Amin Kanhai S, Davis Melissa A, Naderi Amir, Forman Howard P
Department of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT, USA.
Department of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT, USA.
Clin Imaging. 2025 Mar;119:110398. doi: 10.1016/j.clinimag.2024.110398. Epub 2024 Dec 29.
As a result of the 21st Century Cures Act, radiology reports are immediately released to patients. We determine if readers of radiology reports, via electronic health records (EHRs), and radiology report complexity have changed post the implementation of the 21st Century Cures Act.
A retrospective observational study was used to analyze 10,000 radiology reports (equal split of CT, mammogram, MRI, X-ray, and ultrasound modalities) per year between 2013 and 2023. Readability was calculated through reading grade level indices.
Patient viewership of their radiology reports via EHRs increased from 3.3 % (95 % CI: 3.0 %-3.7 %) in 2013 to 58.2 % (95 % CI: 57.3 %-59.2 %) in 2023. Once the 21st Century Cures Act's Information Blocking Provision went into effect, there was a significant increase in viewing probability with patients having 1.71 times higher odds of viewing their reports (OR = 1.71, 95 % CI: 1.27-2.32, p < 0.001). This increase in patient viewership held for all modalities tested except CT (P < 0.01). Despite increased viewership, the reading grade level of radiologist dictated radiology reports was greater than the recommended level for health information across all years and modalities tested.
Patients are increasingly engaging with their radiology reports, but reports may be too complex for the typical patient. Solutions will be required to improve patient experience with their radiology reports.
根据《21世纪治愈法案》，放射学报告需立即向患者发布。我们确定在《21世纪治愈法案》实施后，通过电子健康记录（EHR）阅读放射学报告的读者以及放射学报告的复杂性是否发生了变化。
采用回顾性观察研究，对2013年至2023年期间每年10000份放射学报告（CT、乳房X光检查、MRI、X光和超声检查方式各占一半）进行分析。通过阅读年级水平指数计算可读性。
患者通过EHR查看放射学报告的比例从2013年的3.3%（95%CI：3.0%-3.7%）增至2023年的58.2%（95%CI：57.3%-59.2%）。一旦《21世纪治愈法案》的信息封锁条款生效，查看概率显著增加，患者查看报告的几率高出1.71倍（OR = 1.71，95%CI：1.27 - 2.32，p < 0.001）。除CT外，所有测试方式的患者查看率均有所提高（P < 0.01）。尽管查看率有所提高，但放射科医生撰写的放射学报告的阅读年级水平在所有年份和测试方式中均高于健康信息的推荐水平。
患者越来越多地关注他们的放射学报告，但报告对于普通患者来说可能过于复杂难懂。需要采取措施来改善患者阅读放射学报告的体验。
