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8. Patient-directed Internet-based Medical Image Exchange: Experience from an Initial Multicenter Implementation

Author

Greco, Giampaolo, Patel, Anand S, Lewis, Sara C, Shi, Wei, Rasul, Rehana, Torosyan, Mary, Erickson, Bradley J, Hiremath, Atheeth, Moskowitz, Alan J, Tellis, Wyatt M, Siegel, Eliot L, Arenson, Ronald L, and Mendelson, David S

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Clinical Research, Biomedical Imaging, Bioengineering, Health Services, Generic health relevance, Good Health and Well Being, Adolescent, Adult, Aged, Aged, 80 and over, Attitude to Health, Child, Compact Disks, Computer Security, Confidentiality, Diagnostic Imaging, Feasibility Studies, Female, Health Records, Personal, Humans, Information Dissemination, Internet, Magnetic Resonance Imaging, Male, Middle Aged, Patient Access to Records, Patient Satisfaction, Privacy, Radiography, Radiology Information Systems, Tomography, X-Ray Computed, Young Adult, Personal health record, Image sharing, Integrating the healthcare enterprise, Nuclear Medicine & Medical Imaging, Clinical sciences
Abstract

Rationale and objectivesInefficient 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 methodsPatients 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.ResultsA 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

Published
2016

21. Image Workflow

Author

Siegel, Eliot L., Reiner, Bruce, Dreyer, Keith J., editor, Mehta, Amit, editor, and Thrall, James H., editor

Published
2002
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