Patient Experience With Notification of Radiology Results: A Comparison of Direct Communication and Patient Portal Use.

J Am Coll Radiol

Department of Population Health, NYU School of Medicine, New York, New York; Center for Healthcare Innovation and Delivery Science, NYU School of Medicine, New York, New York. Electronic address:

Published: September 2020

AI Article Synopsis

  • Patients are increasingly accessing radiology results online, and a study aimed to compare satisfaction and understanding of these results between electronic portal notifications and direct provider communication.
  • The study surveyed 1,005 patients within a week of their radiology exam, finding no significant difference in satisfaction with notification timing (around 89% satisfaction for both methods), but those receiving results via the portal felt less informed (26.7% vs. 47.8% understood their results).
  • The conclusion suggests that while online result notification is convenient, improvements in how results are communicated through portals could enhance patient understanding and overall experience.

Article Abstract

Objective: Patients increasingly access radiology results through digital portals. We compared patient satisfaction and understanding of radiology results when received through an electronic patient portal versus direct communication from providers.

Methods: Patients were invited to participate in an online survey within 7 days of undergoing a radiology examination. Participants received one of two survey versions, based on whether or not they viewed results in the patient portal. The associations between method of result notification and satisfaction with notification timing and self-reported understanding of results were evaluated using χ tests and logistic regression.

Results: Of 1,005 survey respondents, 87.8% (882 of 1,005) reported having received their imaging test results, with 486 (48.4%) first being notified through the patient portal and 396 (39.4%) via direct provider communication. Patients reported high levels of satisfaction with timing regardless of whether they first received the results through the patient portal or through direct provider communication (88.8%-89.9%). Patients who first received their results through the patient portal reported a lesser degree of perceived understanding than those who first received their results through direct provider communication (26.7% versus 47.8%; P < .001). Patients were less likely to report clear understanding for advanced imaging (CT or MRI) than ultrasound or x-rays (29.3% versus 40.3% versus 38.2%, respectively; P = .02). Patient characteristics showed no association with understanding in multivariable analysis.

Conclusion: As online portal release of radiology results to patients becomes commonplace, efforts may be warranted to improve patient experience when first receiving their radiology results online.

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Source
http://dx.doi.org/10.1016/j.jacr.2020.01.046DOI Listing

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