Evidence map›Paper›PMID 35036280›Full record

ArticleHealth and technology2022

Informed or anxious: patient preferences for release of test results of increasing sensitivity on electronic patient portals.

Bethany Bruno, Scott Steele, Justin Carbone, Katherine Schneider, Lori Posk, Susannah L Rose

Abstract read
In one paragraph

Article in Health and technology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Communicating blood test results in primary care: a mixed-methods systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Pooled it
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  16. Immediate Patient Access to Test Results and the Impact on Advanced Practitioners.Journal of the advanced practitioner in oncology · 2024
    Article
  17. The Portal Is Always Open.Family medicine · 2024
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Bethany BrunoDepartment of Obstetrics & Gynecology, Medical University of South Carolina, Charleston, SC 29425 USA.ORCID 0000-0003-0445-6876
Scott SteeleMarket Research, Cleveland Clinic, Cleveland, OH 44195 USA.
Justin CarboneMarket Research, Cleveland Clinic, Cleveland, OH 44195 USA.
Katherine SchneiderInformation Technology Division, Cleveland Clinic, Cleveland, OH 44195 USA.
Lori PoskDepartment of Internal Medicine, Cleveland Clinic, Vero Beach, FL 32960 USA.
Susannah L RoseCleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH 44195 USA.ORCID 0000-0001-5895-7460

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Worldwide, governments and healthcare systems are moving towards increased transparency to improve care quality, increase patient engagement, and decrease costs. For example, the American 21st Century Cures Act Final Rule requires providers to grant patients access to their electronic medical record. Unfortunately, limited research guides release of test results to online patient portals, especially concerning emotionally sensitive information. To address this gap, we surveyed the largest patient sample published to date. This cross-sectional survey project was conducted by the Market Research & Insights and Office of Patient Experience departments at a large academic medical center. Data were analyzed in SPSS using descriptive statistics and Z-tests. Of 8030 respondents, 74% and 57% accepted first learning their results online for cholesterol and strep throat tests, respectively. Most prefer in-person appointments for more serious tests detecting cancer (54%) and fetal miscarriage (53%). Excluding sexually transmitted disease (STD) testing, there are no clinically significant differences in preference between respondents previously diagnosed with the condition in question and respondents without such experience. When weighing the possibility of a 3-week wait to hear from their provider, most patients want automatic release of cholesterol (94%), strep throat (90%), genetic (68%), and STD (60%) test results, but the majority say it is unacceptable to receive Alzheimer's (52%), fetal miscarriage (51%), and cancer (59%) test results this way. Electronic results release is acceptable for less serious tests, but not for more consequential tests. Providers should consider patient preferences when developing policies to increase healthcare transparency. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s12553-021-00628-5.

Indexed as

Electronic medical recordPatient experiencePatient portalTest resultsTransparency

Identifiers

PMID35036280
PMCPMC8741580

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.