Multi-institutional Experience with Patient Image Access Through Electronic Health Record Patient Portals
| Autor: | Hailey H. Choi, Amy L. Kotsenas, Joshua Vic Chen, Christina Bronsky, Christopher J. Roth, Marc D. Kohli |
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| Rok vydání: | 2021 |
| Předmět: |
Radiological and Ultrasound Technology
Prevention Clinical Sciences Image sharing Healthcare transparency Information technology Article Computer Science Applications Nuclear Medicine & Medical Imaging Good Health and Well Being Patient Portals Clinical Research Patient image access Radiologists Biomedical Imaging Electronic Health Records Humans Radiology Nuclear Medicine and imaging Radiology Cures Act Radiology workflow Retrospective Studies |
| Zdroj: | J Digit Imaging Journal of digital imaging, vol 35, iss 2 |
| ISSN: | 1618-727X |
| Popis: | The objective is to determine patients’ utilization rate of radiology image viewing through an online patient portal and to understand its impact on radiologists. IRB approval was waived. In this two-part, multi-institutional study, patients’ image viewing rate was retrospectively assessed, and radiologists were anonymously surveyed for the impact of patient imaging access on their workflow. Patient access to web-based image viewing via electronic patient portals was enabled at 3 institutions (all had open radiology reports) within the past 5 years. The number of exams viewed online was compared against the total number of viewable imaging studies. An anonymized survey was distributed to radiologists at the 3 institutions, and responses were collected over 2 months. Patients viewed 14.2% of available exams – monthly open rate varied from 7.3 to 41.0%. A total of 254 radiologists responded to the survey (response rate 32.8%); 204 were aware that patients could view images. The majority (155/204; 76.0%) felt no impact on their role as radiologists; 11.8% felt negative and 9.3% positive. The majority (63.8%) were never approached by patients. Of the 86 who were contacted, 46.5% were contacted once or twice, 46.5% 3–4 times a year, and 4.7% 3–4 times a month. Free text comments included support for healthcare transparency (71), concern for patient confusion and anxiety (45), and need for attention to radiology reports and image annotations (15). A small proportion of patients viewed their radiology images. Overall, patients’ image viewing had minimal impact on radiologists. Radiologists were seldom contacted by patients. While many radiologists feel supportive, some are concerned about causing patient confusion and suggest minor workflow modifications. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10278-021-00565-9. |
| Databáze: | OpenAIRE |
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