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Background <p>The Cures Act Final Rule requires that patients have real-time access to their radiology reports, which contain terminology meant to communicate between healthcare providers and may be difficult for patients and families to comprehend.</p> Objective <p>To evaluate family use of and experience with patient-friendly radiology reports provided through a patient portal for the pediatric population.</p> Materials and methods <p>Patient-friendly interactive radiology reports were made available to all patients and families with imaging exams performed from January 2024 through November 2025 at two children’s health systems via a patient portal using commercially available software. Portal usage statistics were obtained, including report access rate and report view time of plain language explanations and interactive diagrams. Families were surveyed to assess experience with the reports and report comprehension.</p> Results <p>A total of 391,713 combined imaging exams were performed between the two institutions during the study period, of which 50.5% of standard reports were viewed. While only 9.0% of patient-friendly reports were viewed, this accounted for 17.7% of viewed standard reports. Reports of radiographs were accessed less than the pooled rates of other modalities. Families spent an average of 3.29&#xa0;min (95% CI 3.25–3.32&#xa0;min) viewing each patient-friendly report. An initiative at one children’s hospital led to a sustained increase in view rates of patient-friendly reports.</p> Conclusion <p>Results suggest that while initial utilization of the tool was low, providing patient-friendly interactive radiology reports is feasible for pediatric patients and may improve subjective comprehension of radiology reports.</p> Graphical Abstract <p></p>

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Assessing family engagement and acceptance of patient-friendly radiology reports at two academic children’s hospitals

  • 期刊论文

  • 发表日期：

    2026年8月3日

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  • Andrew Johnston,
  • Sergios Gatidis,
  • Paul Fong,
  • Donald Frush,
  • Sara Janos,
  • Richard Barth

摘要

Background

The Cures Act Final Rule requires that patients have real-time access to their radiology reports, which contain terminology meant to communicate between healthcare providers and may be difficult for patients and families to comprehend.

Objective

To evaluate family use of and experience with patient-friendly radiology reports provided through a patient portal for the pediatric population.

Materials and methods

Patient-friendly interactive radiology reports were made available to all patients and families with imaging exams performed from January 2024 through November 2025 at two children’s health systems via a patient portal using commercially available software. Portal usage statistics were obtained, including report access rate and report view time of plain language explanations and interactive diagrams. Families were surveyed to assess experience with the reports and report comprehension.

Results

A total of 391,713 combined imaging exams were performed between the two institutions during the study period, of which 50.5% of standard reports were viewed. While only 9.0% of patient-friendly reports were viewed, this accounted for 17.7% of viewed standard reports. Reports of radiographs were accessed less than the pooled rates of other modalities. Families spent an average of 3.29 min (95% CI 3.25–3.32 min) viewing each patient-friendly report. An initiative at one children’s hospital led to a sustained increase in view rates of patient-friendly reports.

Conclusion

Results suggest that while initial utilization of the tool was low, providing patient-friendly interactive radiology reports is feasible for pediatric patients and may improve subjective comprehension of radiology reports.

Graphical Abstract