Insight From Patients for Radiologists: Improving Our Reporting Systems
Purpose
The aim of this study was to seek patients' perspectives on radiology reporting systems, so that reporting systems can begin to be reorganized and made more patient-centered by giving patients greater access to their personal health information.
Methods
Focus group methodology was used to explore which aspects of radiology information are important to patients and to identify their preferred means of access to and format of this information. Subjects for the two groups were outpatients who had recently undergone MR imaging at a single academic medical center. Transcripts were analyzed using thematic content analysis.
Results
Most subjects were dissatisfied with current reporting systems, citing delays and a lack of detail as the most important problems. Subjects varied with regard to preferences for who should relay results to them, with some expressing a desire for increased direct input from radiologists because they have greater expertise in imaging interpretation. Most subjects wanted results in writing and in detail, with attached lay language explanations, though a few subjects preferred less detail. Subjects were decidedly in favor of having the option to access results immediately via an online system, proposing some potential problems and potentially multiple benefits of such a system.
Conclusions
Whatever system revisions are attempted to increase the patient-centeredness of care as regards to radiology reporting, patients will need to be able to choose their preferred levels of access and will need to have the option of accessing full details.
aDepartment of Radiology, Wake Forest University School of Medicine, Winston Salem, North Carolina
bDepartment of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston Salem, North Carolina
cRegenstrief Institute, Indiana University School of Medicine, Indianapolis, Indiana
dRichard L. Roudebush Veterans Affairs Medical Center, Indianapolis, Indiana
eSharon Glover and Associates, Inc. Kernersville, North Carolina
Corresponding author and reprints: Annette J. Johnson, MD, MS, Wake Forest University School of Medicine, Department of Radiology, Medical Center Boulevard, Winston Salem, NC 27157
ABSTRACT