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

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

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

Rationale and Objectives: Inefficient 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 Methods: Patients 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. Results: A 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 <0.0001). Conclusion: A patient-directed, interoperable, Internet-based image-sharing system is feasible and surpasses the use of CDs with respect to accessibility of imaging exams while generating similar satisfaction with respect to privacy.

Original languageEnglish (US)
Pages (from-to)237-244
Number of pages8
JournalAcademic Radiology
Volume23
Issue number2
DOIs
StatePublished - Feb 1 2016

Keywords

  • Image sharing
  • Integrating the healthcare enterprise
  • Internet
  • Personal health record

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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    Greco, G., Patel, A. S., Lewis, S. C., Shi, W., Rasul, R., Torosyan, M., Erickson, B. J., Hiremath, A., Moskowitz, A. J., Tellis, W. M., Siegel, E. L., Arenson, R. L., & Mendelson, D. S. (2016). Patient-directed Internet-based Medical Image Exchange: Experience from an Initial Multicenter Implementation. Academic Radiology, 23(2), 237-244. https://doi.org/10.1016/j.acra.2015.10.012