“Bad” Literacy, the Internet, and the Limits of Patient Empowerment

The growth of health literacy and patient empowerment movements has resulted in a more active and prominent role for patients as autonomous actors in decisions relating to their health. The Internet has become an important source of information for patients seeking to understand their health conditions and to evaluate possible treatments. However, in making autonomous healthcare decisions, the Internet can be viewed by patients as a decision support system. The Internet is poorly adapted to this task and may lead patients to make hasty, ill-informed, and even dangerous health choices. It is important, therefore, to guide patients to approach the Internet with appropriate skepticism and to temper their perceptions of autonomy.