Patients Viewing Their Radiology Images Online: Post-Intervention Results (Preprint)

2021 ◽  
Author(s):  
Evan C. Norris ◽  
Ciarra Halaska ◽  
Peter B. Sachs ◽  
Chen-Tan Lin ◽  
Kate Sanfilippo ◽  
...  
Keyword(s):  
Health Care ◽  
Online Survey ◽  
Medical Condition ◽  
Patient Portal ◽  
Patient Access ◽  
Post Intervention ◽  
American Health Care System ◽  
Information Transparency ◽  
Online Portal ◽  
Radiology Reports

BACKGROUND The ability for patients to directly view their radiology images through secure electronic portals is rare in the American health care system. We previously surveyed patients within our health system and found that a large majority wanted to view their own radiology images online, and have since implemented this new feature. OBJECTIVE We aim to understand patient experiences, opinions and actions taken after viewing their own radiology images online. METHODS We emailed an online survey to patients who recently viewed their radiology images via our electronic patient portal. RESULTS We sent a total of 1,825 surveys to patients and received 299 responses (response rate=16.4%). Patients reported a favorable experience (86% agree) viewing their radiology images online. Patients found value in reading their radiology reports (96% agree) and viewing their images (89% agree). Overall, patients felt that accessing and viewing their radiology images online increased their understanding of their medical condition (83%), made them feel more in control and reassured (79% and 74%, respectively), and increased levels of trust (72%). Only 6% of participants indicated concerns with finding errors, 6% felt that viewing their images online made them worry more, and 7% felt confused when viewing their images online. Of patients who viewed their images online, 45% took no action with their images, 33% saved a copy for their records, 25% shared them with their doctor, and 15% shared them with another doctor for a second opinion. A total of 9 patients (3%) shared their radiology images on Facebook and/or Instagram, primarily to inform family and friends. Ten percent of patients had questions about their radiology images after viewing them online, with the majority (65%) seeking out a doctor and far fewer (16%) choosing to ask a family member about their images. Finally, respondents viewed their images online using one or more devices including computers, smartphones, and/or tablets. Twenty-seven percent (n=103/385) of responses noted technical difficulties in total, with the highest incidence rate occurring with smartphones. CONCLUSIONS We report the first known survey results from patients who have viewed their own radiology images through an online portal. Patients reported high levels of satisfaction and increased levels of trust, autonomy, reassurance, and medical understanding. Only a small minority of patients expressed anxiety or confusion. We suggest that patient access to radiology images, like patient access to radiology reports, is highly desired by patients and operationally practical. Other health care institutions should consider offering patients access to their radiology images online in the pursuit of information transparency.

scholarly journals Mental health care professionals’ appraisal of patients’ use of online access to their electronic health record: a qualitative study. (Preprint)

2021 ◽  
Author(s):  
Antonius Mattheus van Rijt ◽  
Pauline Hulter ◽  
Anne Marie Weggelaar-Jansen ◽  
Kees Ahaus ◽  
Bettine Pluut
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Qualitative Study ◽  
Mental Health Care ◽  
Health Care Professionals ◽  
Health Record ◽  
Patient Portal ◽  
Patient Access ◽  
Patient Portals ◽  
Electronic Health

BACKGROUND Patients, in a range of health care sectors, can access their medical health record using a patient portal. In mental health care, the use of patient portals among mental health care professionals (MHCPs) remains low. MHCPs worry that patient access to electronic health records will negatively affect the patient’s wellbeing and their own workload. This study explores the appraisal work carried out by MHCPs shortly after the introduction of online patient access and sheds light on the challenges MHCPs face when trying to make a patient portal work for them, the patient, and their relationship. OBJECTIVE This study aims to provide insights into the appraisal work of MHCPs to assess and understand patient access to their electronic health record (EHR) through a patient portal. METHODS We conducted a qualitative study including ten semi-structured interviews (N=11) and a focus group (N=10). Participants were MHCPs from different professional backgrounds and staff employees (e.g., team leaders, communication advisor). We collected data on their opinions and experiences with the recently implemented patient portal and their attempts to modify work practices. RESULTS Our study provides insights into MHCPs’ appraisal work to assess and understand patient access to the EHR through a patient portal. Four topics emerge from our data analysis: 1) appraising the effect on the patient-professional relationship, 2) appraising the challenge of sharing and registering delicate information, 3) appraising patient vulnerability, and 4) redefining consultation routines and registration practices. CONCLUSIONS MHCPs struggle with the effects of online patient access and are searching for the best ways to modify their registration and consultation practices. Our study suggests various solutions to the challenges faced by MHCPs. To optimize the effects of online patient access to EHRs, MHCPs need to be involved in the process of developing, implementing, and embedding patient portals.

HealthTree Patient Portal mediated myeloma patient-reported vaccination and antibiotic use.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e20567-e20567
Author(s):  
Michael A. Thompson ◽  
Jenny Ahlstrom ◽  
Nathan W. Sweeney
Keyword(s):  
Online Survey ◽  
Antibiotic Use ◽  
Cell Transplant ◽  
Patient Portal ◽  
Infection Prophylaxis ◽  
Varicella Zoster ◽  
Online Portal ◽  
Institutional Review ◽  
Patient Reported ◽  
Global Registry

e20567 Background: Multiple myeloma (MM) is a cancer of the immune system. Infection is a major cause of morbidity and mortality in MM. Vaccines are the first line of prevention for infectious diseases. Anti-microbial prophylaxis may improve patient (pt) outcomes, but real-world use has not been well characterized. In order to engage the pt community regarding vaccination we utilized HealthTree (www.healthtree.org). Methods: An investigator-submitted online survey asking about infection prophylaxis and vaccinations was fielded to 4,944 pts from May 10, 2019, to January 9, 2020. The HealthTree platform queries pts about sharing data for research purposes. De-identified responses were aggregated and reviewed. The study was determined to be exempt by the Western Institutional Review Board. Results: 458 MM pts participated in the surveys and were able to select more than one option with the total response indicated below. Abbreviated questions and simplified responses are noted in Table including: 1. Have you ever been vaccinated in the last 5 years with a pneumococcal vaccine (PV)? 2. In the last 3 flu seasons, have you received the influenza vaccine (FV)? 3. After you began myeloma treatment, did you ever receive the anti-Varicella Zoster Virus (VZV, shingles) vaccine? 4. Were you (or are you currently) treated with anti-viral prophylaxis? 5. Were you (or are you currently) treated with antibiotic bactrim? 6. Were you (or are you currently) treated with levofloxacin prior to stem cell transplant or at the beginning of your MM therapy? Conclusions: Both FV and PV were fairly high in this self-selected cohort of volunteers compared with a large health system ( http://ow.ly/O8Dx30b9Wuc ) and a global registry ( http://ow.ly/Uofg30h6Qen ). Most did not receive an anti-VZV vaccine, but a few received a live vaccine. Anti-viral prophylaxis was common, but not universal. Anti-PJP and levofloxacin use were reported by a minority of participants. Pt reported interventions via an online portal can help investigators survey the pt community and result in hypothesis generating research questions including investigating vaccine: types, dosing, sequencing, and use of anti-infective interventions. [Table: see text]

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
Keyword(s):  
Social Media ◽  
Online Survey ◽  
Patient Portal ◽  
Patient Attitudes ◽  
Patient Portals ◽  
Community Members ◽  
Improvement Project ◽  
Radiology Reports ◽  
Online Access ◽  
The Right

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.

scholarly journals A systems approach to learning, practice and reflection in emergency primary health care: Student perspectives

2014 ◽  
Vol 11 (3) ◽  
Author(s):  
Daniel Mellifont ◽  
Nigel Barr ◽  
Peter Dunn
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Primary Health Care ◽  
Online Survey ◽  
Clinical Decision Making ◽  
Systems Approach ◽  
Clinical Decision ◽  
Post Intervention ◽  
Learning And Teaching ◽  
Primary Health

IntroductionClinical decision making skills are essential for professional practice in primary emergency healthcare and are an intended outcome of clinical and professional programs. This article documents an interdisciplinary exploration of learning and teaching of clinical decision making and critical dialectical reflection (the systems approach) at The University of the Sunshine Coast (USC), Australia.MethodsUsing an online survey we explored students’ perspectives on how working with the systems approach impacted upon their confidence and capacity to engage in emergency clinical scenarios.ResultsUSC’s systems approach, integrated with a focus on critical reflection and case-based learning, is strongly associated with improved student confidence to engage in emergency primary health care scenarios. Most participants reported increased confidence post intervention and believed that the systems approach helped them to improve their capacity for other critical components.ConclusionThis study indicates the beneficial nature of a systems approach to the learning and teaching of clinical decision-making.  The tool could be further developed, to improve perceived ability to communicate more effectively.

scholarly journals Qualitative and Quantitative Analysis of Patients' Perceptions of the Patient Portal Experience with OpenNotes

2019 ◽  
Vol 10 (01) ◽  
pp. 010-018 ◽  
Author(s):  
Vimal Mishra ◽  
Robert Hoyt ◽  
Susan Wolver ◽  
Ann Yoshihashi ◽  
Colin Banas
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Qualitative Analysis ◽  
Online Survey ◽  
College Education ◽  
Primary Care Providers ◽  
Free Text ◽  
Patient Portal ◽  
Care Providers ◽  
The Impact

Background Access to medical encounter notes (OpenNotes) is believed to empower patients and improve the quality and safety of care. The impact of such access is not well understood beyond select health care systems and notes from primary care providers. Objectives This article analyzes patients' perceptions about the patient portal experience with access to primary care and specialist's notes and evaluates free-text comments as an improvement opportunity. Materials and Methods Patients at an academic health care system who accessed the patient portal from February 2016 to May 2016 were provided a link to complete a 15-item online survey. Those who had viewed at least one note were asked about patient characteristics, frequency of note access, note usefulness, note understanding, and if any action was taken after accessing the note. Free-text comments were associated with nine questions which were analyzed using qualitative methods. Results A total of 23% (1,487/6,439) of patients who viewed the survey in the portal, participated. Seventy-six percent (1,126/1,487) knew that the notes were available on the portal, and of those, 957 had viewed at least one note to continue the survey. Ninety percent of those were older than 30 years of age, and 90% had some college education. The majority (83%) thought OpenNotes helped them take better care of themselves, without increasing worry (94%) or contacting the physician after reading the note (91%). The qualitative analysis of free-text responses demonstrated multiple positive and negative themes, and they were analyzed for potential improvement opportunities. Conclusion Our survey confirms that patients who choose to access their primary care and specialists' online medical records perceive benefits of OpenNotes. Additionally, the qualitative analysis of comments revealed positive benefits and several potential patient portal improvement opportunities which could inform implementation of OpenNotes at other health systems.

Factors influencing users’ perceived value of Electronic Health Record Patient Portals

2020 ◽  
Vol 64 (1) ◽  
pp. 1581-1585
Author(s):  
Rong Yin ◽  
David M. Neyens ◽  
Katherine E. Law
Keyword(s):  
Health Care ◽  
Online Survey ◽  
Logistic Regression Model ◽  
Perceived Value ◽  
Patient Portal ◽  
Patient Portals ◽  
Health Records ◽  
Factors Influencing ◽  
Electronic Health ◽  
Survey Responses

Patient portals are websites or apps where patients can access their health information from their Electronic Health Records (EHR). This study was conducted via an online survey to identify what factors influence an EHR patient portal user to believe that the portal is a valuable part of their health care. In total 395 survey responses were included in a logistic regression model. Our results suggest that only 24.1% of our survey responders consider their EHR portals as a valuable part of their health care. Participants who are more likely to consider EHR portals as valuable were those who found EHR portals useful for information, trusted their portal; believed their portals were important in managing health, those who believed their portals were easy to use, and those who developed a habit of using their portals. This study contributes to the understanding of what factors support the perceived value of EHR portals.

A Web-Based Interactive Map to Promote Health-Care Facility Flood Preparedness

2021 ◽  
pp. 1-4
Author(s):  
Elena Grossman ◽  
Michelle Hathaway ◽  
Amber Khan ◽  
Apostolis Sambanis ◽  
Samuel Dorevitch
Keyword(s):  
Health Care ◽  
Emergency Preparedness ◽  
Online Survey ◽  
Care Facility ◽  
Health Care Facility ◽  
Health Care Facilities ◽  
Term Care ◽  
Web Based ◽  
Care Facilities ◽  
Interactive Map

Abstract Objectives: Little is known about how flood risk of health-care facilities (HCFs) is evaluated by emergency preparedness professionals and HCFs administrators. This study assessed knowledge of emergency preparedness and HCF management professionals regarding locations of floodplains in relation to HCFs. A Web-based interactive map of floodplains and HCF was developed and users of the map were asked to evaluate it. Methods: An online survey was completed by administrators of HCFs and public health emergency preparedness professionals in Illinois, before and after an interactive online map of floodplains and HCFs was provided. Results: Forty Illinois HCFs located in floodplains were identified, including 12 long-term care facilities. Preparedness professionals have limited knowledge of whether local HCFs were in floodplains, and few reported availability of geographic information system (GIS) resources at baseline. Respondents intended to use the interactive map for planning and stakeholder communications. Conclusions: Given that HCFs are located in floodplains, this first assessment of using interactive maps of floodplains and HCFs may promote a shift to reliable data sources of floodplain locations in relation to HCFs. Similar approaches may be useful in other settings.

Emerging Parallels in the American Health Care and Legal-Judicial Systems

1992 ◽  
Vol 18 (1-2) ◽  
pp. 73-96 ◽  
Author(s):  
David C. Hadorn
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Due Process ◽  
Health Care Rationing ◽  
Health Care Needs ◽  
Care Needs ◽  
American Health Care System ◽  
American Health Care ◽  
Principal Decision Making ◽  
Care System

The structure and principal decision-making processes of the American health care system have, in recent years, evolved to closely resemble those of the legal-judicial system. This transformation reflects important common values that underlie both systems, including the values of life and liberty. This Article analyzes quasi-legal features of the health care system and draws conclusions about how those features might be used to address the problem of health care rationing. It concludes that coverage rules, if properly developed, can provide the sort of objective framework necessary to evaluate claims of health care needs. This Article also demonstrates that by defining legitimate health care needs, society can thereby potentially eliminate or forestall the need to ration necessary care. This can be achieved by using carefully developed coverage rules, rather than the informal rules currently in place, in conjunction with already existing due process methods for interpreting and implementing those rules.

A New Scale of Readiness for Health Care Students to Encounter Partner Abuse

2020 ◽  
pp. 088626052098113
Author(s):  
Simon Sawyer ◽  
Glenn Melvin ◽  
Angela Williams ◽  
Brett Williams
Keyword(s):  
Health Care ◽  
Psychometric Properties ◽  
Internal Consistency ◽  
Partner Abuse ◽  
Content Validation ◽  
Post Intervention ◽  
Good Reliability ◽  
Health Care Students ◽  
Australian Health ◽  
Health Care Practitioners

Partner abuse (PA) is associated with significant morbidity and mortality worldwide. Health care practitioners regularly encounter patients experiencing PA and require comprehensive education on how to respond. This study describes the creation and validation of a new measure of readiness to encounter patients experiencing PA for health care practitioners and students. Initial item development and content validation were informed by expert feedback. Psychometric properties were assessed using data collected from Australian health care students, using Principal Components Analysis (PCA) and Confirmatory Factor Analysis (CFA). Internal consistency, inter-scale correlations, and test–retest analysis were performed. An initial pool of 67 items was reduced to 48 following content validation by 5 experts as a measure of construct validity. A total of n = 926 responses were collected, which were randomly split into two groups to perform a PCA and CFA. The PCA resulted in a 31-item version, which was further reduced to a 27-item version following the CFA, containing four factors. Internal consistency and test–retest analyses demonstrated good reliability. The produced scale is a 27-item measure of readiness to encounter patients experiencing PA, which has demonstrated good psychometric properties with a sample of Australian health care students. Results indicate that self-efficacy and Emotional-readiness are a large component of readiness. The scale may be used to measure the readiness of a cohort, or as a pre and post-intervention measure, and results may provide insight into the educational needs of a cohort.

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