PACS Implementation Challenges in a Public Healthcare Institution: A South African Vendor Perspective
4
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objectives: Conventional radiological processes have been replaced by digital images and information technology systems within South Africa and other developing countries. Picture Archiving and Communication Systems (PACS) technology offers many benefits to institutions, medical personnel and patients; however, the implementation of such systems can be a challenging task. It has been documented that South Africa has been using PACS for more than a decade in public hospitals with moderate success. The aim of this study was to identify and describe the PACS challenges endured by PACS vendors during implementation in the South African public healthcare sector. Methods: This was achieved by engaging in a methodological approach that was qualitative in nature collecting data through semi structured interviews from 10 PACS experts/ participants which were later analysed qualitatively. Results: The findings show that PACS vendors have countless challenges, some of which include space, insufficient infrastructure, image storage capacity, system maturity and vendor related concerns. It was clear that the PACS experts readily offered contextually appropriate descriptions of their encounters during PACS implementations in South African public healthcare institutions. Conclusions: PACS vendors anticipate these challenges when facing a public healthcare institution and it is recommended that the hospital management and potential PACS stakeholders be made aware of these challenges to mitigate their effects and aid in a successful implementation.
Abstract
Objectives: Conventional radiological processes have been replaced by digital images and information technology systems within South Africa and other developing countries. Picture Archiving and Communication Systems (PACS) technology offers many benefits to institutions, medical personnel and patients; however, the implementation of such systems can be a challenging task. It has been documented that South Africa has been using PACS for more than a decade in public hospitals with moderate success. The aim of this study was to identify and describe the PACS challenges endured by PACS vendors during implementation in the South African public healthcare sector. Methods: This was achieved by engaging in a methodological approach that was qualitative in nature collecting data through semi structured interviews from 10 PACS experts/ participants which were later analysed qualitatively. Results: The findings show that PACS vendors have countless challenges, some of which include space, insufficient infrastructure, image storage capacity, system maturity and vendor related concerns. It was clear that the PACS experts readily offered contextually appropriate descriptions of their encounters during PACS implementations in South African public healthcare institutions. Conclusions: PACS vendors anticipate these challenges when facing a public healthcare institution and it is recommended that the hospital management and potential PACS stakeholders be made aware of these challenges to mitigate their effects and aid in a successful implementation.
참고문헌 (20)
- Liu Y, "PACS and digital medicine: essential principles and modern practice" (2011), CRC Press
- Pare G, "Knowledge barriers to PACS adoption and implementation in hospitals", Int J Med Inform, 76(1), pp.22~33 (2007)
- Bui AA, "Medical imaging informatics" (2010), Springer Science & Business Media
- Mulla FA, "The experiences of radiographers working with PACS and RIS in Gauteng", pp.2012
- "Minister of Health calls for national telemedicine strategy" (2010)[URL]
- Triegaardt M., "Picture Archiving and Communication Systems in the South African public healthcare environment:a suitable structure and guidelines to assist implementation and optimisation", pp.2013
- Jorritsma W, "Merits of usability testing for PACS selection", Int J Med Inform, 83(1), pp.27~36 (2014)
- Abdullah ZS, "Hospital information systems implementation framework: critical success factors for Malaysian public hospitals", pp.2013
- Ammenwerth E, "IT-adoption and the interaction of task, technology and individuals : a fit framework and a case study", BMC Med Inform Decis Mak, 6, pp.3~ (2006)
- Reddy AS, "Budget variance analysis of a departmentwide implementation of a PACS at a major academic medical center", J Digit Imaging, 19(1), pp.66~77 (2006)
- Aldosari B, "User acceptance of a picture archiving and communication system(PACS)in a Saudi Arabian hospital radiology department", BMC Med Inform Decis Mak, 12, pp.44~ (2012)
- Carlin L, "Double vision : an exploration of radiologists'and general practitioners' views on using picture archiving and communication systems(PACS)", Health Informatics J, 16(2), pp.75~86 (2010)
- Inamura K, "History of PACS in Asia", Eur J Radiol, 78(2), pp.184~189 (2011)
- Wynekoop JL, "Studying system development methodologies : an examination of research methods", Inf Syst J, 7(1), pp.47~65 (1997)
- Manyisa ZM, "Factors affecting working conditions in public hospitals : a literature review", Int J Afr Nurs Sci, 6, pp.28~38 (2017)
- "Evaluation of hospital information system in the Northern Province in South Africa" (2002)[URL]
- Benatar SR, "Health care reform and the crisis of HIV and AIDS in South Africa", N Engl J Med, 351(1), pp.81~92 (2004)
- "Enabling healthcare reform using information technology" (2008)[URL]
- Sukums F, "Health workers' knowledge of and attitudes towards computer applications in rural African health facilities", Glob Health Action, 7, pp.24534~ (2014)
- Lorenzi NM, "Organizational issues = change", Int J Med Inform, 69(2-3), pp.197~203 (2003)