Clinical imaging experts' perspectives on the benefits and risks of sharing diagnostic radiological images with patients

William Cox, Penelope Cavenagh, Fernando Bello

    Research output: Contribution to conferencePosterpeer-review

    Abstract

    Introduction - Advancing technologies offer novel opportunities to share with patients their diagnostic radiological images.1;2  This sharing may occur within the clinical environment under the supervision of a clinician, or patients may involve remote, unsupervised access.2  However, the benefits and risks of such practices have not been widely explored.


    Methods - A questionnaire was designed to measure respondent attitudes towards benefits and risks of image sharing utilising Likert scale type responses and a free text option.  The questionnaire was distributed to clinical imaging experts.  Data were analysed using descriptive statistics. 


    Results - 121 responses were received.  The majority (81.2%, n=95) of respondents agreed that sharing images with patients was ‘a good idea’.  Respondents indicated overall agreement with several factors considered to contribute benefit4; 5; 6 including: 

    Understanding – understanding information shared with them (87.6%, n=106) 

    Communication – talking with their clinician (76.03%, n=92) and working in partnership (85.13%, n=103) 

    Adherence – following their care plan (57.85%, n=70) and managing their own health (53.72%, n=65) 

    Several risks were also identified.  These were primarily concerned with: 

    Images being difficult for patients to interpret (36.36%, n=45) 

    The potential for causing patient anxiety (27.28%, n=33). 


    Conclusion - Respondents confirmed that sharing images with patients may provide benefits, but there are risks inherent to this process.   

    There is a need, therefore, for further work seeking: 

    Clarification of how identified benefits and risks can be effectively managed 

    Patients’ perspectives surrounding this process 

     

    References


    1. Imperial College Healthcare NHS Trust.  How it works.  Available at https://www.careinformationexchange-nwl.nhs.uk/ (accessed on 07 November 2017) 

    2. Sectra.  Share and collaborate.  Available at https://sectra.com/medical/solutionarea/share-and-collaborate/ (accessed on 07 November 2017) 

    3. Cox, WAS, Cavenagh, P. & Bello, F. (2017) The diagnostic radiological image - identifying the benefits from the literature – Poster Presentation.  UKRC/O Congress,  12 - 14 June 2017. Manchester Central Convention Complex. 

    4. Adams, RJ. (2010)  Improving health outcomes with better patient understanding and education, Risk Manag Healthc Policy. 2010; 3: 61–72. 

    5. Thompson, L & McCabe, R. (2012) The effect of clinician-patient alliance and communication on treatment adherence in mental health care: a systematic review, BMC Psychiatry, 12:87 

    6. Coulter, A. (2012) Patient engagement – what works?, Journal of Ambulatory Care Management, 35(2) 

     

    IRAS Project ID 187752 

    NHS REC Ref 17/LO/0864 


    Original languageEnglish
    Publication statusAccepted for publication - Mar 2018
    EventUnited Kingdom Radiological and Radiation Oncology Congress - The ACC & Exhibition Centre, Liverpool, United Kingdom
    Duration: 2 Jul 20184 Jul 2018
    http://ukrco.org.uk

    Conference

    ConferenceUnited Kingdom Radiological and Radiation Oncology Congress
    Abbreviated titleUKRC
    Country/TerritoryUnited Kingdom
    CityLiverpool
    Period2/07/184/07/18
    Internet address

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