Patient Electronic Access to Final Radiology Reports: What Is the Current Standard of Practice, and Is an Embargo Period Appropriate?
| Autor: | Howard P. Forman, Laurie Yousman, Grace Jin, Jonathan L. Mezrich, Carolyn T. Lye |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Time Factors Electronic access Standard of Good Practice MEDLINE Primary care Health records 030218 nuclear medicine & medical imaging Access to Information 03 medical and health sciences 0302 clinical medicine Patient Portals Surveys and Questionnaires medicine Electronic Health Records Humans Radiology Nuclear Medicine and imaging business.industry Medical record United States Telephone survey Radiology Information Systems Health Records Personal 030220 oncology & carcinogenesis Forms and Records Control Radiology business Period (music) |
| Zdroj: | Radiology. 300:187-189 |
| ISSN: | 1527-1315 0033-8419 |
| Popis: | Patients have a right to their medical records, and it has become commonplace for institutions to set up online portals through which patients can access their electronic health information, including radiology reports. However, institutional approaches vary on how and when such access is provided. Many institutions have advocated built-in "embargo" periods, during which radiology reports are not immediately released to patients, to give ordering clinicians the opportunity to first receive, review, and discuss the radiology report with their patients. To understand current practices, a telephone survey was conducted of 83 hospitals identified in the 2019-2020 U.S. News & World Report Best Hospitals Rankings. Of 70 respondents, 91% (64 of 70) offered online portal access. Forty-two percent of those with online access (27 of 64 respondents) reported a delay of 4 days or longer, and 52% (33 of 64 respondents) indicated that they first send reports for review by the referring clinician before releasing to the patient. This demonstrates a lack of standardized practice in prompt patient access to health records, which may soon be mandated under the final rule of the 21st Century Cures Act. This article discusses considerations and potential benefits of early access for patients, radiologists, and primary care physicians in communicating health information and providing patient-centered care. © RSNA, 2021. |
| Databáze: | OpenAIRE |
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