title: Written notification of test results: meanings, comprehension and implication on patients' health behavior.
abstract: OBJECTIVE
  Mailing test results are frequently used to provide patients with information about their medical condition and enhancing their participation in subsequent management. This study explores patients' experiences of the written notification process and its implications.
  
  
  METHODS
  Telephone interviews were conducted with 128 patients who had undergone endoscopic examinations in two gastroenterology clinics after the received of their mailed biopsies results. The interviews (open and closed questions) focused on patients' perceptions and emotions while waiting, and after reading the reports.
  
  
  RESULTS
  The findings are divided to emotions experienced, comprehension and behavioral implications. The reports arrived 6-33 days later than promised. Many patients were dissatisfied but most did nothing to hasten the process. Over half of them were unable to understand the information in the letters and the future steps needed to be taken. Explanatory covering letters, sent by the hospital clinic, enhanced comprehension and diminished confusion.
  
  
  CONCLUSIONS
  Mailed biopsy reports frequently failed to enhance patient understanding and participation in decisions. Incomprehensibility of written information, and unmet expectations, evoked negative emotional responses.
  
  
  CONCLUSIONS
  Improving readability with simple, non-technical information; and verification of understanding and fulfillment of recommendations using a follow-up call are critical for accomplishing the goals of mailed biopsy reports.
authors: Focus for Excellence in Patient-Professional Relationship in Health Care, University of Haifa, Haifa, Israel. OritKM@gmail.com
authors: Orit
authors: O
authors: Karnieli-Miller
authors: Adir
authors: A
authors: Adler
authors: Lili
authors: L
authors: Merdler
authors: Lilia
authors: L
authors: Rosenfeld
authors: Shmuel
authors: S
authors: Eidelman
mesh_terms: D000368:Aged; D019411:Clinical Laboratory Techniques; D003071:Cognition; D003142:Communication; D032882:Comprehension; D018563:Disease Notification / Q000379:methods*; D004522:Educational Status; D004644:Emotions; D005260:Female; D015438:Health Behavior; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D036301:Qualitative Research; D012938:Social Perception; D013997:Time Factors