Patient Experience, Northwell Health Imaging Service Line, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, United States of America.
Informatics, Northwell Health Imaging Service Line, United States of America.
Clin Imaging. 2022 Sep;89:128-135. doi: 10.1016/j.clinimag.2022.06.018. Epub 2022 Jul 3.
The past several decades have witnessed dramatic developments and improvements in the field of radiology, including technologic innovations and new imaging modalities, picture archiving and communication systems, and the rise of artificial intelligence. At the same time, an evolution has been occurring in a fundamental component of radiology practice - the radiologist's report. Initially, the radiology report was a private written communication between the radiologist and the referring physician . Today, the report is an electronic document, displayed on web portals, and visible to both physicians and the patients themselves. A provision in the 21st Century Cures Act, signed into law on December 13, 2016, ensures that radiology reports in the electronic health record are visible to patients without delay . To meet modern patient expectations and legal requirements, the structure and purpose of the radiologist report is changing. This article will provide an overview of the history of radiology reporting and the law, discuss the role of the radiologist report within the context of patient and family centered care, review current strategies and investigations in patient-friendly reporting, and summarize radiology reporting challenges and opportunities for the future.
在过去的几十年中，放射学领域取得了巨大的发展和进步，包括技术创新和新的成像方式、影像归档和通信系统以及人工智能的兴起。与此同时，放射科实践的一个基本组成部分——放射科医生的报告也在发生演变。最初，放射科报告是放射科医生与转介医生之间的私人书面交流。如今，报告是一个电子文档，显示在网络门户上，医生和患者本人都可以看到。2016 年 12 月 13 日签署成为法律的《21 世纪治愈法案》规定，电子健康记录中的放射科报告应毫不延迟地向患者显示。为了满足现代患者的期望和法律要求，放射科医生报告的结构和目的正在发生变化。本文将概述放射科报告的历史和法律，讨论在以患者和家庭为中心的护理背景下放射科报告的作用，回顾当前以患者为中心的报告策略和调查，并总结放射科报告的挑战和未来机遇。
