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Communicating blood test results in primary care: a mixed-methods systematic review
Helen Nankervis1, Alyson L Huntley1, Penny Whiting1
1Population Health Sciences, Bristol Medical School, University of Bristol, Bristol.
Summary
Patients desire more blood test result information and faster delivery. While electronic communication is often accepted, clinicians have mixed views on direct online release due to potential anxiety and workload increases.
Area of Science:
- Primary Care Research
- Health Services Research
- Patient Communication
Background:
- England's 2023 GP contract changes mandate online patient record access, including test results.
- Effective blood test result communication is crucial for patient-centered care, safety, and managing primary care workload.
- Evidence is needed to ensure safe and efficient primary care test result delivery.
Purpose of the Study:
- To systematically review existing evidence on blood test result communication between primary care providers and patients/carers.
- To identify patient and clinician preferences, barriers, and facilitators in test result communication.
Main Methods:
- A mixed-methods systematic review was conducted.
- Searched MEDLINE, Embase, PsycInfo, CINAHL, and Cochrane Library (Jan 2013-Sep 2023).
- Included qualitative or quantitative studies on primary care staff communicating blood test results to adult patients and carers.
Main Results:
- 71 studies were included; most were of poor quality with high risk of bias.
- Patients desire more result information, especially regarding next steps, and prefer rapid delivery.
- Electronic methods (online access, text messages) were generally accepted, but not universally; clinician views on direct online release were mixed regarding benefits versus potential anxiety and workload.
Conclusions:
- Significant evidence exists on patient/clinician preferences and communication barriers/facilitators.
- Findings are highly relevant to the NHS's current shift towards increased patient online access.
- Further research is needed to optimize safe and efficient blood test result communication in primary care.
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