患者对在线查看其放射影像的态度：干预前调查
Patient Attitudes About Viewing Their Radiology Images Online: Preintervention Survey.
作者信息
Halaska Ciarra, Sachs Peter, Sanfilippo Kate, Lin Chen-Tan
机构信息
UCHealth, Aurora, CO, United States.
Department of Radiology, University of Colorado School of Medicine, Aurora, CO, United States.
出版信息
J Med Internet Res. 2019 Jul 18;21(7):e12595. doi: 10.2196/12595.
BACKGROUND
Although patient data is available through electronic portals, little information exists about the benefits and/or challenges of providing patients with online access to their radiology images.
OBJECTIVE
The aims of this quality improvement project were to understand patient attitudes toward being able to view their radiology images online and determine how information should be presented to ensure the images are helpful to the patients, rather than causing confusion and anxiety.
METHODS
An online survey of consumers was conducted to evaluate attitudes toward online access to personal radiological images.
RESULTS
A total of 105 responses were received from 686 community members (15.3%). Of 105 consumers, 94 (89.5%) reported a desire to have access to the radiology images within their online patient portal; 86.7% (91/105) believed it would help them better understand their medical conditions and 81.0% (85/105) said this would help them feel more in control of their care. Most respondents (74/105, 70.5%) said it would help them feel reassured that their doctor was doing the right thing, and 63.8% (67/105) said it would increase their level of trust in their doctor. Among surveyed patients, 78.1% (82/105) valued viewing their radiology images online, while 92.4% (97/105) valued their online radiology reports. Most patients (69/105, 65.7%) wished to discuss their results with their ordering clinician, 29.5% (31/105) wished to discuss with their interpreting radiologist, and 3.8% (4/105) wished to share their images on social media. The biggest potential concern among 23.8% (25/105) was that the images would be confusing.
CONCLUSIONS
A large majority of surveyed patients desired the ability to view their radiology images online and anticipated many benefits and few risks. Health care organizations with electronic health records and online patient portals should consider augmenting their existing portals with this highly desired feature. To avoid the biggest patient concern, radiology reports should accompany images. Patients wanted to discuss their results with their ordering physician and their interpreting radiologist. Some even would like to share results on social media. Further research on the actual experience with such a tool will be needed.
背景
尽管可通过电子门户获取患者数据，但关于为患者提供在线查看其放射影像的益处和/或挑战的信息却很少。
目的
本质量改进项目的目的是了解患者对能够在线查看其放射影像的态度，并确定应如何呈现信息以确保影像对患者有帮助，而不是造成困惑和焦虑。
方法
对消费者进行了一项在线调查，以评估其对在线获取个人放射影像的态度。
结果
686名社区成员共收到105份回复（15.3%）。在105名消费者中，94名（89.5%）表示希望在其在线患者门户中能够查看放射影像；86.7%（91/105）认为这将有助于他们更好地了解自己的病情，81.0%（85/105）表示这将有助于他们感觉对自己的治疗更有掌控力。大多数受访者（74/105，70.5%）表示这将有助于他们放心医生的诊疗是正确的，63.8%（67/105）表示这将提高他们对医生的信任度。在接受调查的患者中，78.1%（82/105）重视在线查看其放射影像，而92.4%（97/105）重视其在线放射学报告。大多数患者（69/105，65.7%）希望与开单临床医生讨论其检查结果，29.5%（31/105）希望与解读影像的放射科医生讨论，3.8%（4/105）希望在社交媒体上分享其影像。23.8%（25/105）中最大的潜在担忧是影像可能会令人困惑。
结论
绝大多数接受调查的患者希望能够在线查看其放射影像，并预期会有诸多益处且风险很小。拥有电子健康记录和在线患者门户的医疗保健机构应考虑在其现有门户中增加这一备受期待的功能。为避免患者最大的担忧，影像应附带放射学报告。患者希望与开单医生和解读影像的放射科医生讨论其检查结果。有些人甚至想在社交媒体上分享结果。需要对使用这种工具的实际体验进行进一步研究。
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