Factors Affecting the Usage of PACS in Tertiary Care Hospitals in India: A cross-sectional analysis

Abstract

Introduction: Picture archiving and communications systems (PACS) enable the electronic administration of digital image evaluation. PACS have been created in an attempt to provide cost-effective storage, quick image retrieval, access to photos taken using multiple modalities, and simultaneous access from various locations.

Methods: A cross-sectional study was conducted between Feb-Sept 204 among 219 physicians and 58 radiologists across 9 hospitals (1 private hospital and 8 defence hospitals) in India. 3 experts conducted face and content validation, and the questionnaire was suitably modified. Cronbach’s alpha was used to assess internal consistency. Data collected using a questionnaire, either through paper or Google forms, for both participants. Descriptive statistics, ANOVA and Pearson’s correlation were performed.

Results: Benefits most reported by clinicians and radiologists were improved patient care, adequate image quality, and use of PACS more frequently for prior examinations. Concerns regarding perceived challenges include the unavailability of images at the bedside, downtime exceeding acceptable levels, and inadequate training. Significant relationships and variance were found between user characteristics and interrelated variables. Utilisation rates of radiological equipment differ due to the challenges identified.

Conclusion: The study helped identify and analyse both the benefits and challenges of PACS usage among physicians and radiologists at private and defence hospitals in India. The findings of this study provide an initial assessment of the radiology department's management strategies regarding the impact of PACS on its users.