Department of Population Health, NYU School of Medicine, New York, New York; Center for Healthcare Innovation and Delivery Science, NYU School of Medicine, New York, New York.
Department of Population Health, NYU School of Medicine, New York, New York; Center for Healthcare Innovation and Delivery Science, NYU School of Medicine, New York, New York; Department of Medicine, NYU School of Medicine, New York, New York.
J Am Coll Radiol. 2020 Sep;17(9):1130-1138. doi: 10.1016/j.jacr.2020.01.046. Epub 2020 Apr 11.
Patients increasingly access radiology results through digital portals. We compared patient satisfaction and understanding of radiology results when received through an electronic patient portal versus direct communication from providers.
Patients were invited to participate in an online survey within 7 days of undergoing a radiology examination. Participants received one of two survey versions, based on whether or not they viewed results in the patient portal. The associations between method of result notification and satisfaction with notification timing and self-reported understanding of results were evaluated using χ tests and logistic regression.
Of 1,005 survey respondents, 87.8% (882 of 1,005) reported having received their imaging test results, with 486 (48.4%) first being notified through the patient portal and 396 (39.4%) via direct provider communication. Patients reported high levels of satisfaction with timing regardless of whether they first received the results through the patient portal or through direct provider communication (88.8%-89.9%). Patients who first received their results through the patient portal reported a lesser degree of perceived understanding than those who first received their results through direct provider communication (26.7% versus 47.8%; P < .001). Patients were less likely to report clear understanding for advanced imaging (CT or MRI) than ultrasound or x-rays (29.3% versus 40.3% versus 38.2%, respectively; P = .02). Patient characteristics showed no association with understanding in multivariable analysis.
As online portal release of radiology results to patients becomes commonplace, efforts may be warranted to improve patient experience when first receiving their radiology results online.
患者越来越多地通过数字门户获取放射学检查结果。我们比较了通过电子患者门户和医生直接沟通两种方式获取放射学结果时患者的满意度和对结果的理解程度。
在放射学检查后 7 天内，邀请患者参与在线调查。参与者根据是否在患者门户中查看结果收到两种调查版本之一。使用 χ 检验和逻辑回归评估结果通知方式与通知及时性满意度和自我报告结果理解之间的关联。
在 1005 名调查受访者中，87.8%（1005 名中的 882 名）报告已收到影像学检查结果，其中 486 名（48.4%）首先通过患者门户通知，396 名（39.4%）通过医生直接沟通通知。无论他们是通过患者门户还是医生直接沟通首先收到结果，患者对通知及时性的满意度都很高（88.8%-89.9%）。通过患者门户首先收到结果的患者报告的理解程度低于通过医生直接沟通首先收到结果的患者（26.7%比 47.8%；P<.001）。与超声或 X 射线（分别为 29.3%、40.3%和 38.2%）相比，首先通过患者门户收到高级影像学（CT 或 MRI）结果的患者不太可能报告明确的理解程度（P=.02）。多变量分析显示患者特征与理解程度无关。
随着在线门户向患者发布放射学检查结果变得普遍，可能需要努力改善患者在线首次接收放射学结果时的体验。
