Giampaolo Greco1, Anand S Patel2, Sara C Lewis3, Wei Shi4, Rehana Rasul4, Mary Torosyan2, Bradley J Erickson5, Atheeth Hiremath6, Alan J Moskowitz4, Wyatt M Tellis2, Eliot L Siegel6, Ronald L Arenson2, David S Mendelson3. 1. Department of Population Health Sciences and Policy, Icahn School of Medicine at Mount Sinai, One Gustave Levy Place, New York, NY 10029. Electronic address: giampaolo.greco@mountsinai.org. 2. Department of Radiology and Biomedical Imaging, University of California, San Francisco (UCSF), San Francisco, California 94107. 3. Department of Radiology, Icahn School of Medicine at Mount Sinai, New York, New York 10029. 4. Department of Population Health Sciences and Policy, Icahn School of Medicine at Mount Sinai, One Gustave Levy Place, New York, NY 10029. 5. Department of Radiology, Mayo Clinic, Rochester, Minnesota 55902. 6. Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, Maryland 21201-1595.
Abstract
RATIONALE AND OBJECTIVES: Inefficient transfer of personal health records among providers negatively impacts quality of health care and increases cost. This multicenter study evaluates the implementation of the first Internet-based image-sharing system that gives patients ownership and control of their imaging exams, including assessment of patient satisfaction. MATERIALS AND METHODS: Patients receiving any medical imaging exams in four academic centers were eligible to have images uploaded into an online, Internet-based personal health record. Satisfaction surveys were provided during recruitment with questions on ease of use, privacy and security, and timeliness of access to images. Responses were rated on a five-point scale and compared using logistic regression and McNemar's test. RESULTS: A total of 2562 patients enrolled from July 2012 to August 2013. The median number of imaging exams uploaded per patient was 5. Most commonly, exams were plain X-rays (34.7%), computed tomography (25.7%), and magnetic resonance imaging (16.1%). Of 502 (19.6%) patient surveys returned, 448 indicated the method of image sharing (Internet, compact discs [CDs], both, other). Nearly all patients (96.5%) responded favorably to having direct access to images, and 78% reported viewing their medical images independently. There was no difference between Internet and CD users in satisfaction with privacy and security and timeliness of access to medical images. A greater percentage of Internet users compared to CD users reported access without difficulty (88.3% vs. 77.5%, P < 0.0001). CONCLUSION: A patient-directed, interoperable, Internet-based image-sharing system is feasible and surpasses the use of CDs with respect to accessibility of imaging exams while generating similar satisfaction with respect to privacy.
RATIONALE AND OBJECTIVES: Inefficient transfer of personal health records among providers negatively impacts quality of health care and increases cost. This multicenter study evaluates the implementation of the first Internet-based image-sharing system that gives patients ownership and control of their imaging exams, including assessment of patient satisfaction. MATERIALS AND METHODS:Patients receiving any medical imaging exams in four academic centers were eligible to have images uploaded into an online, Internet-based personal health record. Satisfaction surveys were provided during recruitment with questions on ease of use, privacy and security, and timeliness of access to images. Responses were rated on a five-point scale and compared using logistic regression and McNemar's test. RESULTS: A total of 2562 patients enrolled from July 2012 to August 2013. The median number of imaging exams uploaded per patient was 5. Most commonly, exams were plain X-rays (34.7%), computed tomography (25.7%), and magnetic resonance imaging (16.1%). Of 502 (19.6%) patient surveys returned, 448 indicated the method of image sharing (Internet, compact discs [CDs], both, other). Nearly all patients (96.5%) responded favorably to having direct access to images, and 78% reported viewing their medical images independently. There was no difference between Internet and CD users in satisfaction with privacy and security and timeliness of access to medical images. A greater percentage of Internet users compared to CD users reported access without difficulty (88.3% vs. 77.5%, P < 0.0001). CONCLUSION: A patient-directed, interoperable, Internet-based image-sharing system is feasible and surpasses the use of CDs with respect to accessibility of imaging exams while generating similar satisfaction with respect to privacy.
Authors: Alla Keselman; Laura Slaughter; Catherine Arnott Smith; Hyeoneui Kim; Guy Divita; Allen Browne; Christopher Tsai; Qing Zeng-Treitler Journal: AMIA Annu Symp Proc Date: 2007-10-11
Authors: David C Kaelber; Ashish K Jha; Douglas Johnston; Blackford Middleton; David W Bates Journal: J Am Med Inform Assoc Date: 2008-08-28 Impact factor: 4.497
Authors: Supriya Gupta; Elizabeth M Johnson; Justin G Peacock; Liwei Jiang; Morgan P McBee; Michael B Sneider; Elizabeth A Krupinski Journal: J Digit Imaging Date: 2020-06 Impact factor: 4.056
Authors: Hailey H Choi; Amy L Kotsenas; Joshua Vic Chen; Christina Bronsky; Christopher J Roth; Marc D Kohli Journal: J Digit Imaging Date: 2022-01-12 Impact factor: 4.056