Perspectives on access to imaging digital health records in oncology: A mixed methods systematic review.

Background: Digital Health Records (DHR) have become essential for managing patient data, including radiology and nuclear medicine reports. The wider adoption of DHR globally presents an opportunity to improve patient engagement and empowerment through effective access and sharing of imaging investigations. This review aims to synthesize literature on views, experiences, expectations, and preferences of oncology patients and healthcare professionals (HCP) when accessing imaging via DHR. Materials and Methods: This review was conducted using recommended Cochrane Handbook databases (registration: CRD42021213808), focusing on English articles published from 2000 onwards. Three experienced reviewers critically appraised selected articles, thematic analysis and narrative synthesis were used to extract data. Results: 493 unique articles were identified, with 451 excluded, resulting in 42 articles assessed for eligibility. Nine studies were included, eight from the USA, one from Canada, published between 2010 and 2020. Findings suggest patient portals can positively impact patient and HCP engagement, and patients desire access to their imaging reports. Factors such as timing of access, adequate consultation time, resources for HCP to discuss findings, and format of information are critical considerations that influence both patient and HCP perceptions and preferences. Conclusion: Oncology patients want timely and understandable access to their imaging records. To ensure this, it is crucial to explore the appropriate timing, format, and methods to discuss these findings with patients. By involving all stakeholders in the planning process, we can develop DHR systems that provide personalised support for patients to manage their complex imaging results.