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Patient-directed Internet-based Medical Image Exchange: Experience from an Initial Multicenter Implementation.
Giampaolo Greco1, Anand S Patel2, Sara C Lewis3
1Department of Population Health Sciences and Policy, Icahn School of Medicine at Mount Sinai, One Gustave Levy Place, New York, NY 10029.
Academic Radiology
|December 3, 2015
Summary
A new internet-based system gives patients control over their medical images, improving access compared to CDs. This patient-controlled health record system enhances image sharing and accessibility.
Area of Science:
- Health Informatics
- Medical Imaging
- Patient-Centered Care
Background:
- Inefficient personal health record (PHR) transfer increases healthcare costs and reduces quality.
- Current methods of sharing medical imaging exams are often cumbersome for patients.
Purpose of the Study:
- To evaluate the implementation of an Internet-based PHR system for patient-controlled medical image sharing.
- To assess patient satisfaction with this novel image-sharing system.
Main Methods:
- A multicenter study involving patients from four academic centers.
- Patients' medical imaging exams were uploaded to an online PHR.
- Satisfaction surveys assessed ease of use, privacy, security, and timeliness, with data analyzed using logistic regression and McNemar's test.
Main Results:
- 2562 patients enrolled, with a median of 5 imaging exams uploaded per patient.
- 96.5% of patients favored direct access to their images; 78% viewed images independently.
- Internet sharing showed significantly better access without difficulty (88.3%) compared to compact discs (CDs) (77.5%).
Conclusions:
- A patient-directed, Internet-based image-sharing system is feasible and effective.
- This system improves accessibility of imaging exams compared to traditional CD sharing.
- Patient satisfaction regarding privacy and security remains comparable between Internet and CD methods.
