Does transparency promote engagement? Cancer patients' access of electronic medical records before and after the information blocking rule Conference Paper


Authors: Polubriaginof, F. C. G.; Chimonas, S.; Lipitz-Snyderman, A.; Spiegelhoff, Z.; Seier, K.; White, C.; Jorvina, J.; Kuperman, G.
Title: Does transparency promote engagement? Cancer patients' access of electronic medical records before and after the information blocking rule
Conference Title: 2024 Annual Symposium of the American Medical Informatics Association (AMIA)
Abstract: Access to clinical information is critical to support patient engagement. The 21st Century Cures Act grants patients immediate electronic access to their full medical records. To assess the potential impact of this transparency provision, we conducted a retrospective study in a large cancer center in New York City, focusing on clinically active patients' accessing health information shared via the patient portal. We identified a significant increase (14%) in the number of pathology and radiology reports read by patients after the implementation ofimmediate release of reports. No changes were found in the rates of account creation or logins. Our results suggest that oncology patients show strong, consistent interest in their clinical data, with many taking advantage of the full electronic access granted by Cures. These findings shed new light on this legislation's impact on patient engagement and access to clinical data. ©2024 AMIA - All rights reserved.
Keywords: retrospective studies; neoplasm; neoplasms; retrospective study; patient participation; access to information; medical record; new york city; new york; patient right; electronic health records; humans; human; electronic health record; patient portals; patient access to records
Journal Title AMIA Annual Symposium. Proceedings
Volume: 2024
Conference Dates: 2024 Nov 9-13
Conference Location: San Francisco, CA
ISBN: 1559-4076
Publisher: American Medical Informatics Association  
Date Published: 2025-05-22
Start Page: 900
End Page: 909
Language: English
PUBMED: 40417461
PROVIDER: scopus
PMCID: PMC12099384
DOI/URL:
Notes: Article -- Source: Scopus
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