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

William Cox; Penelope Cavenagh; Fernando Bello

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 conference › Poster › peer-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.³

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 benefit^{4; 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 language	English
Publication status	Accepted for publication - Mar 2018
Event	United Kingdom Radiological and Radiation Oncology Congress - The ACC & Exhibition Centre, Liverpool, United Kingdom Duration: 2 Jul 2018 → 4 Jul 2018 http://ukrco.org.uk

Conference

Conference	United Kingdom Radiological and Radiation Oncology Congress
Abbreviated title	UKRC
Country/Territory	United Kingdom
City	Liverpool
Period	2/07/18 → 4/07/18
Internet address	http://ukrco.org.uk

Cite this

@conference{8c6ba8f1722e469ab12ece1bb4207724,

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

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.3 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 {\textquoteleft}a good idea{\textquoteright}. 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{\textquoteright} perspectives surrounding this process References1. 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 ",

author = "William Cox and Penelope Cavenagh and Fernando Bello",

year = "2018",

month = mar,

language = "English",

note = "United Kingdom Radiological and Radiation Oncology Congress, UKRC ; Conference date: 02-07-2018 Through 04-07-2018",

url = "http://ukrco.org.uk",

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TY - CONF

T1 - Clinical imaging experts' perspectives on the benefits and risks of sharing diagnostic radiological images with patients

AU - Cox, William

AU - Cavenagh, Penelope

AU - Bello, Fernando

PY - 2018/3

Y1 - 2018/3

N2 - 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.3 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 References1. 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

AB - 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.3 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 References1. 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

UR - https://ukrco.org.uk/

UR - https://ukrco.org.uk/e-posters/

M3 - Poster

T2 - United Kingdom Radiological and Radiation Oncology Congress

Y2 - 2 July 2018 through 4 July 2018

ER -

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

Abstract

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