The Patient Portal—Help or Hindrance?
We’ve always talked about quick access to all the information we want, when we want it. Gone are the days of ‘snail’ mail and encyclopedias. Now we have Patient Portals! And they are here to stay!
In 2016 the Cures Act went into effect, but the part that pertained to access to patient records wasn’t effective until April 2021. The Dept of Health and Human Services began enforcing the rule which declared that a hospital or doctor must allow access to a person’s health information. Failure to do so could result in fines for the doctor and hospital. Thus, the Patient Portal.
The result is that as soon as you have lab work, x-rays, CT scans, or a diagnostic test, YOU will receive the information (often before the doctor does.). This has led to much confusion and fright for many patients. A test result, read by a patient, out of context, or without a doctor’s explanation, can lead to confusion and anxiety and un-necessary emotional harm. I know this personally, when I received the results of my MRI well before my doctor. Seeing a report that stated “new lesions in areas of the brain,” really freaked me out!
In today’s world of instant gratification with computers, the emotional cost of instant access can be high.
- How have you been able to handle reports on the Patient Portal? What suggestions do you have for other members?
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I am retired and always read the reports too! 14 months ago, I had an abnormal chest-x-ray and went to first available local Pulmonologist. Based on radiologist's recommendations they ordered CT scan and then PET scan. The resulting reports stated potential cancer. I knew the local Pulmonologist had no expertise in lung cancer and requested my scans be sent to Mayo and was called the next day by Mayo. I had surgery three weeks later and had a cancer removed and a diagnosis of multifocal lung cancer. Not only are those reports important to read, but looking up the doctor's background and specialty is also important. Because they do not all have background in desired subject matter, nor does their institution offer the latest treatment options.
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9 ReactionsThat is great advice. It’s frustrating when you wait 3 months to finally see a specialist then find out they’re not exactly the right specialist for your case, so you get referred to a different one with another 3 month wait. Add to it the tests and scans that can take weeks to schedule to complete the diagnosis, then the wait to get treatment scheduled if needed. I lost 4 months in a process once with an entrapped nerve in my elbow; with my symptoms, my PCP referred me to an orthopedic doctor who specialized in shoulders. When I got to him 4 months later, he felt bad that he couldn’t help me, because my elbow fell under orthopedics HAND specialty, not Shoulder. So I had a 3 month wait to get to the Hand specialist, who could finally diagnose and treat my elbow issue. If I had researched on my own up front, perhaps I might have been able to avoid going to the wrong specialist first.
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4 ReactionsYour story is a great illustration of why it is wise to take charge of one's medical care. That is what they mean by telling you to "be your own advocate".
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5 ReactionsI have 3 patient portals, but need 2 more in order to have access to all of my health info. I am a stickler for results and findings, so I get printed reports from medical providers that don't have a portal. This is such valuable access to being our own advocate. So, I am HUGE believer in portals!
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5 ReactionsSome health systems make the process for a patient to recieve their own records onerous. I had a PetScan back in August which has led to a quandary over is it or isn't it lung cancer. To get a copy of the actual scan imgaery I have to jump through the hoops of sending a "cd" and waiting for them to download it and send it to me in their own sweet time. Fortunately a regional health system which has a top notch cancer center where I've since switched for health care has some sort of shared/mutual aid agreement and they have the imagery.
clearly when $$ is part of the prescription patients are on their own.
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2 ReactionsThank you for your comment, it was helpful and encouraging. I've been dealing with similar situation since Aug. last year and now am in wait and see limbo, having had first ct scan yesterday since petscan last year.
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1 ReactionYou have to give them a CD???
They could not send electronically the actual scan to your desired medical center?
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1 ReactionI've actually went to my doctor I'm in Georgia they're in California I contacted them through computer system and they sent me all my records all I had to do was sign a waiver stating that I was requesting this I have all 416 pages worth of my medical records it is possible I'm not saying that it's against the law and I'm not going to tell you what doctor gave it to me but I can say there are those out there that will make sure that you have your medical records it's better to have them all in one place it took me a long time to get all my stuff together because I've lived in a few States over the past years so having six patient portals on my phone takes up a lot of space but if you talk to them they'll send them to you to where you can get them and upload them into your one app. I'd have to take a look but I do have a medical porthole that all my records are on from every doctor that I go to just one. I'm not can't remember who it was I was asking but I really hope this helps @ornerydog
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2 ReactionsI may have misunderstood you. If I need to go to a different doctor/clinic, I tell them to send to the other clinics. For the actual scans, they say they have to "push" them out - I think it means they fax over to a specific number.
I work off of my computer - phone screen too small!
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2 Reactionsoh...this could become an Apple vs. PC discussion!!!
I have a PC ...in the office if one did analytical work that is what one used.
But I know laptops no longer have CD/DVD drives because everything is downloaded from Internet. Keep the KEY when you buy software in case you need to download again.
Awhile back I bought a computer and a separate drive but never really used it.
Even here in MSP/St Paul metro area we have small medical clinics who don't have much on the Internet - just what they are required to do. I guess they don't want to spend the money for the bigger system.
If you don't have a USB port where does the wireless mouse go?
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