越来越多的患者观看复杂的成像报告:治疗法案的悖论
Kanhai S Amin1, Melissa A Davis1, Amir Naderi2
1Department of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT, USA.
Clinical imaging
|January 5, 2025
概括
患者获得放射学报告的机会在"21世纪治疗法"颁布后显著增加. 然而,报告的复杂性仍然是一个障碍,可能会阻碍患者的理解和体验.
科学领域:
- 放射学和医学成像学 医学成像学
- 医疗信息学 医疗信息学
- 患者参与 患者参与
背景情况:
- "21世纪疗法法"要求通过电子健康记录 (EHR) 立即向患者发布放射学报告.
- 这一立法变化影响了患者对其医学成像结果的访问和参与.
- 了解实施后对观众和报告复杂性的影响至关重要.
研究的目的:
- 通过EHRs评估患者查看放射学报告的变化.
- 评估"21世纪治疗法"对放射学报告可读性和复杂性的影响.
- 为了确定患者与报告的接触自该法案实施以来是否有所发展.
主要方法:
- 从2013年到2023年,每年分析1万份放射学报告的回顾性观察研究.
- 包括多种方式:CT,乳房图,MRI,X射线和超声波.
- 使用已建立的阅读等级水平指数评估可读性.
主要成果:
- 患者通过电子健康记录 (EHR) 查看放射学报告的比例从2013年的3.3%升至2023年的58.2%.
- "21世纪治疗法"与患者查看报告的可能性高出1.71倍 (p < 0.001).
- 报告的可读性在所有模式和年份内始终高于推的健康素养水平,除了CT.
结论:
- 患者与放射学报告的接触在立法后显著增加.
- 放射学报告的复杂性继续超过推的健康素养水平,这对患者的理解构成潜在障碍.
- 需要策略来增强患者对医疗报告的理解和体验.
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