Access to Radiology Reports via an Online Patient Portal: Experiences of Referring Physicians and Patients

Henshaw, Dan; Okawa, Grant; Ching, Karen; Garrido, Terhilda; Qian, Heather; Tsai, Joanne

doi:10.1016/j.jacr.2015.01.015

Cited by 79 publications

(89 citation statements)

References 5 publications

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“…Most want to see their images along with copies of the reports [17]. Referring physicians experienced the same or fewer follow-up e-mails, telephone calls, and office visits after electronic release of radiology reports to patients [5]. Regulatory standards, such as the Medical Quality Standards Act, mandate that mammography patients receive written lay-language summaries of their results.…”

Section: Administrative Patient Communication Activitiesmentioning

confidence: 99%

“…Studies investigating how patients feel about direct interaction with radiologists have shown that at least a significant minority, if not the majority, of patients value access to imaging reports and the radiologists who interpreted the examinations [3,4]. Communicating with a patient (in person or electronically), including providing patients with direct access to imaging reports, creates a service event that patients value and that does not negatively affect referring physicians' workflow [5].…”

Section: Introductionmentioning

confidence: 99%

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Web Applications for Patient Communication

Lewis

Reicher²

2016

Journal of the American College of Radiology

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Communication between imaging professionals and patients can help achieve many goals, including improved patient understanding of imaging-related diagnostic and treatment options, better compliance with appropriate imaging screening procedures, and improved efficiency of service. The explosive growth of out-of-pocket consumer spending on health care has heightened health care shopping, thus making patient communication an important goal of any imaging practice or health care organization. Furthermore, the Merit-Based Incentive Payment System introduced by CMS will publicly disclose physicians' quality ratings, which are in part dependent on patient engagement. The authors summarize the rationale for web communication with patients, the range of content that should be considered, and the technology options. The aim is to help imaging providers develop organized patient communication strategic and implementation plans.

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Section: Administrative Patient Communication Activitiesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Web Applications for Patient Communication

Lewis

Reicher²

2016

Journal of the American College of Radiology

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“…Portals are one way to move toward this. However, physicians express concerns regarding potential for misunderstanding medical terminology, increased anxiety, and increased phone calls due to unfettered EHR access . Some patients similarly express concern over accessing frightening or confusing information whereas others report feeling more involved and knowledgeable about their health through portal usage .…”

Section: Introductionmentioning

confidence: 99%

“…However, physicians express concerns regarding potential for misunderstanding medical terminology, increased anxiety, and increased phone calls due to unfettered EHR access. [10][11][12][13][14][15] Some patients similarly express concern over accessing frightening or confusing information [15][16][17] whereas others report feeling more involved and knowledgeable about their health through portal usage. [17][18][19] Caregivers of children with cancer have increased anxiety in response to their child's diagnosis and treatment.…”

Section: Introductionmentioning

confidence: 99%

Are on‐line patient portals meeting test result preferences of caregivers of children with cancer? A qualitative exploration

Schultz

Alderfer

2018

Pediatric Blood & Cancer

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“…Patient portals, via electronic health records (EHR), already allow for direct patient access to this data [14], yet patients' current use of diagnostic radiology data is significantly limited due to the technical nature of the report content [27], preventing them from making meaning of it and engaging in effective communication about clinical findings.…”

Section: Introductionmentioning

confidence: 99%

Supporting Families in Reviewing and Communicating about Radiology Imaging Studies

Hong

Feustel

Agnihotri

et al. 2017

Proceedings of the 2017 CHI Conference on Human Factors in Computing Systems

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Diagnostic radiology reports are increasingly being made available to patients and their family members. However, these reports are not typically comprehensible to lay recipients, impeding effective communication about report findings. In this paper, we present three studies informing the design of a prototype to foster patient-clinician communication about radiology report content. First, analysis of questions posted in online health forums helped us identify patients' information needs. Findings from an elicitation study with seven radiologists provided necessary domain knowledge to guide prototype design. Finally, a clinical field study with 14 pediatric patients, their parents and clinicians, revealed positive responses of each stakeholder when using the prototype to interact with and discuss the patient's current CT or MRI report and allowed us to distill three use cases: co-located communication, preparing for the consultation, and reviewing radiology data. We draw on our findings to discuss design considerations for supporting each of these use cases.

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Access to Radiology Reports via an Online Patient Portal: Experiences of Referring Physicians and Patients

Cited by 79 publications

References 5 publications

Web Applications for Patient Communication

Web Applications for Patient Communication

Are on‐line patient portals meeting test result preferences of caregivers of children with cancer? A qualitative exploration

Supporting Families in Reviewing and Communicating about Radiology Imaging Studies

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