Patient, Referring Physician, and Radiologist Opinions Over Time on Providing Patients Access to Radiology Reports: A Systematic Review

IF 4 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of the American College of Radiology Pub Date : 2024-12-01 DOI:10.1016/j.jacr.2024.08.006

Mohammad Alarifi PhD, MS , M. Courtney Hughes PhD, MS , Abdulrahman M. Jabour PhD, MS , Yazeed Alashban PhD, MS , Erin Vernon PhD, MA

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引用次数: 0

Abstract

Objective

Patients increasingly have access to their radiology reports. This systematic review examined the opinions of patients, referring physicians, and radiologists over time on providing patients full access to their radiology reports.

Methods

A systematic review examining quantitative, qualitative, and mixed methods research using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines (PROSPERO CRD42023466502). Our search was conducted through September 30, 2023, and spanned five databases (CINAHL Plus, Web of Science, ProQuest, PubMed, and Scopus). The studies included were peer-reviewed journal articles about the opinions of patients, referring physicians, or radiologists regarding giving patients unrestricted access to their radiology reports.

Results

After screening 4,520 articles, the full texts of 439 studies were assessed for eligibility. Thirty-three studies met the inclusion criteria. The studies showed that, over time, patients have consistently expressed a strong desire to access radiology reports, and referring physicians and radiologists have varied opinions about patient access to radiology reports. The main advantages of patient access found in the studies were enhanced understanding and empowerment and increased patient-physician engagement and communication. The main disadvantages were difficulties in patients understanding reports and patient anxiety from accessing reports. Referring physicians’ opinions and radiologists’ opinions were found in less than 20% (six studies) and 10% (three studies), respectively.

Discussion

The studies show patients have desired access to radiology reports over time. Future research should elicit the opinions of referring physicians and radiologists to enable a more informed design of patient access to radiology reports.

查看原文本刊更多论文

患者、转诊医生和放射科医生对向患者提供放射报告的意见随时间变化：系统回顾

目的：越来越多的患者可以获取他们的放射学报告。本系统综述研究了患者、转诊医生和放射科医生长期以来对向患者提供全面的放射学报告的意见：采用系统综述和荟萃分析首选报告项目（PRISMA）指南（PROSPERO CRD42023466502）对定量、定性和混合方法研究进行了系统综述。我们的检索工作一直持续到 2023 年 9 月 30 日，共使用了五个数据库（CINAHL Plus、Web of Science、ProQuest、PubMed 和 Scopus）。所纳入的研究均为同行评审期刊文章，内容涉及患者、转诊医生或放射科医生对允许患者不受限制地查阅放射报告的看法：在筛选了 4520 篇文章后，对 439 项研究的全文进行了资格评估。有 33 项研究符合纳入标准。这些研究表明，随着时间的推移，患者一直表达了获取放射学报告的强烈愿望，而转诊医生和放射科医生对患者获取放射学报告的看法则各不相同。研究发现，患者获取报告的主要优点是增强了理解和能力，提高了患者与医生之间的参与度和沟通。主要缺点是患者难以理解报告，以及患者对获取报告感到焦虑。转诊医生的意见和放射科医生的意见分别不足 20%（6 项研究）和 10%（3 项研究）：讨论：这些研究表明，随着时间的推移，患者希望获得放射科报告。未来的研究应征求转诊医生和放射科医生的意见，以便在更知情的情况下设计患者获取放射学报告的途径。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the American College of Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

6.30

自引率

8.90%

发文量

312

审稿时长

34 days

期刊介绍： The official journal of the American College of Radiology, JACR informs its readers of timely, pertinent, and important topics affecting the practice of diagnostic radiologists, interventional radiologists, medical physicists, and radiation oncologists. In so doing, JACR improves their practices and helps optimize their role in the health care system. By providing a forum for informative, well-written articles on health policy, clinical practice, practice management, data science, and education, JACR engages readers in a dialogue that ultimately benefits patient care.