Abstract
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While the Internet provides many opportunities for increased levels of care and access to information
services in the area of public health, many web designers are not yet taking full advantage of its potential.
This study looks at Intensive Care and Palliative Care, as important instances where health informatics
could improve public web-based services, in meeting the particular information needs of family members
of critically and chronically ill patients. This study is significant in adopting an approach to the usability
testing of websites based on concepts from Activity Theory. This takes a realistic and practical approach,
which identifies the purpose of the web-site from an end-user perspective and then tests it in situations
which simulate typical real-life activities of the user. The results of this work indicate that, with current
website designs, face-to-face communication is still the preferred means to fulfil the publicâÂÂs need for
health information when family members are in care. The websites used in this study, as is the case with
most community health web-sites, did not allow interaction or direct communication between clinicians
and the public. The results indicate the rising need for multifaceted modes of communication with
different languages, multimedia, and interactive features.