title: The Effects of Web-Based Patient Access to Laboratory Results in British Columbia: A Patient Survey on Comprehension and Anxiety.
abstract: BACKGROUND
  Web-based patient access to personal health information is limited but increasing in Canada and internationally.
  
  
  OBJECTIVE
  This exploratory study aimed to increase understanding of how Web-based access to laboratory test results in British Columbia (Canada), which has been broadly available since 2010, affects patients' experiences.
  
  
  METHODS
  In November 2013, we surveyed adults in British Columbia who had had a laboratory test in the previous 12 months. Using a retrospective cohort design, we compared reported wait-time for results, test result comprehension, and anxiety levels of "service users" who had Web-based access to their test results (n=2047) with those of a general population panel that did not have Web-based access (n=1245).
  
  
  RESULTS
  The vast majority of service users (83.99%, 95% CI 82.31-85.67) said they received their results within "a few days", compared to just over a third of the comparison group (37.84%, 95% CI 34.96-40.73). Most in both groups said they understood their test results, but the rate was lower for service users than the comparison group (75.55%, 95% CI 73.58-77.49 vs 84.69%, 95% CI 82.59-86.81). There was no significant difference between groups in levels of reported anxiety after receiving test results.
  
  
  CONCLUSIONS
  While most patients who received their laboratory test results online reported little anxiety after receiving their results and were satisfied with the service, there may be opportunities to improve comprehension of results.
authors.affiliation: Social Research and Demonstration Corporation, Ottawa, ON, Canada.
authors.forename: Geneviève
authors.identifier: http://orcid.org/0000-0002-9460-7238
authors.initials: G
authors.lastname: Mák
authors.forename: Heather
authors.identifier: http://orcid.org/0000-0001-5010-7314
authors.initials: H
authors.lastname: Smith Fowler
authors.forename: Chad
authors.identifier: http://orcid.org/0000-0002-4562-5202
authors.initials: C
authors.lastname: Leaver
authors.forename: Simon
authors.identifier: http://orcid.org/0000-0002-4851-4380
authors.initials: S
authors.lastname: Hagens
authors.forename: Jennifer
authors.identifier: http://orcid.org/0000-0002-1556-6686
authors.initials: J
authors.lastname: Zelmer
mesh_terms: D000328:Adult; D001007:Anxiety / Q000453:epidemiology*; D001955:British Columbia; D019411:Clinical Laboratory Techniques; D032882:Comprehension; D057286:Electronic Health Records; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D010361:Patients / Q000523:psychology; D012189:Retrospective Studies; D055815:Young Adult
keywords: consumer health solutions; laboratory results; online access to laboratory results; patient access to information; patient anxiety; patient comprehension; personal health records