Evaluating the Implementation of Picture Archiving and Communication Systems in Newfoundland and Labrador—a Cost Benefit Analysis

MacDonald, Don; Neville, Doreen

doi:10.1007/s10278-009-9212-x

Cited by 14 publications

(14 citation statements)

References 36 publications

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“…Another aspect to be considered was the noninclusion of costs related to wages and remuneration for radiologists because the logistic of the chosen subject of study (Clinics Hospital of the Faculty of Medicine, University of São Paulo) is different from that of standard hospitals, considering that we conducted our analyses in a university hospital in which docents participate in the radiology provided for the general public and are paid by the university, not by the hospital itself. Nevertheless, we believe that by excluding those costs, we did not compromise our results because the work performed by the radiologists was not very different among the systems (screen/ film or the PACS); thus, the costs involved were the same [8,16].…”

Section: Study Limitationsmentioning

confidence: 84%

“…Thus, the present study may be the first one to conduct an analysis according to the recommended methodology. The study of MacDonald and Neville [16], however, should be mentioned, wherein an evaluation of the costs and benefits of the implementation of PACS was conducted in two Canadian provinces, in which they concluded that the cost of each medical examination in the PACS environment is approximately 20% lower than that in the screen/film system. Nevertheless, during the following years, the benefits of using PACS were less obvious.…”

Section: Discussionmentioning

confidence: 97%

“…Therefore, frequent evaluations are required, always taking into account the characteristics of the health service, the user profiles, and the level of expertise of the medical staff. It is important to point out that with the current situation, the implementation of the PACS apart from generating lower costs and BI in any scenario would also result in a productivity increase of up to 200% to 300% [16][17][18]. This would obviously require the preparation of the entire team in terms, for example, of greater agility in the generation of reports and an entire infrastructure for a demand higher than previously planned, considering the associated increase in demand.…”

Section: Discussionmentioning

confidence: 98%

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Analyses of Budget Impact Considering the Use of the Picture Archiving and Communication System

Nunes

Mello

Coelho

et al. 2015

Value in Health Regional Issues

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The screen/film system had a high budget impact in all the scenarios evaluated, wherein its costs were higher than the available budget. In contrast, the PACS (high- and low-cost architectures) showed a budget impact that allowed for savings in resources, especially the mini-PACS. Therefore, we recommend the implementation and use of the PACS in health services with any volume of examinations performed.

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Section: Study Limitationsmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 98%

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Analyses of Budget Impact Considering the Use of the Picture Archiving and Communication System

Nunes

Mello

Coelho

et al. 2015

Value in Health Regional Issues

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“…To the authors' knowledge, there have been no costbenefit analyses on the deployment of digital imaging and PACS in the developing world. One recent study in the developed world found that the direct cost per study was 24% higher with digital imaging and PACS compared to the existing analog systems when implemented using currently available developed world hardware and software in a location with a preexisting, efficient film environment (4). As with numerous other studies, the authors emphasized that the indirect benefits of a digital environment to patient care may well outweigh the penalty in direct costs.…”

Section: )mentioning

confidence: 95%

PACS for the Developing World

Mendel

Schweitzer

2015

JGR

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“…Therefore, successful implementation of this system should be taken seriously [18]. One of the effective factors in successfully executing information systems is users' satisfaction with these systems [19][20][21].…”

mentioning

confidence: 99%

Investigating the satisfaction level of physicians in regards to implementing medical picture archiving and communication system (PACS)

Abbasi

Jabali

Tadayon

2020

Preprint

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Background: User's satisfaction with PACS is considered as one of the important criteria for assessing success in using PACS. The objective of this study is to determine the level of satisfaction in PACS' users and also comparing its functional features with traditional film-based systems. Methods: This analytical study was conducted in 2017. Residents at three large university hospitals in Kerman city were included. We used self-administered questionnaire that was consisted of three parts include: demographic information, individuals' satisfaction, comparing features of the two digital and traditional imaging systems. Validity of this questionnaire was approved by specialists and its reliability was obtained as 86%. Data analysis was done with using descriptive statistics and after checking the normality of data, data compared with the spearman, the Mann Whitney U and the Kruskal-Wallis statistical tests. Results: The mean of the participants' ages 31.4 (±4.4) years old and 59% of the participants were females. Mean of overall physicians' satisfaction with PACS' score has no significant relationship with the variables of age (P=0.611), experience in using PACS (P=0.301), type of specialty (P=0.093), level of interpretation of images using PACS (P=0.762), however it did show a significant relationship with their computer skills (P=0.022). Conclusions: The mean for physicians' satisfaction with PACS was at a moderate to high level, yet there are still problems in successfully implementing these systems and establishing interoperability between them . PACS has not fully met all the demands of physicians and has not achieved its predetermined objectives such as all-access from different locations . BackgroundUsing modern technologies has led to the optimization of the quality and productivity of the health care systems [1, 2] and the Picture Archiving and Communication System (PACS) is one of these modern technologies, and because of the high costs of radiology films and their storage, their retrieval problems, and problems with the distribution and display of traditional radiology film-based pictures [3,4], this technology has become the heart of medical imaging centers [5].The PACS as a module integrated with the radiology information system, not only is it a centralized source for all imaging data, yet it also creates and transfers digital radiology pictures and their PACS: Picture Archiving and Communication System PDA: Personal Digital Assistant Declarations Ethics approval and consent to participate This study was approved by the Research Ethics Committee of Kashan University of Medical Sciences Research Council (Number: 1398.049) and conducted following the guidelines of the Declaration ofHelsinki. In accordance with the opinion of the above mentioned Ethics Committee and given the fact that no information about participants is provided in this paper, participants who participated in this study gave verbal consent to participate in this research. Consent for publicationNot applicable. system (PACS) on radiolo...

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Evaluating the Implementation of Picture Archiving and Communication Systems in Newfoundland and Labrador—a Cost Benefit Analysis

Cited by 14 publications

References 36 publications

Analyses of Budget Impact Considering the Use of the Picture Archiving and Communication System

Analyses of Budget Impact Considering the Use of the Picture Archiving and Communication System

PACS for the Developing World

Investigating the satisfaction level of physicians in regards to implementing medical picture archiving and communication system (PACS)

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