'I guess I'll wait to hear'- communication of blood test results in primary care a qualitative study.

Abstract

BackgroundRates of blood testing in primary care are rising. Communicating blood test results generates significant workload for patients, GPs, and practice staff.AimTo explore GPs’ and patients’ experience of systems of blood test communication.Design and settingQualitative interviews with patients and GPs in UK primary care in both urban and rural practices in the West of England.MethodA total of 28 patients and 19 GPs from six practices were recruited, with a range of socioeconomic and demographic characteristics. Patients were interviewed at two time points: a) at or soon after their blood test and b) after they had received their test results. The GPs who requested the tests were also interviewed (they could complete a maximum of two interviews about different patients). Eighty qualitative interviews were undertaken; 54 patient interviews and 26 GP interviews.ResultsMethods of test result communication varied between doctors and were based on habits, unwritten heuristics, and personal preferences rather than protocols. Doctors expected patients to know how to access their test results. In contrast, patients were often uncertain and used guesswork to decide when and how to access their tests. Patients and doctors generally assumed that the other party would make contact, with potential implications for patient safety. Text messaging and online methods of communication have benefits, but were perceived by some patients as ‘flippant’ or ‘confusing’. Delays and difficulties obtaining and interpreting test results can lead to anxiety and frustration for patients.ConclusionCurrent systems of test result communication are complex and confusing, and mostly based on habits and routines rather than clear protocols. This has important implications for patient-centred care and patient safety.