Patient perceptions of receiving test results via online portals: a mixed-methods study
| Autor: | Traber Davis Giardina, Jessica Baldwin, Dean F. Sittig, Daniel T. Nystrom, Hardeep Singh |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male 020205 medical informatics Health information technology MEDLINE Health Informatics 02 engineering and technology Research and Applications Interviews as Topic 03 medical and health sciences 0302 clinical medicine Patient Portals 0202 electrical engineering electronic engineering information engineering Electronic Health Records Humans Outpatient clinic 030212 general & internal medicine patient portal Aged Aged 80 and over Internet Physician-Patient Relations Medical education Descriptive statistics Clinical Laboratory Techniques Communication Patient portal electronic health record Middle Aged Texas health information technology 3. Good health Test (assessment) diagnostic test Patient Satisfaction Content analysis laboratory test Structured interview Female Psychology |
| Zdroj: | Journal of the American Medical Informatics Association : JAMIA |
| ISSN: | 1527-974X 1067-5027 |
| DOI: | 10.1093/jamia/ocx140 |
| Popis: | ObjectiveOnline portals provide patients with access to their test results, but it is unknown how patients use these tools to manage results and what information is available to promote understanding. We conducted a mixed-methods study to explore patients’ experiences and preferences when accessing their test results via portals.Materials and MethodsWe conducted 95 interviews (13 semistructured and 82 structured) with adults who viewed a test result in their portal between April 2015 and September 2016 at 4 large outpatient clinics in Houston, Texas. Semistructured interviews were coded using content analysis and transformed into quantitative data and integrated with the structured interview data. Descriptive statistics were used to summarize the structured data.ResultsNearly two-thirds (63%) did not receive any explanatory information or test result interpretation at the time they received the result, and 46% conducted online searches for further information about their result. Patients who received an abnormal result were more likely to experience negative emotions (56% vs 21%; P = .003) and more likely to call their physician (44% vs 15%; P = .002) compared with those who received normal results.DiscussionStudy findings suggest that online portals are not currently designed to present test results to patients in a meaningful way. Patients experienced negative emotions often with abnormal results, but sometimes even with normal results. Simply providing access via portals is insufficient; additional strategies are needed to help patients interpret and manage their online test results.ConclusionGiven the absence of national guidance, our findings could help strengthen policy and practice in this area and inform innovations that promote patient understanding of test results. |
| Databáze: | OpenAIRE |
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