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Karnieli–Miller O et al. – 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. Mailed biopsy reports frequently failed to enhance patient understanding and participation in decisions. Incomprehensibility of written information, and unmet expectations, evoked negative emotional responses. 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.


Exclusive Author Commentary
Orit Karnieli-Miller, 08/12/09

The mailed letter is a preferred method for transmitting non-serious medical test results to patients. However, these mailed results do not always fulfill the intention of the health professional who sends the information or the expectations and needs of the patient who receives them. On the basis of our findings we recommend that the mailed letters should be coached in simple, non-technical language, and include information explaining the diagnosis, its meaning and implications, recommended treatment and follow-up plans. In addition a follow-up process is recommended in order to verify patients’ comprehension of and reaction to its content.

   

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