Treffer: Do you Really Want to Know-Patient and Physician Attitudes of Physicians and English-Proficient Asian Patients toward Direct Release of Radiology Reports in Singapore.
Title:
Do you Really Want to Know-Patient and Physician Attitudes of Physicians and English-Proficient Asian Patients toward Direct Release of Radiology Reports in Singapore.
Authors:
Chian DM; Department of Diagnostic Radiology, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore. david.chian@mohh.com.sg., Liauw L; Department of Neuroradiology, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore.; Duke-NUS Medical School, Radiological Sciences Academic Clinical Programme, 8 College Rd, Singapore, 169857, Singapore., Chua SL; Office of Patient Experience, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore., Chan LP; Department of Diagnostic Radiology, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore., Cook TS; Department of Radiology, Perelman School of Medicine at the University of Pennsylvania, 1 Silverstein, 3400 Spruce Street, Philadelphia, PA, 19104, USA., Goh CX; Department of Nuclear Medicine and Molecular Imaging, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore.; Duke-NUS Medical School, Radiological Sciences Academic Clinical Programme, 8 College Rd, Singapore, 169857, Singapore., Lam WWC; Department of Nuclear Medicine and Molecular Imaging, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore.; Duke-NUS Medical School, Radiological Sciences Academic Clinical Programme, 8 College Rd, Singapore, 169857, Singapore., Chua WM; Department of Neuroradiology, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore.; Department of Nuclear Medicine and Molecular Imaging, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore.; Duke-NUS Medical School, Radiological Sciences Academic Clinical Programme, 8 College Rd, Singapore, 169857, Singapore., Lim KC; Department of Neuroradiology, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore.; Duke-NUS Medical School, Radiological Sciences Academic Clinical Programme, 8 College Rd, Singapore, 169857, Singapore.
Source:
Journal of imaging informatics in medicine [J Imaging Inform Med] 2025 Sep 02. Date of Electronic Publication: 2025 Sep 02.
Publication Model:
Ahead of Print
Publication Type:
Journal Article
Language:
English
Journal Info:
Publisher: Springer Nature Country of Publication: Switzerland NLM ID: 9918663679206676 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2948-2933 (Electronic) Linking ISSN: 29482925 NLM ISO Abbreviation: J Imaging Inform Med Subsets: MEDLINE
Imprint Name(s):
Original Publication: [Cham, Switzerland] : Springer Nature, [2024]-
References:
U.S. Food & Drug Administration. 21st Century Cures Act. Available at: https://www.fda.gov/regulatory-information/selected-amendments-fdc-act/21st-century-cures-act . Accessed 29 December 2024.
21st Century Cures Act. 114–255. Available at: https://www.congress.gov/114/plaws/publ255/PLAW-114publ255.pdf . Accessed 29 December 2024.
Mehan WA, Gee MS, Egan N, et al. Immediate Radiology Report Access: A Burden to the Ordering Provider. Curr Probl Diagn Radiol, 51: 712–716, 2022. (PMID: 35193795)
Steitz BD, Turer RW, Lin C-T, et al. Perspectives of Patients About Immediate Access to Test Results Through an Online Patient Portal. JAMA Netw Open, 6: e233572, 2023. (PMID: 3693970310028486)
Leonard LD, Himelhoch B, Huynh V, et al. Patient and clinician perceptions of the immediate release of electronic health information. Am J Surg, 224: 27–34, 2022. (PMID: 34903369)
Cosic F, Kimmel L, Edwards E. Patient Comprehension of Common Orthopedic Terminology. HLRP Health Lit Res Pract, 3, 2019.
Alarifi M, Patrick T, Jabour A, et al. Full Radiology Report through Patient Web Portal: A Literature Review. Int J Environ Res Public Health, 17: 3673, 2020. (PMID: 324560997277373)
Short RG, Middleton D, Befera NT, et al. Patient-Centered Radiology Reporting: Using Online Crowdsourcing to Assess the Effectiveness of a Web-Based Interactive Radiology Report. J Am Coll Radiol, 14: 1489–1497, 2017. (PMID: 29101973)
Vincoff NS, Barish MA, Grimaldi G. The patient-friendly radiology report: history, evolution, challenges and opportunities. Clin Imaging, 89: 128–135, 2022. (PMID: 35803159)
HealthHub. Frequently Asked Questions (FAQs). Available at: https://support.healthhub.sg/hc/en-us/articles/15766520653721-Where-does-HealthHub-get-my-radiology-reports-from-How-far-back-can-I-view-my-radiology-reports-What-types-of-radiology-reports-will-be ... Accessed 3 September 2024.
HealthHub. Frequently Asked Questions (FAQs). Available at: https://support.healthhub.sg/hc/en-us/articles/15766511878425-Where-does-HealthHub-get-my-lab-test-results-from-What-types-of-lab-test-results-will-be-listed-on-HealthHub-How-far-back-can-I-view-my ... Accessed 3 September 2024.
Krishnaraj A, Cook T. Immediate Radiology Report Release to Patients: Counterpoint—Could We Be Doing More Harm Than Good? Am J Roentgenol, 219: 557–558, 2022.
Noor Azlin Bte Abdul Rahman v Changi General Hospital Pte Ltd and others. SGHC 35. Available at: https://www.elitigation.sg/gd/s/2018_SGHC_35 . Accessed 31 October 2024.
Noor Azlin Binte Abdul Rahman v Changi General Hospital Pte Ltd & others. SGCA 13. Available at: https://www.elitigation.sg/gd/s/2019_SGCA_13 . Accessed 31 October 2024.
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Singapore Department of Statistics. Singapore Residents Aged 25 Years & Over By Highest Qualification Attained, Sex And Age Group. Available at: https://tablebuilder.singstat.gov.sg/table/TS/M850581 . Accessed 24 September 2024.
Thompson CL, Pledger LM. Doctor-Patient Communication: Is Patient Knowledge of Medical Terminology Improving? Health Commun, 5: 89–97, 1993.
Squiers L, Peinado S, Berkman N, et al. The Health Literacy Skills Framework. J Health Commun, 17: 30–54, 2012. (PMID: 23030560)
American College of Radiology. ACR Practice Parameter for Communication of Diagnostic Imaging Findings. Available at: https://gravitas.acr.org/PPTS/GetDocumentView?docId=74 . Accessed 14 October 2024.
European Society of Radiology (ESR). Good practice for radiological reporting. Guidelines from the European Society of Radiology (ESR). Insights Imaging, 2: 93–96, 2011.
The Royal Australian and New Zealand College of Radiologists. Clinical Radiology Written Report Guidelines. Available at: https://www.ranzcr.com/college/document-library/radiology-written-report-guideline . Accessed 14 October 2024.
The Royal College of Radiologists. Standards for interpretation and reporting of imaging investigations, Second Edition. Available at: https://www.rcr.ac.uk/media/yiglbn35/rcr-publications_standards-for-interpretation-and-reporting-of-imaging-investigations-second-edition_march-2018.pdf . Accessed 14 October 2024.
Gotlieb R, Praska C, Hendrickson MA, et al. Accuracy in Patient Understanding of Common Medical Phrases. JAMA Netw Open, 5: e2242972, 2022. (PMID: 364492939713608)
Pieterse AH, Jager NA, Smets EMA, et al. Lay understanding of common medical terminology in oncology. Psychooncology, 22: 1186–1191, 2013. (PMID: 22573405)
Bagley C, Hunter A, Bacarese-Hamilton I. Patients’ misunderstanding of common orthopaedic terminology: the need for clarity. Ann R Coll Surg Engl, 93: 401–404, 2011. (PMID: 219434663365461)
Alarifi M, Hughes MC, Jabour AM, et al. Patient, Referring Physician, and Radiologist Opinions Over Time on Providing Patients Access to Radiology Reports: A Systematic Review. J Am Coll Radiol, 21: 1862–1874, 2024. (PMID: 39155027)
Mezrich JL. Immediate Radiology Report Release to Patients: Point—Radiologists Should Embrace This Opportunity to Provide Patient-Centered Care While Improving the Specialty’s Profile. Am J Roentgenol, 219: 555–556, 2022.
Mezrich JL, Jin G, Lye C, et al. Patient Electronic Access to Final Radiology Reports: What Is the Current Standard of Practice, and Is an Embargo Period Appropriate? Radiology, 300: 187–189, 2021. (PMID: 33944630)
Bosmans JML, Weyler JJ, De Schepper AM, et al. The Radiology Report as Seen by Radiologists and Referring Clinicians: Results of the COVER and ROVER Surveys. Radiology, 259: 184–195, 2011. (PMID: 21224423)
Lee CI, Langlotz CP, Elmore JG. Implications of Direct Patient Online Access to Radiology Reports Through Patient Web Portals. J Am Coll Radiol, 13: 1608–1614, 2016. (PMID: 27888949)
Baldwin DM, Quintela J, Duclos C, et al. Patient preferences for notification of normal laboratory test results: A report from the ASIPS Collaborative. BMC Fam Pract, 6: 11, 2005. (PMID: 15755328555570)
Wiener RS, Gould MK, Woloshin S, et al. What Do You Mean, a Spot? Chest, 143: 672–677, 2013. (PMID: 22814873)
Bruno B, Steele S, Carbone J, et al. Informed or anxious: patient preferences for release of test results of increasing sensitivity on electronic patient portals. Health Technol, 12: 59–67, 2022.
Alarifi M, Patrick T, Jabour A, et al. Understanding patient needs and gaps in radiology reports through online discussion forum analysis. Insights Imaging, 12: 50, 2021. (PMID: 338717538055745)
Sarangi PK, Lumbani A, Swarup MS, et al. Assessing ChatGPT’s Proficiency in Simplifying Radiological Reports for Healthcare Professionals and Patients. Cureus, 2023.
Park J, Oh K, Han K, et al. Patient-centered radiology reports with generative artificial intelligence: adding value to radiology reporting. Sci Rep, 14: 13218, 2024. (PMID: 3885182511162416)
Jeblick K, Schachtner B, Dexl J, et al. ChatGPT makes medicine easy to swallow: an exploratory case study on simplified radiology reports. Eur Radiol, 34: 2817–2825, 2023. (PMID: 3779424911126432)
Li H, Moon JT, Iyer D, et al. Decoding radiology reports: Potential application of OpenAI ChatGPT to enhance patient understanding of diagnostic reports. Clin Imaging, 101: 137–141, 2023. (PMID: 37336169)
Maroncelli R, Rizzo V, Pasculli M, et al. Probing clarity: AI-generated simplified breast imaging reports for enhanced patient comprehension powered by ChatGPT-4o. Eur Radiol Exp, 8: 124, 2024. (PMID: 3947790411525358)
Van Driel MHE, Blok N, Van Den Brand JAJG, et al. Leveraging GPT-4 enables patient comprehension of radiology reports. Eur J Radiol, 187: 112111, 2025. (PMID: 40294519)
Lyu Q, Tan J, Zapadka ME, et al. Translating radiology reports into plain language using ChatGPT and GPT-4 with prompt learning: results, limitations, and potential. Vis Comput Ind Biomed Art, 6: 9, 2023. (PMID: 3719849810192466)
Xie Q, Schenck EJ, Yang HS, et al. Faithful AI in Medicine: A Systematic Review with Large Language Models and Beyond. Res Sq [Preprint], https://doi.org/10.21203/rs.3.rs-3661764/v1 , 04 December 2023. .
Alkaissi H, McFarlane SI. Artificial Hallucinations in ChatGPT: Implications in Scientific Writing. Cureus, 2023.
Keshavarz P, Bagherieh S, Nabipoorashrafi SA, et al. ChatGPT in radiology: A systematic review of performance, pitfalls, and future perspectives. Diagn Interv Imaging, 105: 251–265, 2024. (PMID: 38679540)
Allen B, Dreyer K, Stibolt R, et al. Evaluation and Real-World Performance Monitoring of Artificial Intelligence Models in Clinical Practice: Try It, Buy It, Check It. J Am Coll Radiol, 18: 1489–1496, 2021. (PMID: 34599876)
Cestonaro C, Delicati A, Marcante B, et al. Defining medical liability when artificial intelligence is applied on diagnostic algorithms: a systematic review. Front Med, 10: 1305756, 2023.
Parliament of Australia. Health Legislation Amendment (Modernising My Health Record—Sharing by Default) Bill 2024. Available at: https://parlinfo.aph.gov.au/parlInfo/search/display/display.w3p;query=Id:%22legislation/bills/r7290_aspassed/0000%22 . Accessed 24 June 2025.
Individuals’ Access to Medical Imaging Results via Patient Portals: CADTH Health Technology Review. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health. Available at: http://www.ncbi.nlm.nih.gov/books/NBK595118/ . Accessed 24 June 2025.
Séroussi B, Bouaud J. Adoption of a Nationwide Shared Medical Record in France: Lessons Learnt after 5 Years of Deployment. AMIA Annu Symp Proc AMIA Symp, 2016: 1100–1109, 2016.
NHS England. Guidance on patient digital notification of diagnostic imaging reports. Available at: https://www.england.nhs.uk/long-read/guidance-on-patient-digital-notification-of-diagnostic-imaging-reports/ . Accessed 24 June 2025.
Cristofaro M, Piselli P, Pianura E, et al. Patient Access to an Online Portal for Outpatient Radiological Images and Reports: Two Years’ Experience. J Digit Imaging, 33: 1479–1486, 2020. (PMID: 325192547728874)
The Government of the Hong Kong Special Administrative Region. eHealth App introduces new function for viewing radiology reports. Available at: https://www.info.gov.hk/gia/general/202504/03/P2025040300250.htm . Accessed 25 June 2025.
Ha T, Kang S, Yeo NY, et al. Status of MyHealthWay and Suggestions for Widespread Implementation, Emphasizing the Utilization and Practical Use of Personal Medical Data. Healthc Inform Res, 30: 103–112, 2024. (PMID: 3875510111098772)
Suzumoto J, Mori Y, Kuroda T. Health Information Exchange Usage in Japan: Content Analysis of Audit Logs. JMIR Med Inform, 13: e65575–e65575, 2025. (PMID: 4042459412133072)
Malaysian Medical Council. MMC Guideline 002/2006: MEDICAL RECORDS AND MEDICAL REPORTS. Available at: https://mmc.gov.my/wp-content/uploads/2019/11/Medical-RecordsMedical-Reports.pdf . Accessed 25 June 2025.
SATUSEHAT. About SATUSEHAT Mobile. Available at: https://satusehat.kemkes.go.id/mobile/faq/topic/a8f1f9ec-2c9e-4fc0-8e5d-38e490cd6ba8 . Accessed 25 June 2025.
21st Century Cures Act. 114–255. Available at: https://www.congress.gov/114/plaws/publ255/PLAW-114publ255.pdf . Accessed 29 December 2024.
Mehan WA, Gee MS, Egan N, et al. Immediate Radiology Report Access: A Burden to the Ordering Provider. Curr Probl Diagn Radiol, 51: 712–716, 2022. (PMID: 35193795)
Steitz BD, Turer RW, Lin C-T, et al. Perspectives of Patients About Immediate Access to Test Results Through an Online Patient Portal. JAMA Netw Open, 6: e233572, 2023. (PMID: 3693970310028486)
Leonard LD, Himelhoch B, Huynh V, et al. Patient and clinician perceptions of the immediate release of electronic health information. Am J Surg, 224: 27–34, 2022. (PMID: 34903369)
Cosic F, Kimmel L, Edwards E. Patient Comprehension of Common Orthopedic Terminology. HLRP Health Lit Res Pract, 3, 2019.
Alarifi M, Patrick T, Jabour A, et al. Full Radiology Report through Patient Web Portal: A Literature Review. Int J Environ Res Public Health, 17: 3673, 2020. (PMID: 324560997277373)
Short RG, Middleton D, Befera NT, et al. Patient-Centered Radiology Reporting: Using Online Crowdsourcing to Assess the Effectiveness of a Web-Based Interactive Radiology Report. J Am Coll Radiol, 14: 1489–1497, 2017. (PMID: 29101973)
Vincoff NS, Barish MA, Grimaldi G. The patient-friendly radiology report: history, evolution, challenges and opportunities. Clin Imaging, 89: 128–135, 2022. (PMID: 35803159)
HealthHub. Frequently Asked Questions (FAQs). Available at: https://support.healthhub.sg/hc/en-us/articles/15766520653721-Where-does-HealthHub-get-my-radiology-reports-from-How-far-back-can-I-view-my-radiology-reports-What-types-of-radiology-reports-will-be ... Accessed 3 September 2024.
HealthHub. Frequently Asked Questions (FAQs). Available at: https://support.healthhub.sg/hc/en-us/articles/15766511878425-Where-does-HealthHub-get-my-lab-test-results-from-What-types-of-lab-test-results-will-be-listed-on-HealthHub-How-far-back-can-I-view-my ... Accessed 3 September 2024.
Krishnaraj A, Cook T. Immediate Radiology Report Release to Patients: Counterpoint—Could We Be Doing More Harm Than Good? Am J Roentgenol, 219: 557–558, 2022.
Noor Azlin Bte Abdul Rahman v Changi General Hospital Pte Ltd and others. SGHC 35. Available at: https://www.elitigation.sg/gd/s/2018_SGHC_35 . Accessed 31 October 2024.
Noor Azlin Binte Abdul Rahman v Changi General Hospital Pte Ltd & others. SGCA 13. Available at: https://www.elitigation.sg/gd/s/2019_SGCA_13 . Accessed 31 October 2024.
FormSG. FormSG. Available at: https://form.gov.sg/ . Accessed 4 September 2024.
Virtanen P, Gommers R, Oliphant TE, et al. SciPy 1.0: Fundamental Algorithms for Scientific Computing in Python. Nat Methods, 17: 261–272, 2020.
Seabold S, Perktold J. Statsmodels: Econometric and Statistical Modeling with Python. . Austin, Texas, pp. 92–96.
Singapore Department of Statistics. Singapore Residents By Age Group, Ethnic Group And Sex, At End June 2024. Available at: https://tablebuilder.singstat.gov.sg/table/TS/M810011 . Accessed 24 September 2024.
Singapore Department of Statistics. Singapore Residents Aged 25 Years & Over By Highest Qualification Attained, Sex And Age Group. Available at: https://tablebuilder.singstat.gov.sg/table/TS/M850581 . Accessed 24 September 2024.
Thompson CL, Pledger LM. Doctor-Patient Communication: Is Patient Knowledge of Medical Terminology Improving? Health Commun, 5: 89–97, 1993.
Squiers L, Peinado S, Berkman N, et al. The Health Literacy Skills Framework. J Health Commun, 17: 30–54, 2012. (PMID: 23030560)
American College of Radiology. ACR Practice Parameter for Communication of Diagnostic Imaging Findings. Available at: https://gravitas.acr.org/PPTS/GetDocumentView?docId=74 . Accessed 14 October 2024.
European Society of Radiology (ESR). Good practice for radiological reporting. Guidelines from the European Society of Radiology (ESR). Insights Imaging, 2: 93–96, 2011.
The Royal Australian and New Zealand College of Radiologists. Clinical Radiology Written Report Guidelines. Available at: https://www.ranzcr.com/college/document-library/radiology-written-report-guideline . Accessed 14 October 2024.
The Royal College of Radiologists. Standards for interpretation and reporting of imaging investigations, Second Edition. Available at: https://www.rcr.ac.uk/media/yiglbn35/rcr-publications_standards-for-interpretation-and-reporting-of-imaging-investigations-second-edition_march-2018.pdf . Accessed 14 October 2024.
Gotlieb R, Praska C, Hendrickson MA, et al. Accuracy in Patient Understanding of Common Medical Phrases. JAMA Netw Open, 5: e2242972, 2022. (PMID: 364492939713608)
Pieterse AH, Jager NA, Smets EMA, et al. Lay understanding of common medical terminology in oncology. Psychooncology, 22: 1186–1191, 2013. (PMID: 22573405)
Bagley C, Hunter A, Bacarese-Hamilton I. Patients’ misunderstanding of common orthopaedic terminology: the need for clarity. Ann R Coll Surg Engl, 93: 401–404, 2011. (PMID: 219434663365461)
Alarifi M, Hughes MC, Jabour AM, et al. Patient, Referring Physician, and Radiologist Opinions Over Time on Providing Patients Access to Radiology Reports: A Systematic Review. J Am Coll Radiol, 21: 1862–1874, 2024. (PMID: 39155027)
Mezrich JL. Immediate Radiology Report Release to Patients: Point—Radiologists Should Embrace This Opportunity to Provide Patient-Centered Care While Improving the Specialty’s Profile. Am J Roentgenol, 219: 555–556, 2022.
Mezrich JL, Jin G, Lye C, et al. Patient Electronic Access to Final Radiology Reports: What Is the Current Standard of Practice, and Is an Embargo Period Appropriate? Radiology, 300: 187–189, 2021. (PMID: 33944630)
Bosmans JML, Weyler JJ, De Schepper AM, et al. The Radiology Report as Seen by Radiologists and Referring Clinicians: Results of the COVER and ROVER Surveys. Radiology, 259: 184–195, 2011. (PMID: 21224423)
Lee CI, Langlotz CP, Elmore JG. Implications of Direct Patient Online Access to Radiology Reports Through Patient Web Portals. J Am Coll Radiol, 13: 1608–1614, 2016. (PMID: 27888949)
Baldwin DM, Quintela J, Duclos C, et al. Patient preferences for notification of normal laboratory test results: A report from the ASIPS Collaborative. BMC Fam Pract, 6: 11, 2005. (PMID: 15755328555570)
Wiener RS, Gould MK, Woloshin S, et al. What Do You Mean, a Spot? Chest, 143: 672–677, 2013. (PMID: 22814873)
Bruno B, Steele S, Carbone J, et al. Informed or anxious: patient preferences for release of test results of increasing sensitivity on electronic patient portals. Health Technol, 12: 59–67, 2022.
Alarifi M, Patrick T, Jabour A, et al. Understanding patient needs and gaps in radiology reports through online discussion forum analysis. Insights Imaging, 12: 50, 2021. (PMID: 338717538055745)
Sarangi PK, Lumbani A, Swarup MS, et al. Assessing ChatGPT’s Proficiency in Simplifying Radiological Reports for Healthcare Professionals and Patients. Cureus, 2023.
Park J, Oh K, Han K, et al. Patient-centered radiology reports with generative artificial intelligence: adding value to radiology reporting. Sci Rep, 14: 13218, 2024. (PMID: 3885182511162416)
Jeblick K, Schachtner B, Dexl J, et al. ChatGPT makes medicine easy to swallow: an exploratory case study on simplified radiology reports. Eur Radiol, 34: 2817–2825, 2023. (PMID: 3779424911126432)
Li H, Moon JT, Iyer D, et al. Decoding radiology reports: Potential application of OpenAI ChatGPT to enhance patient understanding of diagnostic reports. Clin Imaging, 101: 137–141, 2023. (PMID: 37336169)
Maroncelli R, Rizzo V, Pasculli M, et al. Probing clarity: AI-generated simplified breast imaging reports for enhanced patient comprehension powered by ChatGPT-4o. Eur Radiol Exp, 8: 124, 2024. (PMID: 3947790411525358)
Van Driel MHE, Blok N, Van Den Brand JAJG, et al. Leveraging GPT-4 enables patient comprehension of radiology reports. Eur J Radiol, 187: 112111, 2025. (PMID: 40294519)
Lyu Q, Tan J, Zapadka ME, et al. Translating radiology reports into plain language using ChatGPT and GPT-4 with prompt learning: results, limitations, and potential. Vis Comput Ind Biomed Art, 6: 9, 2023. (PMID: 3719849810192466)
Xie Q, Schenck EJ, Yang HS, et al. Faithful AI in Medicine: A Systematic Review with Large Language Models and Beyond. Res Sq [Preprint], https://doi.org/10.21203/rs.3.rs-3661764/v1 , 04 December 2023. .
Alkaissi H, McFarlane SI. Artificial Hallucinations in ChatGPT: Implications in Scientific Writing. Cureus, 2023.
Keshavarz P, Bagherieh S, Nabipoorashrafi SA, et al. ChatGPT in radiology: A systematic review of performance, pitfalls, and future perspectives. Diagn Interv Imaging, 105: 251–265, 2024. (PMID: 38679540)
Allen B, Dreyer K, Stibolt R, et al. Evaluation and Real-World Performance Monitoring of Artificial Intelligence Models in Clinical Practice: Try It, Buy It, Check It. J Am Coll Radiol, 18: 1489–1496, 2021. (PMID: 34599876)
Cestonaro C, Delicati A, Marcante B, et al. Defining medical liability when artificial intelligence is applied on diagnostic algorithms: a systematic review. Front Med, 10: 1305756, 2023.
Parliament of Australia. Health Legislation Amendment (Modernising My Health Record—Sharing by Default) Bill 2024. Available at: https://parlinfo.aph.gov.au/parlInfo/search/display/display.w3p;query=Id:%22legislation/bills/r7290_aspassed/0000%22 . Accessed 24 June 2025.
Individuals’ Access to Medical Imaging Results via Patient Portals: CADTH Health Technology Review. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health. Available at: http://www.ncbi.nlm.nih.gov/books/NBK595118/ . Accessed 24 June 2025.
Séroussi B, Bouaud J. Adoption of a Nationwide Shared Medical Record in France: Lessons Learnt after 5 Years of Deployment. AMIA Annu Symp Proc AMIA Symp, 2016: 1100–1109, 2016.
NHS England. Guidance on patient digital notification of diagnostic imaging reports. Available at: https://www.england.nhs.uk/long-read/guidance-on-patient-digital-notification-of-diagnostic-imaging-reports/ . Accessed 24 June 2025.
Cristofaro M, Piselli P, Pianura E, et al. Patient Access to an Online Portal for Outpatient Radiological Images and Reports: Two Years’ Experience. J Digit Imaging, 33: 1479–1486, 2020. (PMID: 325192547728874)
The Government of the Hong Kong Special Administrative Region. eHealth App introduces new function for viewing radiology reports. Available at: https://www.info.gov.hk/gia/general/202504/03/P2025040300250.htm . Accessed 25 June 2025.
Ha T, Kang S, Yeo NY, et al. Status of MyHealthWay and Suggestions for Widespread Implementation, Emphasizing the Utilization and Practical Use of Personal Medical Data. Healthc Inform Res, 30: 103–112, 2024. (PMID: 3875510111098772)
Suzumoto J, Mori Y, Kuroda T. Health Information Exchange Usage in Japan: Content Analysis of Audit Logs. JMIR Med Inform, 13: e65575–e65575, 2025. (PMID: 4042459412133072)
Malaysian Medical Council. MMC Guideline 002/2006: MEDICAL RECORDS AND MEDICAL REPORTS. Available at: https://mmc.gov.my/wp-content/uploads/2019/11/Medical-RecordsMedical-Reports.pdf . Accessed 25 June 2025.
SATUSEHAT. About SATUSEHAT Mobile. Available at: https://satusehat.kemkes.go.id/mobile/faq/topic/a8f1f9ec-2c9e-4fc0-8e5d-38e490cd6ba8 . Accessed 25 June 2025.
Contributed Indexing:
Keywords: Integrating mobile technologies; Meaningful use; Patient preference; Public health; Radiology reports
Entry Date(s):
Date Created: 20250902 Latest Revision: 20250903
Update Code:
20250904
DOI:
10.1007/s10278-025-01655-8
PMID:
40897836
Database:
MEDLINE
Weitere Informationen
In Singapore, there are plans to release radiological reports to patients directly, potentially before their physician clinic visits. While several studies have researched this policy in Caucasian-majority populations, there is scarce data for Asian-majority populations. This study aims to understand the perceptions of releasing radiological reports directly to patients before their clinic visit, by surveying physicians and patients at a major tertiary hospital in Singapore. Voluntary surveys were fielded to English-proficient patients who presented for select cross-sectional imaging, as well as physicians working at the hospital between March and July 2024. Statistical analysis was performed using Pearson's χ <sup>2</sup> test and multivariate linear regression with a two-tailed statistical significance value of 0.05. An institutional review board waiver of consent was received. Analyzing 280 physician and 137 patient responses showed significant differences in agreement across all questions (p < 0.0001). Patients favored, and physicians opposed, the direct release of results. Subgroup analysis revealed significant differences (p < 0.05) between tertiary and pre-tertiary educated patients. Tertiary-educated patients highlighted presumed better understanding of radiological reports (53.6% vs. 25%), less confusion (16.5% vs. 37.5%), felt that the report would better prepare them for the clinic visit (79.4% vs. 47.5%), and increased understanding of their medical condition (79.4% vs. 50%). Wide differences in opinion on direct release of radiological reports, especially as education levels rise, need to be addressed. A "one-size-fits-all" approach does not suit our population, and physicians play a vital role by advocating for patients, helping them navigate complex medical terminology, and the increasingly complex medical landscape.
(© 2025. The Author(s) under exclusive licence to Society for Imaging Informatics in Medicine.)
Declarations. Ethics Approval: Ethics board approval was not required, as no identifiable patient information was collected. Competing interests: Dr. Tessa Cook receives grant funding from the National Institutes of Health (NIH), the American College of Radiologists (ACR), and Independence Blue Cross; consults for Bayer; and is on the advisory board for Sectra. Dr. Winnie Lam is on the consulting and advisory board for Novartis. The other authors declare no competing interests.