Acceptability, benefits and barriers of electronic health record radiology image sharing: A mixed‐method study

Abstract Introduction The electronic Health Record Sharing System (eHRSS) bridges public and private healthcare providers to efficiently share and access patient medical records. This study examined the acceptability, benefits and barriers of electronic Health Record (eHR) radiology image sharing as...

Full description

Saved in:
Bibliographic Details
Main Authors: Junjie Huang, Fung Yu Mak, Yuet Yan Wong, Sze Chai Chan, Jonathan Poon, Ellen Tong, Clement S.K. Cheung, Wing Nam Wong, Ngai Tseung Cheung, Martin C.S. Wong
Format: Article
Language:English
Published: Wiley 2025-06-01
Series:Journal of Medical Radiation Sciences
Subjects:
Online Access:https://doi.org/10.1002/jmrs.853
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849331966766219264
author Junjie Huang
Fung Yu Mak
Yuet Yan Wong
Sze Chai Chan
Jonathan Poon
Ellen Tong
Clement S.K. Cheung
Wing Nam Wong
Ngai Tseung Cheung
Martin C.S. Wong
author_facet Junjie Huang
Fung Yu Mak
Yuet Yan Wong
Sze Chai Chan
Jonathan Poon
Ellen Tong
Clement S.K. Cheung
Wing Nam Wong
Ngai Tseung Cheung
Martin C.S. Wong
author_sort Junjie Huang
collection DOAJ
description Abstract Introduction The electronic Health Record Sharing System (eHRSS) bridges public and private healthcare providers to efficiently share and access patient medical records. This study examined the acceptability, benefits and barriers of electronic Health Record (eHR) radiology image sharing as perceived by patients and physicians. This study found radiology image sharing can help improve the management and performance of medical services, but information asymmetry and insufficient publicity still affect the development of information sharing. Methods Physicians who were potential adopters of radiology image sharing system in Hong Kong were recruited for the quantitative study. In‐depth interviews were conducted to examine acceptability, perceived benefits, barriers and potential areas for improvement of radiology image sharing system among physicians and patients. Other descriptive data collected included age, gender, clinical experience and practice type. Correlation between predictors, acceptability and perceived benefits were examined using linear and logistic regression analyses. Results A total of 288 surveys and 10 interviews were included. High level of user satisfaction (78.5%) with raised patient healthcare experience (82.3%) towards radiology image sharing system was observed. It was seen as highly capable to overcome limitations from using the films and traditional logistics (87.2%). System quality was a significant factor associated with acceptability (aOR = 4.307, 95% CI: 1.815–10.223, p = 0.001). Healthcare Professionals (HCPs) displayed high acceptability towards all system features, tracking patient history in particular. Patients expressed positive attitudes towards radiology image sharing and it is helpful for selecting radiology centres. Conclusions Particular features of radiology image sharing were associated with positive user acceptability and perceptions. Recommendations included enhancing promotional efforts, encouraging private institutions to enrol, data confidentiality reassurance and granting same level access to patient and provider.
format Article
id doaj-art-48687b83b42e4f2c82ffe123f47e2c11
institution Kabale University
issn 2051-3895
2051-3909
language English
publishDate 2025-06-01
publisher Wiley
record_format Article
series Journal of Medical Radiation Sciences
spelling doaj-art-48687b83b42e4f2c82ffe123f47e2c112025-08-20T03:46:21ZengWileyJournal of Medical Radiation Sciences2051-38952051-39092025-06-0172224425410.1002/jmrs.853Acceptability, benefits and barriers of electronic health record radiology image sharing: A mixed‐method studyJunjie Huang0Fung Yu Mak1Yuet Yan Wong2Sze Chai Chan3Jonathan Poon4Ellen Tong5Clement S.K. Cheung6Wing Nam Wong7Ngai Tseung Cheung8Martin C.S. Wong9JC School of Public Health and Primary Care, Faculty of Medicine Chinese University of Hong Kong Hong Kong SAR ChinaJC School of Public Health and Primary Care, Faculty of Medicine Chinese University of Hong Kong Hong Kong SAR ChinaJC School of Public Health and Primary Care, Faculty of Medicine Chinese University of Hong Kong Hong Kong SAR ChinaJC School of Public Health and Primary Care, Faculty of Medicine Chinese University of Hong Kong Hong Kong SAR ChinaInformation Technology and Health Informatics Division Hospital Authority Hong Kong SAR ChinaInformation Technology and Health Informatics Division Hospital Authority Hong Kong SAR ChinaInformation Technology and Health Informatics Division Hospital Authority Hong Kong SAR ChinaInformation Technology and Health Informatics Division Hospital Authority Hong Kong SAR ChinaInformation Technology and Health Informatics Division Hospital Authority Hong Kong SAR ChinaJC School of Public Health and Primary Care, Faculty of Medicine Chinese University of Hong Kong Hong Kong SAR ChinaAbstract Introduction The electronic Health Record Sharing System (eHRSS) bridges public and private healthcare providers to efficiently share and access patient medical records. This study examined the acceptability, benefits and barriers of electronic Health Record (eHR) radiology image sharing as perceived by patients and physicians. This study found radiology image sharing can help improve the management and performance of medical services, but information asymmetry and insufficient publicity still affect the development of information sharing. Methods Physicians who were potential adopters of radiology image sharing system in Hong Kong were recruited for the quantitative study. In‐depth interviews were conducted to examine acceptability, perceived benefits, barriers and potential areas for improvement of radiology image sharing system among physicians and patients. Other descriptive data collected included age, gender, clinical experience and practice type. Correlation between predictors, acceptability and perceived benefits were examined using linear and logistic regression analyses. Results A total of 288 surveys and 10 interviews were included. High level of user satisfaction (78.5%) with raised patient healthcare experience (82.3%) towards radiology image sharing system was observed. It was seen as highly capable to overcome limitations from using the films and traditional logistics (87.2%). System quality was a significant factor associated with acceptability (aOR = 4.307, 95% CI: 1.815–10.223, p = 0.001). Healthcare Professionals (HCPs) displayed high acceptability towards all system features, tracking patient history in particular. Patients expressed positive attitudes towards radiology image sharing and it is helpful for selecting radiology centres. Conclusions Particular features of radiology image sharing were associated with positive user acceptability and perceptions. Recommendations included enhancing promotional efforts, encouraging private institutions to enrol, data confidentiality reassurance and granting same level access to patient and provider.https://doi.org/10.1002/jmrs.853eHealthmobile applicationRadiologyRadiology Image Sharing
spellingShingle Junjie Huang
Fung Yu Mak
Yuet Yan Wong
Sze Chai Chan
Jonathan Poon
Ellen Tong
Clement S.K. Cheung
Wing Nam Wong
Ngai Tseung Cheung
Martin C.S. Wong
Acceptability, benefits and barriers of electronic health record radiology image sharing: A mixed‐method study
Journal of Medical Radiation Sciences
eHealth
mobile application
Radiology
Radiology Image Sharing
title Acceptability, benefits and barriers of electronic health record radiology image sharing: A mixed‐method study
title_full Acceptability, benefits and barriers of electronic health record radiology image sharing: A mixed‐method study
title_fullStr Acceptability, benefits and barriers of electronic health record radiology image sharing: A mixed‐method study
title_full_unstemmed Acceptability, benefits and barriers of electronic health record radiology image sharing: A mixed‐method study
title_short Acceptability, benefits and barriers of electronic health record radiology image sharing: A mixed‐method study
title_sort acceptability benefits and barriers of electronic health record radiology image sharing a mixed method study
topic eHealth
mobile application
Radiology
Radiology Image Sharing
url https://doi.org/10.1002/jmrs.853
work_keys_str_mv AT junjiehuang acceptabilitybenefitsandbarriersofelectronichealthrecordradiologyimagesharingamixedmethodstudy
AT fungyumak acceptabilitybenefitsandbarriersofelectronichealthrecordradiologyimagesharingamixedmethodstudy
AT yuetyanwong acceptabilitybenefitsandbarriersofelectronichealthrecordradiologyimagesharingamixedmethodstudy
AT szechaichan acceptabilitybenefitsandbarriersofelectronichealthrecordradiologyimagesharingamixedmethodstudy
AT jonathanpoon acceptabilitybenefitsandbarriersofelectronichealthrecordradiologyimagesharingamixedmethodstudy
AT ellentong acceptabilitybenefitsandbarriersofelectronichealthrecordradiologyimagesharingamixedmethodstudy
AT clementskcheung acceptabilitybenefitsandbarriersofelectronichealthrecordradiologyimagesharingamixedmethodstudy
AT wingnamwong acceptabilitybenefitsandbarriersofelectronichealthrecordradiologyimagesharingamixedmethodstudy
AT ngaitseungcheung acceptabilitybenefitsandbarriersofelectronichealthrecordradiologyimagesharingamixedmethodstudy
AT martincswong acceptabilitybenefitsandbarriersofelectronichealthrecordradiologyimagesharingamixedmethodstudy