Using informatics to engage patients

Towbin, Alexander J.; OConnor, Timothy J; Perry, Laurie A.; Moskovitz, Jay; Miñano, Glenn G; Regan, Jennifer; Hulefeld, David; Schwieterman, Eric; Hater, Dianne; Smith, Rachel

doi:10.1007/s00247-020-04767-1

Cited by 4 publications

(2 citation statements)

References 13 publications

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“…Over the past decade, radiology as a specialty has made significant strides in improving departmental efficiency and the ordering providers' access to information [9]. However, our specialty has been slow to encourage patient engagement and recognize the patient as our primary consumer.…”

Section: Discussionmentioning

confidence: 99%

Image-Enabling the Patient Portal of an Electronic Health Record

et al. 2020

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Today, radiology departments still rely on compact disks to share imaging studies with patients. This practice is outdated as the majority of modern computers do not possess optical drives. In effect, hospitals are providing disks to patients to enable a single use, physical transport between two locations. This practice contrasts with the original goals of providing patients with their images: to empower ownership and provide transparency about their healthcare. The purpose of this manuscript is to implement an online platform for patient image viewing through an electronic health record patient portal. The number of study viewers was recorded daily over the first 90 days on our platform. During this time, the patients viewed 12,257 imaging studies. This represents 22% of the 56,413 imaging studies performed in our department. On average, there were 136 imaging studies viewed/day (range 52-250). We determined that an online platform enabling patients to view their images is feasible. At our hospital, a large percentage of patients quickly identified this feature and began using it to view their imaging studies.

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Section: Discussionmentioning

confidence: 99%

Image-Enabling the Patient Portal of an Electronic Health Record

et al. 2020

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“…To provide excellent health care, patients' needs, expectations and values (Larson et al, 2019) should be taken into account. Improvement of patient experiences in paediatric radiology have been discussed recently (Bomher et al, 2020; Koch et al, 2020; Sze et al, 2019; Towbin et al, 2020), including the involvement of patients' and parents' perspective (e.g., assessing their satisfaction and feedback) (Bomher et al, 2020). However, satisfaction and feedback may not fully capture patient experiences.…”

Section: Introductionmentioning

confidence: 99%

Child‐centredness in paediatric magnetic resonance imaging: Information needs and experiences of children requiring magnetic resonance imaging and their parents

Inhestern

Herrmann

et al. 2023

Child

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BackgroundAssessing patient experiences is essential to provide high quality health‐care. The objectives of this study were to examine (1) child‐ and parent‐reported information status before magnetic resonance imaging (MRI), (2) experiences during an MRI and (3) needs and suggestions for improvement.MethodsChildren (≥8 years) and parents answered questionnaires (before and after planned MRI examination) covering mental condition, information status/needs, preparation for MRI, and potential stressors. Before MRI n = 132 accompanying parents and n = 91 children provided data (after MRI: n = 93 parents; n = 71 children). The mean age of the children undergoing MRI was 10.5 years (SD = 4.9). Children had on average seven previous MRIs before our survey (Range: 1–33). Twenty‐three percent of the children were to be sedated during the examination.ResultsParents and children reported low to medium levels of burden, high knowledge and high information status. For the children, most stressful factors during the MRI were boredom and noise. Main information resources were the radiologists or self‐searches. Parents of children with their first MRI reported higher anxiety levels in their children and stated a worse information status (main information source: self‐searches/internet).Parents reported needs regarding organization of the MRI (e.g., reduction of waiting times), age‐appropriate information and communication during the MRI. Children wished to visit the MRI room prior the examination (44%) and to get more information (44%). Children suggested improvements such as better sound quality of films/music, more transparency about the procedure, being in contact with a parent and shorter examinations.ConclusionResults suggest that preparation, information provision and care is perceived positively by families. Needs and suggestions for improvement were, for example, higher transparency of procedures, better communication and reduction of stress. Findings indicate that preparation in routine‐care should follow an individualized child‐focused approach, should focus on families without previous MRIs and should address children with high anxiety levels.

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