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Patterns of Access to Radiology Reports and Images Through a Patient Portal

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Abstract

Access to radiology reports and images through a patient portal offers several advantages. The purpose of this study was to characterize patient’s interactions with their radiology results. This was a retrospective study that evaluated radiography, ultrasound, computed tomography, magnetic resonance imaging, and positron emission tomography, exams performed between July 2020 and June 2021 for patients aged 12 and older. Exam information, access logs of radiology reports and images, and patient demographics were obtained from the electronic health record and image viewing software. Descriptive statistics were computed. The study included 1,685,239 exams. A total of 54.1% of reports were viewed. MRI and PET reports were viewed with the greatest frequency (70.2% and 67.6%, respectively); 25.5% of exam images were viewed, with the greatest frequency for MRI (40.1%). Exams were shared a total of 17,095 times and downloaded 8409 times; 64% of reports were viewed for patients aged 18–39 and 34% for patients aged 80 and greater. The rate of reports viewed was greater for patients with English as their preferred language (57.1%) compared to other languages (33.3%). Among those viewed, 56.5% of reports and 48.2% of images were viewed multiple times; 72.8% of images were viewed on smartphones, 25.8% on desktop computers, and 1.4% on tablets. Patients utilize a portal to view reports and view and share images. Continued efforts are warranted to promote the use of portals and create patient-friendly imaging results to help empower patients.

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References

  1. Turner K, Hong YR, Yadav S, Huo J, Mainous AG: Patient portal utilization: before and after stage 2 electronic health record meaningful use. J Am Med Inform Assoc 26:960-967, 2019

    Article  PubMed  PubMed Central  Google Scholar 

  2. Johnson C, Richwine C, Patel VJOdb: Individual’s access and use of patient portals and smartphone health apps, 202057, 2021

  3. Tsai R, Bell E, Woo H, Baldwin K, Pfeffer M: How Patients Use a Patient Portal: An Institutional Case Study of Demographics and Usage Patterns. Applied Clinical Informatics 10:096-102, 2019

    Article  Google Scholar 

  4. Miles RC, Hippe DS, Elmore JG, Wang CL, Payne TH, Lee CI: Patient access to online radiology reports: frequency and sociodemographic characteristics associated with use. Academic radiology 23:1162-1169, 2016

    Article  PubMed  Google Scholar 

  5. Irizarry T, Devito Dabbs A, Curran CR: Patient Portals and Patient Engagement: A State of the Science Review. Journal of Medical Internet Research 17:e148, 2015

    Article  PubMed  PubMed Central  Google Scholar 

  6. Johnson AJJIiM: Reporting radiology results to patients: keeping them calm versus keeping them under control2:477, 2010

  7. Alarifi M, Patrick T, Jabour A, Wu M, Luo J: Full Radiology Report through Patient Web Portal: A Literature Review. Int J Environ Res Public Health 17, 2020

  8. Choi HH, Kotsenas AL, Chen JV, Bronsky C, Roth CJ, Kohli MD: Multi-institutional Experience with Patient Image Access Through Electronic Health Record Patient Portals. Journal of Digital Imaging 35:320-326, 2022

    Article  PubMed  PubMed Central  Google Scholar 

  9. Wiljer D, et al.: The anxious wait: assessing the impact of patient accessible EHRs for breast cancer patients. BMC Med Inform Decis Mak 10:46, 2010

    Article  PubMed  PubMed Central  Google Scholar 

  10. Holder J, et al.: Current state of radiology report release in electronic patient portals. Clin Imaging 74:22-26, 2021

    Article  PubMed  Google Scholar 

  11. Gordon NP, Hornbrook MC: Differences in Access to and Preferences for Using Patient Portals and Other eHealth Technologies Based on Race, Ethnicity, and Age: A Database and Survey Study of Seniors in a Large Health Plan. J Med Internet Res 18:e50, 2016

    Article  PubMed  PubMed Central  Google Scholar 

  12. Dhamija A, et al.: Image-Enabling the Patient Portal of an Electronic Health Record. Journal of Digital Imaging 34:483-488, 2021

    Article  PubMed  Google Scholar 

  13. Mervak BM, Davenport MS, Flynt KA, Kazerooni EA, Weadock WJ: What the Patient Wants: An Analysis of Radiology-Related Inquiries From a Web-Based Patient Portal. J Am Coll Radiol 13:1311-1318, 2016

    Article  PubMed  Google Scholar 

  14. Garry K, et al.: Patient Experience With Notification of Radiology Results: A Comparison of Direct Communication and Patient Portal Use. J Am Coll Radiol 17:1130-1138, 2020

    Article  PubMed  Google Scholar 

  15. Recht MP, et al.: Video radiology reports: a valuable tool to improve patient-centered radiology. American Journal of Roentgenology 219:509-519, 2022

    Article  PubMed  Google Scholar 

  16. Alarifi M, Patrick T, Jabour A, Wu M, Luo J: Designing a Consumer-Friendly Radiology Report using a Patient-Centered Approach. J Digit Imaging 34:705-716, 2021

    Article  PubMed  PubMed Central  Google Scholar 

  17. Cook TS, Oh SC, Kahn CE, Jr.: Patients’ Use and Evaluation of an Online System to Annotate Radiology Reports with Lay Language Definitions. Acad Radiol 24:1169-1174, 2017

    Article  PubMed  Google Scholar 

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Authors and Affiliations

Authors

Contributions

All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by Ankur Doshi, Tobias Block, Jason Wang, Julia Goldberg and Dan Carbone. The first draft of the manuscript was written by Jason Wang. All authors read and approved the final manuscript.

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Correspondence to Jason Wang.

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This is an observational study. The NYU Research Ethics Committee has confirmed that no ethical approval is required.

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The authors declare no competing interests.

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Wang, J., Goldberg, J.E., Block, T. et al. Patterns of Access to Radiology Reports and Images Through a Patient Portal. J Digit Imaging. Inform. med. 37, 504–509 (2024). https://doi.org/10.1007/s10278-024-00996-0

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  • DOI: https://doi.org/10.1007/s10278-024-00996-0

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