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Current state of radiology report release in electronic patient portals

  • Justin Holder
    Correspondence
    Corresponding author at: Department of Radiology, Montefiore Medical Center, 111 East 210th Street, Bronx, NY 10467, United States of America.
    Affiliations
    Department of Radiology and Biomedical Imaging, Yale-New Haven Hospital, Yale School of Medicine, 333 Cedar Street, PO Box 208042, New Haven, CT, United States of America
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  • Irena Tocino
    Affiliations
    Department of Radiology and Biomedical Imaging, Yale-New Haven Hospital, Yale School of Medicine, 333 Cedar Street, PO Box 208042, New Haven, CT, United States of America
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  • David Facchini
    Affiliations
    Department of Radiology and Biomedical Imaging, Yale-New Haven Hospital, Yale School of Medicine, 333 Cedar Street, PO Box 208042, New Haven, CT, United States of America
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  • Nicole Nardecchia
    Affiliations
    Department of Radiology and Biomedical Imaging, Yale-New Haven Hospital, Yale School of Medicine, 333 Cedar Street, PO Box 208042, New Haven, CT, United States of America
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  • Lawrence Staib
    Affiliations
    Department of Radiology and Biomedical Imaging, Yale-New Haven Hospital, Yale School of Medicine, 333 Cedar Street, PO Box 208042, New Haven, CT, United States of America
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  • Dan Crawley
    Affiliations
    Department of Radiology and Biomedical Imaging, Yale-New Haven Hospital, Yale School of Medicine, 333 Cedar Street, PO Box 208042, New Haven, CT, United States of America
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  • Jay K. Pahade
    Affiliations
    Department of Radiology and Biomedical Imaging, Yale-New Haven Hospital, Yale School of Medicine, 333 Cedar Street, PO Box 208042, New Haven, CT, United States of America
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      Highlights

      • Most academic centers have patient portals (94% in our study), although 4 out of 5 institutions report less than 50% of their patients use them.
      • The majority of our respondents have some form of automatic report release to their portals.
      • Average lag between report completion to portal release is 4 days (range 0-7 days), although this may be miscalculated due to our small sample size.

      Abstract

      Objective

      The aim of our study is to evaluate the current practice patterns of radiology report release into electronic patient portals.

      Methods

      A survey to assess details of radiology report release was distributed to members of The Association of Administrators in Academic Radiology across the United States. Numerical analysis was used to calculate the frequencies and percentages for the clinical site, frequency and pattern of patient portal use were calculated. Statistical analysis determined the percentages and frequencies for the clinical site, frequency and pattern of patient portal use, as well as statistical differences.

      Results

      A total of 31 (response rate = 28%, 31/108) at least partially completed surveys were received. Most (29/31, 94%) sites reported having a patient portal available with 80% (12/15) reporting < 50% patient utilization. There were no significant (p > 0.05) geographical differences noted in percentage utilization. Seventy-eight percent (21/27) of sites reported some form of automatic radiology report release into their portal. Mean delay was 4 days (range 0–7) from report completion to portal release. No correlation (r = 2) was seen between percentage of patient utilization of portals and timing of radiology report release.

      Conclusion

      Most academic centers across the country have patient portals, however, most of these centers report less than 50% utilization of the portals by patients. While variability in radiology report release in patient portals was noted, the majority (78%) of academic medical centers have some form of automatic report release with average delay of 4 days between report completion to portal release.

      Keywords

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      References

        • Johnson A.J.
        • Easterling D.
        • Nelson R.
        • Chen M.Y.
        • Frankel R.M.
        Access to radiologic reports via a patient portal: clinical simulations to investigate patient preferences.
        J Am Coll Radiol. 2012; 9: 256-263
        • Okawa G.
        • Ching K.
        • Qian H.
        • Feng Y.
        Automatic release of radiology reports via an online patient portal.
        J Am Coll Radiol. 2017; 14: 1219-1221
        • Henshaw D.
        • Okawa G.
        • Ching K.
        • Garrido T.
        • Qian H.
        • Tsai J.
        Access to radiology reports via an online patient portal: experiences of referring physicians and patients.
        J Am Coll Radiol. 2015; 12 (e1): 582-586
        • Slanetz P.J.
        • Krishnaraj A.
        • Lee C.I.
        • Lourenco A.P.
        Patient portals and radiology: overcoming hurdles.
        J Am Coll Radiol. 2019; 16: 1488-1490
        • Pahade J.
        • Couto C.
        • Davis R.B.
        • Patel P.
        • Siewert B.
        • Rosen M.P.
        Reviewing imaging examination results with a radiologist immediately after study completion: patient preferences and assessment of feasibility in an academic department.
        AJR Am J Roentgenol. 2012; 199: 844-851
        • Bilyj B.
        A direct line to radiologists. Imaging 3.0 in practice.
        American College of Radiology, 2019
        • Hoffman J.
        The anxiety of waiting for test results.
        New York Times, 2012
        • Woolen S.A.
        • Kazerooni E.A.
        • Steenburg S.D.
        • et al.
        Optimizing electronic release of imaging results through an online patient portal.
        Radiology. 2019; 290: 136-143
      1. Congress U. Mammography Quality Standards Act of 1992, pub l no 102–539, as amended by Mammography Quality Standards Reauthorization Act of 1998 and 2004, pub l no 105–248, 42. usc §263(b). 2004.

        • Zha N.
        • Alabousi M.
        • Katz D.S.
        • Su J.
        • Patlas M.
        Factors affecting response rates in medical imaging survey studies.
        Acad Radiol. 2019; 27: 421-427
        • McNamara M.
        • Arnold C.
        • Sarma K.
        • Aberle D.
        • Garon E.
        • Bui A.A.
        Patient portal preferences: perspectives on imaging information.
        J Assoc Inf Sci Technol. 2015; 66: 1606-1615https://doi.org/10.1002/asi.23269
        • Baruch Y.
        Response rate in academic studies-a comparative analysis.
        Hum Relat. 1999; 52: 421-438