scholarly journals Patient Attitudes About Viewing Their Radiology Images Online: Preintervention Survey (Preprint)

2018 ◽  
Author(s):  
Ciarra Halaska ◽  
Peter Sachs ◽  
Kate Sanfilippo ◽  
Chen-Tan Lin

BACKGROUND Although patient data is available through electronic portals, little information exists about the benefits and/or challenges of providing patients with online access to their radiology images. OBJECTIVE The aims of this quality improvement project were to understand patient attitudes toward being able to view their radiology images online and determine how information should be presented to ensure the images are helpful to the patients, rather than causing confusion and anxiety. METHODS An online survey of consumers was conducted to evaluate attitudes toward online access to personal radiological images. RESULTS A total of 105 responses were received from 686 community members (15.3%). Of 105 consumers, 94 (89.5%) reported a desire to have access to the radiology images within their online patient portal; 86.7% (91/105) believed it would help them better understand their medical conditions and 81.0% (85/105) said this would help them feel more in control of their care. Most respondents (74/105, 70.5%) said it would help them feel reassured that their doctor was doing the right thing, and 63.8% (67/105) said it would increase their level of trust in their doctor. Among surveyed patients, 78.1% (82/105) valued viewing their radiology images online, while 92.4% (97/105) valued their online radiology reports. Most patients (69/105, 65.7%) wished to discuss their results with their ordering clinician, 29.5% (31/105) wished to discuss with their interpreting radiologist, and 3.8% (4/105) wished to share their images on social media. The biggest potential concern among 23.8% (25/105) was that the images would be confusing. CONCLUSIONS A large majority of surveyed patients desired the ability to view their radiology images online and anticipated many benefits and few risks. Health care organizations with electronic health records and online patient portals should consider augmenting their existing portals with this highly desired feature. To avoid the biggest patient concern, radiology reports should accompany images. Patients wanted to discuss their results with their ordering physician and their interpreting radiologist. Some even would like to share results on social media. Further research on the actual experience with such a tool will be needed.

2021 ◽  
pp. 194855062110183
Author(s):  
Sandra L. Murray ◽  
Mark D. Seery ◽  
Veronica M. Lamarche ◽  
Han Young Jung ◽  
Thomas L. Saltsman ◽  
...  

Elections and pandemics highlight how much one’s safety depends on fellow community members, a realization that is especially threatening when this collective perceives political realities inconsistent with one’s own. Two longitudinal studies examined how people restored safety to social bonds when everyday experience suggested that fellow community members inhabited inconsistent realities. We operationalized consensus political realities through the negativity of daily nationwide social media posts mentioning President Trump (Studies 1 and 2), and the risks of depending on fellow community members through the pending transition to a divided Congress during the 2018 election season (Study 1), and escalating daily U.S. COVID-19 infections (Study 2). On days that revealed people could not count on fellow community members to perceive the same reality of President Trump’s stewardship they perceived, being at greater risk from the judgment and behavior of the collective community motivated people to find greater happiness in their family relationships.


Society ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 83-93
Author(s):  
Muhammad Saud ◽  
Rachmah Ida ◽  
Ansar Abbas ◽  
Asia Ashfaq ◽  
Araz Ramazan Ahmad

Digitalization in the modern era has provided opportunities for the youths to participate in this information and social spheres. The concentrated use of social media has contributed to the astonishing factor among the voters where social media has changed the preferences of youths toward the right to vote. The research aims to investigate the contributions and preferences of youths toward political participation in the contemporary discussion in Indonesia. This research was quantitative research using a purposive random sampling technique to give equal opportunity to each respondent. The mode of data collection was an online survey. The majority of the respondents in this research were the student of the universities. Data were collected in April 2019 to examine the interest of youths in general elections in Indonesia. This research found that social media and Social Networking Sites (SNSs) have provided a unique platform to discuss political matters and ‘take apart’ in political discussions. Existing in-depth researches on this phenomenon show that political awareness among youths in Indonesia is an essential part and social media is the leading indicator. This research suggested some recommendations for to usage of social media for the socialization of youths.


BJS Open ◽  
2021 ◽  
Vol 5 (Supplement_1) ◽  
Author(s):  
John Pascoe ◽  
Paul Foster ◽  
Muntasha Quddus ◽  
Angeliki Kosti ◽  
Francesca Guest ◽  
...  

Abstract Introduction SMILE is a free online access medical education (FOAMEd) platform created by two UK surgical trainees and a medical student that delivered over 200 medical lectures during lockdown. Method The role of Social Media in the development of SMILE was interrogated using a survey sent to all SMILE participants and by analysing activity on SMILE social media platforms. Results 1306 students responded to the online survey with 57.2% saying they heard of SMILE through Facebook. Engagement using facebook remained highest with 13,819 members, over 800 user comments and >16,000 user reactions. 4% of the students heard of SMILE through Twitter or Instagram. Facebook analytics revealed the highest level of traffic when lectures were most commonly held suggesting students used Facebook to access lectures. Other educators were able to find SMILE on social media, leading to collaborations with other platforms. Throughout the survey many mentioned how social media created and maintained a community of medical students enhancing group-based learning Conclusions We demonstrate that social media platforms provide popular and cost-effective methods to promote, sustain & deliver medical education for students and educators.


2018 ◽  
Vol 2 (2) ◽  
pp. 81
Author(s):  
Erond Litno Damanik

This article discusses the political participation of new voters of WhatsApp users in the city of Medan in the governor election of Sumatra Province in 2018. The purpose of the study was to find out about the understanding of democracy and the level of political participation of new voters who use WhatsApp social media as a political discussion. Beginner voters are defined as community members who have the right to vote, aged 17-21 years or have/have been married and registered as a Permanent Voter List. In order to approach the research problem, this study uses the theory of public sphere and contagion. Public sphere is a digital space where critical, rational and objective discussion is transmitted to others. The problem in this study focused on how political participation of new voters who use WhatsApp in city of Medan in North Sumatra gubernatorial election 2018?. Can WhatsApp social media be considered a public sphere in the digital age? The results of the study show that the political participation of new voters of WhatsApp users has increased significantly but the understanding of democracy is co-opted in the politics of identity. Digital democracy is castrated by politics of identity because of the social situation, family environment, relatives and peers, the influence of the pulpit and the religious scriptures and ethnic communities. Then, WhatsApp social media is not a public sphere but 'mono sphere' or 'solo sphere' which is privatized as a limited discussion room with family, relatives, peers, friends of religion and ethnic friends.


Author(s):  
Brody Foster ◽  
Matthew David Krasowski

BACKGROUND Electronic health record (EHR) patient portals provide a means by which patients can access their health information, including diagnostic test results. Little is known about portal usage by emergency department (ED) patients. OBJECTIVE The study aimed to assess patient portal utilization by ED patients at an academic medical center using account activation rates along with the rates of access of diagnostic test results (laboratory results and radiology reports), analyzing the impact of age, gender, and self-reported patient race. METHODS This institutional review board–approved retrospective study was performed at a 60,000-visits-per-year university-based ED. We utilized EHR data reporting tools to examine EHR portal activation and utilization for all patients who had at least one ED encounter with one or more diagnostic tests performed between October 1, 2016, and October 1, 2017. The total dataset for laboratory testing included 208,635 laboratory tests on 25,361 unique patients, of which 9482 (37.39%) had active portal accounts. The total dataset for radiologic imaging included 23,504 radiology studies on 14,455 unique patients, of which 5439 (37.63%) had an active portal account. RESULTS Overall, 8.90% (18,573/208,635) of laboratory tests and 8.97% (2019/22,504) of radiology reports ordered in the ED were viewed in the patient portal. The highest rates of viewing of laboratory and radiology results were seen for those who were female, were aged 0 to 11 years (parent or guardian viewing by proxy) and 18 to 60 years, and self-reported their race as Caucasian or Asian. The lowest rates were for those who were teenagers, aged older than 81 years, African American/black, and Hispanic/Latino. Infectious disease, urinalysis, and pregnancy testing constituted the highest number of laboratory tests viewed. Magnetic resonance imaging reports were viewed at higher rates than computed tomography or x-ray studies (P<.001). Approximately half of all the diagnostic test results accessed by patients were reviewed within 72 hours of availability in the patient portal (laboratory results: 9904/18,573, 53.32% and radiology reports: 971/2019, 48.1%). On the other extreme, 19.9% (3701/18,573) of laboratory results and 31.6% (639/2019) of radiology reports were viewed more than 2 weeks after availability in the portal. CONCLUSIONS The data highlight the relatively low use of a patient portal by ED patients and existing disparities between patient groups. There can be wide lag time (months) between result/report availability and access by patients. Opportunities for improvement exist for both activation and more robust utilization of patient portals by ED patients.


2020 ◽  
Vol 14 (Supplement_1) ◽  
pp. S518-S518
Author(s):  
G SHARVIT ◽  
I Goren ◽  
L Godny ◽  
K Yadgar ◽  
S Elial Fatal ◽  
...  

Abstract Background Social Media (SM) networks are a major communication tool for patients with inflammatory bowel diseases (IBD) and healthcare professionals (HCPs). In Israel there are several SM platforms, some guided by HCPs while others are patients closed members groups. The largest HCP- patients network is called ‘Camoni’ (‘like me’). We aimed to assess topics of patients’ interest by exploration through SM. Methods This study had two phases: I –a qualitative study to assess topics of patients’ interest- screening. Posts of patients with IBD on ‘Camoni’ were evaluated by thematic analysis: identifying patterned meaning, coding based on topic, and categorising major groups. II - an anonymized survey was distributed online through SM networks. The survey was based on the identified topics in the screening, asking the participants to elect and delve only on the five most relevant topics. Satisfaction was assessed by visual analogue scales (VAS) of 0–100 points. Results Screening included 2,123 posts published on Camoni between 2014–2019. The analysis revealed 18 different topics (Figure 1). The online survey was launched on November 2019 and had 329 responders: male 47.9%, age 38 years (IQR 29–51), disease duration 10 years (IQR 4–20), active disease 43%, using medications 80.9%: steroids 8.9%, anti-TNFs 31.6%, anti-integrins 9.1%, ustekinumab 4.6%, tofacitinib 2.1%. Crohn’s disease 63.4%, perianal disease 40.8%, extraintestinal manifestations 27%, history of surgery 36.4%, care in hospital outpatient clinics 67.8%. The distribution of satisfaction VAS scores was asymmetric with skewness to the right (Figure 3). Median (IQR) for general satisfaction of the treating physician - 87.5 (73–99), accessibility to HCPs - 77.5 (48.5–92), HCP professionalism 90 (75–99), degree of understanding patients’ concerns 81 (51–96), effectiveness of communication with HCPs 81 (59.7–96). The first five elected-topics of interest were: diet, lifestyle, complementary and alternative medicine, interpretation of medical results, and referral of patients to specialists and reviews (Figure 2). Most responders (85.1%) prefer to be active on an SM network that is guided by HCPs; however,, only 22% of online survey responders were active on Camoni. Conclusion Patients with IBD with a significant disease burden are highly satisfied from conventional care. However, patients are still in need for further support and information, perceived as not being addressed in the conventional setting. An operative multidisciplinary setting in routine care, incorporating dietitians, IBD-nurses and HCP’s focusing on alternative and complementary medicine is advised.


10.2196/26189 ◽  
2021 ◽  
Vol 23 (9) ◽  
pp. e26189
Author(s):  
Elettra Carini ◽  
Leonardo Villani ◽  
Angelo Maria Pezzullo ◽  
Andrea Gentili ◽  
Andrea Barbara ◽  
...  

Background Patient portals are becoming increasingly popular worldwide even though their impact on individual health and health system efficiency is still unclear. Objective The aim of this systematic review was to summarize evidence on the impact of patient portals on health outcomes and health care efficiency, and to examine user characteristics, attitudes, and satisfaction. Methods We searched the PubMed and Web of Science databases for articles published from January 1, 2013, to October 31, 2019. Eligible studies were primary studies reporting on the impact of patient portal adoption in relation to health outcomes, health care efficiency, and patient attitudes and satisfaction. We excluded studies where portals were not accessible for patients and pilot studies, with the exception of articles evaluating patient attitudes. Results Overall, 3456 records were screened, and 47 articles were included. Among them, 11 studies addressed health outcomes reporting positive results, such as better monitoring of health status, improved patient-doctor interaction, and improved quality of care. Fifteen studies evaluated the impact of digital patient portals on the utilization of health services with mixed results. Patient characteristics were described in 32 studies, and it was reported that the utilization rate usually increases with age and female gender. Finally, 30 studies described attitudes and defined the main barriers (concerns about privacy and data security, and lack of time) and facilitators (access to clinical data and laboratory results) to the use of a portal. Conclusions Evidence regarding health outcomes is generally favorable, and patient portals have the potential to enhance the doctor-patient relationship, improve health status awareness, and increase adherence to therapy. It is still unclear whether the use of patient portals improves health service utilization and efficiency.


2020 ◽  
Author(s):  
Elettra Carini ◽  
Leonardo Villani ◽  
Angelo Maria Pezzullo ◽  
Andrea Gentili ◽  
Andrea Barbara ◽  
...  

BACKGROUND Patient portals are becoming increasingly popular worldwide even though their impact on individual health and health system efficiency is still unclear. OBJECTIVE The aim of this systematic review was to summarize evidence on the impact of patient portals on health outcomes and health care efficiency, and to examine user characteristics, attitudes, and satisfaction. METHODS We searched the PubMed and Web of Science databases for articles published from January 1, 2013, to October 31, 2019. Eligible studies were primary studies reporting on the impact of patient portal adoption in relation to health outcomes, health care efficiency, and patient attitudes and satisfaction. We excluded studies where portals were not accessible for patients and pilot studies, with the exception of articles evaluating patient attitudes. RESULTS Overall, 3456 records were screened, and 47 articles were included. Among them, 11 studies addressed health outcomes reporting positive results, such as better monitoring of health status, improved patient-doctor interaction, and improved quality of care. Fifteen studies evaluated the impact of digital patient portals on the utilization of health services with mixed results. Patient characteristics were described in 32 studies, and it was reported that the utilization rate usually increases with age and female gender. Finally, 30 studies described attitudes and defined the main barriers (concerns about privacy and data security, and lack of time) and facilitators (access to clinical data and laboratory results) to the use of a portal. CONCLUSIONS Evidence regarding health outcomes is generally favorable, and patient portals have the potential to enhance the doctor-patient relationship, improve health status awareness, and increase adherence to therapy. It is still unclear whether the use of patient portals improves health service utilization and efficiency.


2018 ◽  
Author(s):  
Cheryl Stone ◽  
Becky Faett ◽  
Kathy Magdic

BACKGROUND Efforts in the United States to improve patient engagement and communication with health care providers have led to the creation of the meaningful use program. [1] The Centers for Medicare and Medicaid Services have created a three-stage process to encourage the adoption and use of electronic health records (EHR). Benefits of EHR use include the ability to provide accurate, up-to-date, legible, and complete information about patients at the point of care. One important component of EHR is the patient portal. Patient portals provide 24-hour access to portions of a patient medical record as well as a secure pathway to send messages to providers, ask for refills of medications, and schedule appointments. OBJECTIVE To assess if patients who have not used the patient portal will engage in using the portal after an in-office orientation on how to access and the benefits of using the patient portal. METHODS A quality improvement project was performed using a convenience sample of 60 participants who were scheduled for an appointment in an outpatient cardiology office and had not accessed the patient portal in the past 12 months. The participants were given a survey regarding their computer and internet access as well as their level of comfort using a computer. Each participant was assisted in creating a username and password as well as a security question and answer. The participant then accessed the portal and navigated through the portal with the guidance of the nurse practitioner. They also sent a message via the portal to the provider they were assigned to that day. Each participant was given a pamphlet and a printed power point to reinforce what they had learned. After two months, the nurse practitioner accessed the portal to determine if the enrolled participants had accessed the portal. The reasons for access and frequency were recorded. If there was no access, the participant was called by the nurse practitioner to determine the reason they had not accessed the portal. RESULTS Of the 60 participants, 54% were women, 46% men, 93% were Caucasian. Fifty-six point seven accessed the portal from home. Reasons for access included: 85% reviewed labs, 53% reviewed messages sent to them from the office and 23% sent messages to the office. Twenty-four participants did not access the portal. Of those participants, 33% stated that they had no clear reason to access the portal, 25% stated that they forgot their login information and 17% stated they no interest in the portal. CONCLUSIONS Patient portals are a useful tool for communication between patients and their providers. Providing an in-office orientation to the portal increased patient access to the portal.


2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Irene Le Roux ◽  
Tania Maree

Orientation: This research examined the influence of motives and engagement on brand attitudes and the influence thereof on buying intentions in the context of online social media brand communities.Research purpose: The primary purpose was to investigate the interrelationship between motives, engagement, brand attitudes and buying intent of female Facebook brand apparel community members in South Africa.Motivation for the study: Social media created a new tool for marketers to break through advertising clutter. Scholars assert that the influence of social media brand communities on consumers’ attitudes, behaviour and intentions need to be studied, and such research should be applied to a specific industry.Research design, approach and method: A total of 333 female apparel brand community members on Facebook completed a quantitative, structured online survey. Structural equation modelling (SEM) was used to investigate the interrelationship between the constructs.Main findings: The results indicated significant relationships between some of the hypothesised constructs, namely hedonic motives and brand attitude, as well as brand attitude and buyingintention.Practical/managerial implications: The findings suggested marketers should create entertaining and useful brand community experiences, as that lead to favourable attitudes, and positively influence buying intention. Suggestions for marketers to use this platform effectively to engage community members were provided.Contribution: The research contributed to the limited knowledge on brand community behaviour on Facebook in an emerging market context. This research examined female consumers, an influential segment of social media users. It provided empirical support for the theoretical relationship between brand attitude and buying intention.


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