THURSDAY, Aug. 20, 2026 (HealthDay News) -- More than two-thirds of patients report viewing their test results in a portal before hearing from a provider, but how well they understand them is tied to their digital literacy, according to a study published online Aug. 18 in JAMA Network Open.Jemar R. Bather, Ph.D., from the NYU School of Global Public Health in New York City, and colleagues assessed whether a patient's probability of accessing test results through a patient portal before hearing about the results from their health care practitioner, and understanding them, varies by sociodemographic characteristics, health status, patient-centered communication, or digital health literacy and engagement. The analysis included responses from 4,982 participants in the 2024 Health Information National Trends Survey.The researchers found that 68.6 percent of respondents viewed immediately released test results before hearing from their health care practitioner. Among these viewers, 6.6 percent rated their understanding of what the immediately released test results showed and what the results meant for their care as poor, 26.8 percent rated their understanding as fairly well, 31.7 percent as well, and 34.9 percent as very well. Older age, female sex, higher income, greater number of chronic health conditions, higher digital literacy, and greater health-related social media use were associated with viewing immediately released test results. A poor comprehension rating among those who did view early was associated with living in the Midwest or South and experiencing medical care discrimination. A lower prevalence of poor comprehension was seen among those experiencing greater patient-centered communication and higher digital literacy."Health systems give you your data, but that does not mean that they put a lot of effort into making the information easy to understand on your own," coauthor José Pagán, Ph.D., also from the NYU School of Global Public Health, said in a statement. "Health systems and online patient portal developers should look for innovative ways to improve how they communicate -- for instance, using AI to summarize test results in plain language and provide easy means for follow-up questions."One author disclosed ties to Companion IQ.Abstract/Full Text.Sign up for our weekly HealthDay newsletter