Helping patients navigate the immediate release of medical records: MedEd, a novel patient engagement technology

Am J Surg. 2025 Jan:239:115977. doi: 10.1016/j.amjsurg.2024.115977. Epub 2024 Sep 18.

Abstract

Background: Through online health portals, patients receive complex medical reports without interpretation from their healthcare provider. This study evaluated the usability of MedEd, a patient engagement tool providing definitions of medical terminology in breast pathology and radiology reports.

Methods: Individuals who underwent a normal screening mammogram were invited to complete semi-structured interviews where they downloaded MedEd and discussed their download experience. Acceptability, appropriateness, and feasibility of MedEd were evaluated.

Results: 143 individuals were invited to participate, and 14 semi-structured interviews were completed. Participants reported ease of downloading and navigating MedEd with concerns about privacy and others' abilities to download. Participants demonstrated high acceptability (mean 4.48/5, SD 0.95), appropriateness (mean 4.66/5, SD 0.83), and feasibility (mean 4.48/5, SD 1.04) scores.

Conclusion: Participants expressed excitement for future use of MedEd and provided suggestions for improvements. Next steps include evaluating comprehension of real breast reports while using MedEd and expanding patient access.

Keywords: Electronic records; Health literacy; Patient portals.

MeSH terms

  • Adult
  • Aged
  • Electronic Health Records
  • Feasibility Studies
  • Female
  • Humans
  • Mammography*
  • Middle Aged
  • Patient Navigation
  • Patient Participation
  • Patient Portals