Journal of Digital Imaging

, Volume 23, Issue 1, pp 73–80 | Cite as

Monitoring the PACS Implementation Process in a Large University Hospital—Discrepancies Between Radiologists and Physicians

  • Philippe Duyck
  • Bram PynooEmail author
  • Pieter Devolder
  • Tony Voet
  • Luc Adang
  • Dries Ovaere
  • Jan Vercruysse


Successfully introducing a new technology in a health-care setting is not a walk in the park. Many barriers need to be overcome, not only technical and financial but also human barriers. In this study, we focus on the human barriers to health-care information systems’ implementation. We monitored the acceptance of a Picture Archiving and Communication System (PACS) by radiologists and hospital physicians in a large Belgian university hospital. Hereto, questionnaires were taken pre-implementation (T1) and 1 year after the radiology department stopped printing film (T2). The framework we used to perform the study was the Unified Theory of Acceptance and Use of Technology. Main findings were that both groups were positive toward PACS prior to the introduction and that each group was even more positive at T2 with extensive PACS experience. In general, the ratings of the radiologists were higher than those of the physicians, as the radiologists experienced more of the benefits of PACS and had to use PACS throughout the day. Two factors were salient for predicting users’ intention to use PACS: the usefulness of PACS (performance expectancy) and the availability of support of any kind (facilitating conditions). The results show that our approach was successful. Both radiologists and physicians give evidence of an excellent level of user acceptance. We can conclude that the implementation of PACS into our hospital has succeeded.

Key words

PACS acceptance testing computers in medicine radiology workflow UTAUT attitude university hospital 


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Copyright information

© Society for Imaging Informatics in Medicine 2008

Authors and Affiliations

  • Philippe Duyck
    • 1
  • Bram Pynoo
    • 1
    Email author
  • Pieter Devolder
    • 1
  • Tony Voet
    • 1
  • Luc Adang
    • 1
  • Dries Ovaere
    • 1
  • Jan Vercruysse
    • 1
  1. 1.Department of Radiology and Medical ImagingGhent University HospitalGhentBelgium

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