What the Patient Wants: An Analysis of Radiology-Related Inquiries From a Web-Based Patient Portal

Mervak, Benjamin M.; Davenport, Matthew S.; Flynt, Kelsey A.; Kazerooni, Ella A.; Weadock, William J.

doi:10.1016/j.jacr.2016.05.022

Cited by 31 publications

(31 citation statements)

References 10 publications

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“…Another important development is the meaningful use criteria of the Centers for Medicare and Medicaid Services electronic health records incentive program, which mandates that a clinical summary be provided to the patient after each visit, with the ability for secure messaging between the patient and the provider and the ability to view, download, and transmit personal health record data, patient-specific education, patient reminders for preventive services, and medication reconciliation 5. Now patients can view health information such as doctor visits, discharge summaries, medications, immunizations, lab results, and results of X-rays and other diagnostic tests 6,7. Many patient portals also allow patients to request prescription refills, schedule appointments, exchange email with their health care providers, and view educational materials 2.…”

Section: Introductionmentioning

confidence: 99%

Patient web portals, disease management, and primary prevention

Coughlin¹,

Prochaska²,

Williams³

et al. 2017

RMHP

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BackgroundEfforts aimed at health care reform and continued advances in information technologies have prompted interest among providers and researchers in patient web portals. Patient web portals are password-protected online websites that offer the patients 24-hour access to personal health information from anywhere with an Internet connection.MethodsThis article, which is based upon bibliographic searches in PubMed, reviews important developments in web portals for primary and secondary disease prevention, including patient web portals tethered to electronic medical records, disease-specific portals, health disparities, and health-related community web portals.ResultsAlthough findings have not been uniformly positive, several studies of the effectiveness of health care system patient portals in chronic disease management have shown promising results with regard to patient outcomes. Patient web portals have also shown promising results in increasing adherence with screening recommendations. Racial and ethnic minorities, younger persons, and patients who are less educated or have lower health literacy have been found to be less likely to use patient portals.ConclusionAdditional studies are needed of the utility and effectiveness of different elements of web portals for different patient populations. This should include additional diseases and health topics such as smoking cessation and weight management.

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Section: Introductionmentioning

confidence: 99%

Patient web portals, disease management, and primary prevention

Coughlin¹,

Prochaska²,

Williams³

et al. 2017

RMHP

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“…Nevertheless, our results show no significant difference in preferences between the options of ‘instant publication’ versus ‘publication after new information has been explained by a healthcare provider’. Previous studies evaluating the publication of medical information in patient portals show inconsistent results on whether publication empowers patients or if publication might harm patients when information is shown without mediating physician input [ 37 , 38 ]. This is especially discussed within the perspective of publication of test results [ 37 , 38 ].…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies evaluating the publication of medical information in patient portals show inconsistent results on whether publication empowers patients or if publication might harm patients when information is shown without mediating physician input [ 37 , 38 ]. This is especially discussed within the perspective of publication of test results [ 37 , 38 ]. Our study provides a strong indication that chronically ill patients do not prefer a delay in publication of their medical information in a patient portal.…”

Section: Discussionmentioning

confidence: 99%

How do patients value and prioritize patient portal functionalities and usage factors? A conjoint analysis study with chronically ill patients

Wildenbos

Horenberg

Jaspers

et al. 2018

BMC Med Inform Decis Mak

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BackgroundPatient portal use can be a stimulant for patient engagement. Yet, the heterogeneous landscape of tethered patient portals, is a major barrier to further portal development and implementation. A variety in portal access means, functionalities, usability and usefulness exists; without having accurate sight on patient perspectives. We aimed to get insights on possible coherence between patients’ preferred usage factors of portals and patients’ prioritization of functionalities, within the complexity of their disease management across different healthcare organizations.MethodsA conjoint analysis questionnaire was sent to patient panels of two large patient associations in The Netherlands, centered on heart and vascular diseases and lung diseases.ResultsOf 1294 patient respondents, 81% were 55+ years old and 49% were 65+ years old. Overall respondents significantly prioritized user-friendly access to a portal, via a laptop or desktop. Patients aged < 65 were less negative about using tablets to access a portal compared to the total respondents. Patients had no preference for a digital interoperable export functionality; most respondents preferred to create printable overviews. Built-in publication delay of two weeks for medical information was not preferred. Our results show no significant preference of patients between ‘instant publication’ versus ‘publication after new information has been explained by a healthcare provider’. Overall respondents and experienced portal users had a strong preference to be able to communicate with their provider via a portal and to use a portal providing information from multiple providers. Lung patients preferred information from one provider and did not require the possibility to ask online questions.ConclusionsHeart and vascular patients as well as lung patients prefer similar technical patient portal aspects, independent of their medical condition. Yet, in current portals consistency on this matter is lacking. It is highly assumable that offering a more consistent user-experience across the variety of patient portals could help increase patient portal acceptance, ultimately helping to stimulate patient engagement via patient portal use. We further affirm the need for customization on medical information publication and sharing information of various providers through patient portals, where information provision can be adapted to preferences of patients related to their medical condition(s).Electronic supplementary materialThe online version of this article (10.1186/s12911-018-0708-5) contains supplementary material, which is available to authorized users.

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“…To date, much of the effort in radiology to move toward patient-centered care has focused on the communication of imaging results (5)(6)(7)(8)(9)(10). These efforts focus on patient engagement after the radiology encounter.…”

Section: Implications For Patient Carementioning

confidence: 99%

What Patients Want to Know about Imaging Examinations: A Multiinstitutional U.S. Survey in Adult and Pediatric Teaching Hospitals on Patient Preferences for Receiving Information before Radiologic Examinations

Pahade¹,

Trout²,

Zhang³

et al. 2018

Radiology

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Purpose To identify what information patients and parents or caregivers found useful before an imaging examination, from whom they preferred to receive information, and how those preferences related to patient-specific variables including demographics and prior radiologic examinations. Materials and Methods A 24-item survey was distributed at three pediatric and three adult hospitals between January and May 2015. The χ or Fisher exact test (categorical variables) and one-way analysis of variance or two-sample t test (continuous variables) were used for comparisons. Multivariate logistic regression was used to determine associations between responses and demographics. Results Of 1742 surveys, 1542 (89%) were returned (381 partial, 1161 completed). Mean respondent age was 46.2 years ± 16.8 (standard deviation), with respondents more frequently female (1025 of 1506, 68%) and Caucasian (1132 of 1504, 75%). Overall, 78% (1117 of 1438) reported receiving information about their examination most commonly from the ordering provider (824 of 1292, 64%), who was also the most preferred source (1005 of 1388, 72%). Scheduled magnetic resonance (MR) imaging or nuclear medicine examinations (P < .001 vs other examination types) and increasing education (P = .008) were associated with higher rates of receiving information. Half of respondents (757 of 1452, 52%) sought information themselves. The highest importance scores for pre-examination information (Likert scale ≥4) was most frequently assigned to information on examination preparation and least frequently assigned to whether an alternative radiation-free examination could be used (74% vs 54%; P < .001). Conclusion Delivery of pre-examination information for radiologic examinations is suboptimal, with half of all patients and caregivers seeking information on their own. Ordering providers are the predominant and preferred source of examination-related information, with respondents placing highest importance on information related to examination preparation. RSNA, 2018 Online supplemental material is available for this article.

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What the Patient Wants: An Analysis of Radiology-Related Inquiries From a Web-Based Patient Portal

Cited by 31 publications

References 10 publications

Patient web portals, disease management, and primary prevention

Patient web portals, disease management, and primary prevention

How do patients value and prioritize patient portal functionalities and usage factors? A conjoint analysis study with chronically ill patients

What Patients Want to Know about Imaging Examinations: A Multiinstitutional U.S. Survey in Adult and Pediatric Teaching Hospitals on Patient Preferences for Receiving Information before Radiologic Examinations

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