, zika, Ebola e chikungunya. Conclusao. Conclui-se que existiria beneficio para a saude publica se as instituicoes de saude implementassem estrategias formais de gestao do conhecimento, as instituicoes academicas de ciencias da saude incorporassem programas formais de alfabetizacao digital e os profissionais de saude investissem em desenvolvimento profissional responsavel e pratico na sociedade da informacao. Palavras-chave Centros de informacao; confidencialidade; servicos de informacao; teoria da informacao; informatica medica; apresentacao de dados; armazenamento e recuperacao da informacao; ciencia da informacao.</description><issn>1020-4989</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNp1T99PwjAQnokmIvo_XOIz2G5sY4-EqJCQ-OK7uXbXUe1a7Qbqf283IGKC6cM1332_7jwacBaz0aSYFpfRVdO8MhbzLOGDM7e0yn1pia12FrSFNaFp12NY9DMgyvl6t3Vb8sZhCeHfrgmWtiVvqQW0ZQ943byBU6Drd-dbtO0fuSDpam2rAG51o4Whu0O47PZkoUGzKcewQmic8CTRVwglHWx6Wr_ZMTuJQfgkAd9AJuRTU7lO8LEhMO63SBAQrDG4nQhHB1QHx01JY5j9E31EAtvZ7G8ncN3dso9Vwc7vI7ahkOuL0FGP6-hCoWnoZj-H0fPD_fN8MVo9PS7ns9WoyvJ4lMo8Ewy5nMSyECgkL0SR85LLYprIciqLIs15FlMe8ySlCRNcqFyplOWUZ2mcDKPbnW2Fhl66G1qPsg49X2ZpzFia8qRjjU-wwiup1tJZUjrgR4IfnErBpg</recordid><startdate>20170901</startdate><enddate>20170901</enddate><creator>D'Agostino, Marcelo</creator><creator>Mejia, Felipe Medina</creator><creator>Ma</creator><creator>Novillo-O</creator><creator>Hazrum, Flavio</creator><creator>de Cosio, Federico G</creator><general>Pan American Health Organization</general><scope>INF</scope></search><sort><creationdate>20170901</creationdate><title>Infoxication in health. Health information overload on the Internet and the risk of important information becoming invisible/Infoxicacion en salud. La sobrecarga de informacion sobre salud en la web y el riesgo de que lo importante se haga invisible/Infoxicacao em saude. A sobrecarga de informacao em saude na internet e o risco de ficar invisivel o que e importante</title><author>D'Agostino, Marcelo ; Mejia, Felipe Medina ; Ma ; Novillo-O ; Hazrum, Flavio ; de Cosio, Federico G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-g672-5c76b0a1c42c9babc19b971d1c983cd8c9957162e72135e40b1bf7ff507e76523</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>spa</language><creationdate>2017</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>D'Agostino, Marcelo</creatorcontrib><creatorcontrib>Mejia, Felipe Medina</creatorcontrib><creatorcontrib>Ma</creatorcontrib><creatorcontrib>Novillo-O</creatorcontrib><creatorcontrib>Hazrum, Flavio</creatorcontrib><creatorcontrib>de Cosio, Federico G</creatorcontrib><collection>Gale OneFile: Informe Academico</collection><jtitle>Revista panamericana de salud pública</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>D'Agostino, Marcelo</au><au>Mejia, Felipe Medina</au><au>Ma</au><au>Novillo-O</au><au>Hazrum, Flavio</au><au>de Cosio, Federico G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Infoxication in health. Health information overload on the Internet and the risk of important information becoming invisible/Infoxicacion en salud. La sobrecarga de informacion sobre salud en la web y el riesgo de que lo importante se haga invisible/Infoxicacao em saude. A sobrecarga de informacao em saude na internet e o risco de ficar invisivel o que e importante</atitle><jtitle>Revista panamericana de salud pública</jtitle><date>2017-09-01</date><risdate>2017</risdate><volume>41</volume><issue>6</issue><issn>1020-4989</issn><abstract>Objective. The objectives of this study were to: 1) raise awareness of the volume of quality health information on the Internet; 2) explore perceptions of information professionals with regard to the use of qualified sources for health decision-making; and 3) make recommendations that facilitate strengthening health worker capacities and institutional competencies related to digital literacy. Methods. A non-experimental, descriptive cross-sectional study was conducted with a non-probability sample of 32 information professionals from nine countries. Internet information was compiled on the volume of content in Internet tools, social networks, and health information sources. Searches in English and Spanish were carried out using the keywords Ebola, Zika, dengue, chikungunya, safe food, health equity, safe sex, and obesity. Finally, information was obtained on opportunities for formal education on the subjects of digital literacy, information management, and other related topics. Results. Selecting only four diseases with a high impact on public health in May 2016 and averaging minimum review time for each information product, it would take more than 50 years without sleeping to consult everything that is published online about dengue, Zika, Ebola, and chikungunya. Conclusion. We conclude that public health would benefit from: health institutions implementing formal knowledge management strategies; academic health sciences institutions incorporating formal digital literacy programs; and having health workers who are professionally responsible and functional in the information society. Keywords Information centers; confidentiality; information services; information theory; medical informatics; data display; information storage and retrieval; information science. Objetivo. Este estudio tiene como objetivos 1) crear conciencia del volumen de informacion en salud existente en la web de calidad, 2) explorar la percepcion de profesionales de la informacion con relacion al uso de fuentes cualificadas en la toma de decisiones en salud, y 3) presentar recomendaciones que permitan fortalecer las capacidades de los trabajadores de la salud y las competencias institucionales relacionadas con la alfabetizacion digital. Metodos. Se realizo un estudio no experimental descriptivo transversal con una muestra no probabilistica de 32 profesionales de la informacion de nueve paises. Se recopilo informacion de internet sobre el volumen de contenidos existentes en herramientas web, redes sociales y fuentes de informacion en salud. Se realizaron busquedas en ingles y en espanol utilizando las palabras clave Ebola, Zika, Dengue, Chikungunya, Safe food, Health equity, Safe sex, y Obesit. Por ultimo, se obtuvo informacion sobre la oferta de formacion formal en temas de alfabetizacion digital, gestion de informacion y otros relacionados. Resultados. Seleccionando solo cuatro enfermedades de alto impacto en salud publica en mayo de 2016 y promediando un tiempo de revision minimo de cada producto de informacion, se tardaria mas de 50 anos seguidos sin dormir para consultar todo lo publicado en linea sobre Dengue, Zika, Ebola y Chikungunja. Conclusion. Se concluye que la salud publica se beneficiaria con instituciones de salud que implementaran estrategias formales de gestion del conocimiento, con instituciones academicas de ciencias de la salud que incorporaran programas formales de alfabetizacion digital y con trabajadores de la salud cuyo desarrollo profesional sea responsable y funcional en la sociedad de la informacion. Palabras clave Centros de informacion; confidencialidad; servicios de informacion; teoria de la informacion; informatica medica; presentacion de datos; almacenamiento y recuperacion de la informacion; y ciencia de la informacion. Objetivos. 1) Conscientizar sobre o volume de informacao em saude de qualidade existente na internet, 2) explorar a percepcao dos profissionais da informacao sobre o uso de fontes qualificadas na tomada de decisao em saude e 3) fazer recomendacoes para reforcar o preparo dos profissionais de saude e as competencias institucionais quanto a alfabetizacao digital. Metodos. Foi realizado estudo transversal descritivo nao experimental em uma amostra nao probabilistica com 32 profissionais da informacao de nove paises. Foi coletada informacao da internet sobre o volume de conteudos existentes sobre ferramentas de internet, redes sociais e fontes de informacao em saude. Foram realizadas buscas em ingles e espanhol utilizando as palavras-chave Ebola, Zika, Dengue, Chikungunya, Safe food, Health equity, Safe sex, e Obesity. E foi obtida informacao sobre a oferta de cursos de formacao em alfabetizacao digital, gestao da informacao e outros topicos relacionados. Resultados. Com a selecao de apenas quatro doencas de alto impacto em saude publica em maio de 2016, com tempo de revisao medio minimo para cada produto de informacao, seriam necessarios mais de 50 anos continuos, sem intervalo para dormir, para consultar todo o conteudo publicado online sobre dengue, zika, Ebola e chikungunya. Conclusao. Conclui-se que existiria beneficio para a saude publica se as instituicoes de saude implementassem estrategias formais de gestao do conhecimento, as instituicoes academicas de ciencias da saude incorporassem programas formais de alfabetizacao digital e os profissionais de saude investissem em desenvolvimento profissional responsavel e pratico na sociedade da informacao. Palavras-chave Centros de informacao; confidencialidade; servicos de informacao; teoria da informacao; informatica medica; apresentacao de dados; armazenamento e recuperacao da informacao; ciencia da informacao.</abstract><pub>Pan American Health Organization</pub></addata></record>
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source Open Access: PubMed Central
title Infoxication in health. Health information overload on the Internet and the risk of important information becoming invisible/Infoxicacion en salud. La sobrecarga de informacion sobre salud en la web y el riesgo de que lo importante se haga invisible/Infoxicacao em saude. A sobrecarga de informacao em saude na internet e o risco de ficar invisivel o que e importante
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-15T00%3A15%3A17IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Infoxication%20in%20health.%20Health%20information%20overload%20on%20the%20Internet%20and%20the%20risk%20of%20important%20information%20becoming%20invisible/Infoxicacion%20en%20salud.%20La%20sobrecarga%20de%20informacion%20sobre%20salud%20en%20la%20web%20y%20el%20riesgo%20de%20que%20lo%20importante%20se%20haga%20invisible/Infoxicacao%20em%20saude.%20A%20sobrecarga%20de%20informacao%20em%20saude%20na%20internet%20e%20o%20risco%20de%20ficar%20invisivel%20o%20que%20e%20importante&rft.jtitle=Revista%20panamericana%20de%20salud%20p%C3%BAblica&rft.au=D'Agostino,%20Marcelo&rft.date=2017-09-01&rft.volume=41&rft.issue=6&rft.issn=1020-4989&rft_id=info:doi/&rft_dat=%3Cgale%3EA520055132%3C/gale%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-g672-5c76b0a1c42c9babc19b971d1c983cd8c9957162e72135e40b1bf7ff507e76523%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_id=info:pmid/&rft_galeid=A520055132&rfr_iscdi=true