Implications of Direct Patient Online Access to Radiology Reports Through Patient Web Portals
Implications of Direct Patient Online Access to Radiology Reports Through Patient Web Portals
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DOI：
10.1016/j.jacr.2016.09.007
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发表时间：
2016-12-01
影响因子：
4.5
通讯作者：
Elmore, Joann G.
中科院分区：
文献类型：
--
作者：
Lee, Christoph I.;Langlotz, Curtis P.;Elmore, Joann G.
在一个健康信息透明度和决策知情的时代，越来越多的患者可以通过基于网络的门户网站直接在线访问他们的医疗记录，包括放射学报告。虽然放射科医生的叙述性报告以前一直是转诊医生的职权范围，但患者现在正在自己阅读这些报告。患者审阅他们的放射学报告可能会带来许多潜在的好处，包括改善患者对自己健康的了解，促进共同决策和患者与医生的沟通，最终改善患者的预后。然而，也可能有负面后果，包括患者的困惑和焦虑以及更长的医患互动。这项新技术的迅速采用给放射科医生带来了关于道德和专业精神的重大问题，包括以下问题：谁是放射学报告的目标受众？内容应该如何呈现或措辞？开放获取将如何影响放射科医生与患者和转诊医生的关系？更多的患者接触可能会产生什么法律后果？作者描述了目前与患者在线访问包括放射学报告在内的医疗记录相关的做法和研究结果，并讨论了这一日益增长的趋势对放射学专业的几个影响。
In an era of increasing health information transparency and informed decision making, more patients are being provided with direct online access to their medical records, including radiology reports, via web-based portals. Although radiologists' narrative reports have previously been the purview of referring physicians, patients are now reading these on their own. Many potential benefits may result from patients reviewing their radiology reports, including improvements in patients' own understanding of their health, promotion of shared decision making and patient-physician communication, and, ultimately, improvements in patient outcomes. However, there may also be negative consequences, including confusion and anxiety among patients and longer patient-physician interactions. The rapid adoption of this new technology has led to major questions regarding ethics and professionalism for radiologists, including the following: Who is the intended audience of radiology reports? How should content be presented or worded? How will open access influence radiologists' relationships with patients and referring physicians? What legal ramifications may arise from increased patient access? The authors describe the current practices and research findings associated with patient online access to medical records, including radiology reports, and discuss several implications of this growing trend for the radiology profession.