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Quest Opens Direct Access To Lab Results
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David F. Carr
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David F. Carr,
User Rank: Author
4/11/2014 | 4:23:54 PM
Re: An important step forward
I neglected to link to Alison's column on this: Labs Must Protect Newly Portable Patient Data
Alison_Diana
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Alison_Diana,
User Rank: Author
4/11/2014 | 4:01:14 PM
Re: When lab results fall through the cracks
That's an important reason -- especially if you or a loved one is one of those 7%. Of course, there's no guarantee that you'll proactively see the results if they're accessible to you and I believe the onus still lies with the healthcare provider who ordered the tests (as everyone keeps stressing: non-medical pros won't necessarily understand the results anyway), but at least it gives patients another way to stay informed and to own their data to take it to another doctor.
Alison_Diana
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Alison_Diana,
User Rank: Author
4/11/2014 | 3:58:45 PM
Re: An important step forward
When I first wrote about it, I was happy about the law change. Quest's approach seems pretty seamless and simple to use, giving patients every option they can choose to get their results. I'd imagine all other labs will offer something similar, although not all will be as well integrated. 

In all my doctors, I've only ever seen one who called every patient when you had labwork done. Her reasoning: That way patients knew she'd had the chance to review it. It was much more reassuring than the usual "we'll call if something's wrong." In those instances, you never really knew if the paperwork got lost or something. And if you rarely see a doctor then you could be walking around in happy oblivion. 
Gary_EL
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Gary_EL,
User Rank: Ninja
4/11/2014 | 1:48:08 PM
An important step forward
Everyone should have access to his or her test results. This will also be a big factor in preventing information fron falling in between the cracks - even if Doc A isn't aware of what Doc B is doing, the patient will be.
David F. Carr
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David F. Carr,
User Rank: Author
4/11/2014 | 1:39:51 PM
When lab results fall through the cracks
I should have noted in the story that one argument in favor of making lab results directly accessible to patients is that about 7 percent of the time patients never even learn of an abnormal test result. The reference for that number, which I got via Quest, is here:

Casalino et al. Frequency of Failure to Inform Patients of Clinically Significant Outpatient Test Results. Archives of Internal Medicine (2009).
David F. Carr
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David F. Carr,
User Rank: Author
4/11/2014 | 1:38:50 PM
Would you check lab results from a web or mobile app?
Would you use this service, or one like it? I'd think the biggest appeal would be to those with a chronic condition who are getting tested regularly. Lacking such a problem (for the time being), I can imagine using the web app if there was something I was concerned about but probably wouldn't bother with the mobile app.

I did think it was interesting the way the lab results portal and EHR strategies come together for Quest.


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