Alarifi Mohammad, Hughes M Courtney, Jabour Abdulrahman M, Alashban Yazeed, Vernon Erin
School of Health Studies, Northern Illinois University, DeKalb, Illinois; Postdoctoral Fellow, College of Health Sciences and Human Sciences, Northern Illinois; Assistant Professor, Radiological Sciences Department, College of Applied Medical Sciences, King Saud University, Saudi Arabia.
Professor, School of Health Studies, Northern Illinois University, DeKalb, Illinois.
J Am Coll Radiol. 2024 Dec;21(12):1862-1874. doi: 10.1016/j.jacr.2024.08.006. Epub 2024 Aug 21.
Patients increasingly have access to their radiology reports. This systematic review examined the opinions of patients, referring physicians, and radiologists over time on providing patients full access to their radiology reports.
A systematic review examining quantitative, qualitative, and mixed methods research using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines (PROSPERO CRD42023466502). Our search was conducted through September 30, 2023, and spanned five databases (CINAHL Plus, Web of Science, ProQuest, PubMed, and Scopus). The studies included were peer-reviewed journal articles about the opinions of patients, referring physicians, or radiologists regarding giving patients unrestricted access to their radiology reports.
After screening 4,520 articles, the full texts of 439 studies were assessed for eligibility. Thirty-three studies met the inclusion criteria. The studies showed that, over time, patients have consistently expressed a strong desire to access radiology reports, and referring physicians and radiologists have varied opinions about patient access to radiology reports. The main advantages of patient access found in the studies were enhanced understanding and empowerment and increased patient-physician engagement and communication. The main disadvantages were difficulties in patients understanding reports and patient anxiety from accessing reports. Referring physicians' opinions and radiologists' opinions were found in less than 20% (six studies) and 10% (three studies), respectively.
The studies show patients have desired access to radiology reports over time. Future research should elicit the opinions of referring physicians and radiologists to enable a more informed design of patient access to radiology reports.
患者越来越能够获取自己的放射学报告。本系统评价考察了患者、转诊医生和放射科医生在一段时间内对于让患者完全获取其放射学报告的看法。
一项系统评价，使用系统评价和荟萃分析的首选报告项目指南（PROSPERO CRD42023466502）来考察定量、定性和混合方法研究。我们的检索截至2023年9月30日，涵盖五个数据库（CINAHL Plus、科学网、ProQuest、PubMed和Scopus）。纳入的研究为同行评审的期刊文章，内容是关于患者、转诊医生或放射科医生对于让患者无限制获取其放射学报告的看法。
在筛选了4520篇文章后，对439项研究的全文进行了资格评估。33项研究符合纳入标准。研究表明，随着时间推移，患者一直表达出获取放射学报告的强烈愿望，而转诊医生和放射科医生对于患者获取放射学报告的看法各不相同。研究中发现患者获取报告的主要优点是增强理解和自主权，以及增加患者与医生的互动和沟通。主要缺点是患者理解报告存在困难以及获取报告导致患者焦虑。分别在不到20%（六项研究）和10%（三项研究）的研究中发现了转诊医生和放射科医生的看法。
研究表明，随着时间推移患者一直希望获取放射学报告。未来的研究应征求转诊医生和放射科医生的意见，以便更明智地设计患者获取放射学报告的方式。
