ISSN: 2226-6348
Open access
Radiology departments were integral to medical decision-making, with imaging modalities such as X-rays, CT scans, MRI, and ultrasound playing crucial roles in diagnostics and treatment planning. However, traditional film-based systems have long been associated with inefficiencies, including delays in image processing, difficulties in archiving, and limited accessibility for consultations. PACS technology addresses these challenges by digitizing radiology services, allowing seamless integration with hospital information systems (HIS) and electronic medical records (EMRs). This integration was particularly critical in tertiary hospitals where a high patient volume necessitates efficient workflow management. Thus, the adoption of PACS was not merely a technological upgrade but a strategic intervention aimed at optimizing resource allocation, reducing diagnostic turnaround times, and ultimately improving patient outcomes. This study aimed to evaluate the specific benefits and challenges of PACS implementation, particularly in terms of workflow efficiency and job satisfaction among radiology professionals. A descriptive correlational research design was employed. The study revealed that in terms of diagnostic efficiency, challenges, and job satisfaction, radiologic technologists had a very high impact in adapting Picture Archiving and Communication Systems (PACS). The results support the sustainability of diagnostic efficiency and job satisfaction while addressing the challenges radiologic technologists face in adapting to PACS.
Akyurt, N. (2023). Radyoloji teknisyenlerinde örgütsel sessizlik ve liderlik tarz? alg?s? ba?lam?nda örgütsel ba?l?l?k ve i? doyumu. ?nönü Üniversitesi Sa?l?k Hizmetleri Meslek Yüksekokulu Dergisi, 11(3), 1729-1743. https://doi.org/10.33715/inonusaglik.1288311
Alhur, A. (2024). Clinician acceptance and adoption of PACS in radiology services: An exploratory study. Indonesian Journal of Information Systems. https://doi.org/10.24002/ijis.v7i1.7614
Alim, N., Mulyantoro, D., & Rusyadi, L. (2024). The impact of implementing a Picture Archiving and Communication System (PACS) on minimum service standards in the field of radiology. https://doi.org/10.58860/ijsh.v3i3.185
Alotaibi, N., Wilson, C., & Traynor, M. (2024). Enhancing digital readiness and capability in healthcare: A systematic review of interventions, barriers, and facilitators. https://doi.org/10.21203/rs.3.rs-4816097/v1
Aryani, A. (2022). The implementation of PACS (Picture Archiving and Communication System) in radiology department of Margono Soekarjo Hospital. Jurnal Imejing Diagnostik, 8(1), 40-44. https://doi.org/10.31983/jimed.v8i1.8161
Arif, W. (2024). Radiologic Technology Students’ Perceptions on Adoption of Artificial Intelligence Technology in Radiology. International Journal of General Medicine, Volume 17, 3129–3136. https://doi.org/10.2147/ijgm.s465944
Atillo, MAEd, F., Cayogyog, PhD, A. O., Gloria M. Tampus, MAEd, Ma., & D. Ainin, MAEd, J. (2024). Exploring Empowerment in Education: Enhancing Efficiency Through Workflow Optimization, Employee Selection, and Training Practice. International Journal of Research Publications, 149(1). https://doi.org/10.47119/ijrp1001491520246466
Babbie, E. (2020). The practice of social research (15th ed.). Cengage Learning.
Becker, A., Chaim, J., & Vargas, H. (2024). Streamlining radiology workflows through the development and deployment of automated microservices. https://doi.org/10.1007/s10278-024-01034-9
Fettermann, D., & Calegari, L. (2024). E-health technology acceptance: A meta-analysis. Ciência da Informação, 52(2). https://doi.org/10.18225/ci.inf.v52i2.7089
Fridell, K., Edgren, L., Lindsköld, L., Aspelin, P., & Lundberg, N. (2006). The Impact of PACS on Radiologists’ Work Practice. Journal of Digital Imaging, 20(4), 411–421. https://doi.org/10.1007/s10278-006-1054-1
Gupta, A., Sharma, A., & Jha, D. (2024). Overcoming obstacles step by step: A comprehensive review of challenges and strategies in implementing hospital management information systems in India. https://doi.org/10.21203/rs.3.rs-4631703/v1
Horii, S., & Behlen, F. (2021). PACS readiness and PACS migration. In Medical Imaging and Health Informatics (pp. 553-584). https://doi.org/10.1007/978-1-0716-1756-4_32
Ivanov, I., Gueorguiev, V., Kassev, K., Nenov, L., & Georgieva, D. (2021). Regional and national PACS: Structural and security problems. https://doi.org/10.1109/LIGHTING49406.2021.9599020
Ji, J., He, B., Gong, S., Sheng, M., & Ruan, X. (2024). Network analysis of occupational stress and job satisfaction among radiologists. Retrieved from: 10.3389/fpubh.2024.1411688
Jensen, C., Javadi, S., Bhosale, P., Moawad, A., Saleh, M., Ganeshan, D., & Morani, A. (2021). Computed tomography technologist notes in PACS to radiologists: What are they telling us and how does it increase value? Abdominal Radiology, 46(6), 2913-2919. https://doi.org/10.1007/S00261-021-02962-8
Kaklamanou, D., Nguyen, L., Al-Abbadey, M., Sangala, N., & Lewis, R. (2024). Attitudes towards digital health technology for the care of people with chronic kidney disease: A technology acceptance model exploration. PLOS Digital Health, 3(10). https://doi.org/10.1371/journal.pdig.0000614
Karera, A., Amkongo, M., & Kalondo, L. (2022). Cross-sectional assessment of job satisfaction, its contributing factors and impact on turnover intention among radiographers in Namibian state hospitals. PAMJ One Health, 7. https://doi.org/10.11604/pamj-oh.2022.7.33.33398
Kim, S. (2024). Application and challenges of the technology acceptance model in elderly healthcare: Insights from ChatGPT. Technologies (Basel). https://doi.org/10.3390/technologies12050068
Kruskal, J., & Shanafelt, T. (2021). Radiologist well-being and professional fulfillment in the COVID-19 era: Fostering posttraumatic growth. Journal of the American College of Radiology, 18(8), 1198-1207. https://doi.org/10.1016/J.JACR.2021.03.016
Lee, S., Venugopal, N., Breshears, E., Shieh, A., Joyce, R., Bhargava, P., & Said, N. (2023). Quick guide: Programming a gaming keyboard for PACS to optimize radiology workflow. Current Problems in Diagnostic Radiology. https://doi.org/10.1067/j.cpradiol.2023.09.002
Maqbool, B., & Herold, S. (2023). Potential effectiveness and efficiency issues in usability evaluation within digital health: A systematic literature review. Journal of Systems and Software, 208, 111881. https://doi.org/10.1016/j.jss.2023.111881
Milner, R., & Akhtar, M. (2023). Job satisfaction among general radiographers and assistant practitioners: A mixed-methods survey. British Journal of Healthcare Management, 29(3), 68-79. https://doi.org/10.12968/bjhc.2022.0124
Molwitz, I., Kemper, C., Stahlmann, K., Oechtering, T., Sieren, M., Afat, S., Gerwing, M., Bucher, A., Storz, C., Langenbach, M., Reim, M., Lotz, J., Zagrosek-Regitz, V., Can, E., Köhler, D., Yamamura, J., Adam, G., Hamm, B., Keller, S. (2023). Work expectations, their fulfillment, and exhaustion among radiologists of all career levels: What can be learned from the example of Germany. European Radiology, 33(8), 1-11. https://doi.org/10.1007/s00330-023-09510-6
Montazeri, M., & Khajouei, R. (2022). Determining the Effect of the Picture Archiving and Communication System (PACS) on Different Dimensions of Users’ Work. Radiology Research and Practice, 2022, 1–7. https://doi.org/10.1155/2022/4306714
Nagrath, A., Singh, M., Kaur, K., Pallavi, N., Nikita, N., & Kumar, A. (2024). The environmental impact of x-ray films: Understanding the ecological footprint of medical imaging. https://doi.org/10.53555/jptcp.v31i3.5265
Nicholas, K., Ekokidolor, E., Eguono, E., & Blaise, A. (2024). The challenges of installing Picture Archiving and Communication Systems (PACS) in a low- or poor-income resource nation: Our experience in a teaching hospital in Sub-Saharan Africa. International Journal of Life Science Research Archive. https://doi.org/10.53771/ijlsra.2024.7.1.0049
Olson, J., Pham, D., Reich, D., & Butman, J. (2021). Making a difference: An integrated PACS workflow for evaluating longitudinal changes across serial imaging. Journal of Biomedical Optics, 11601, 147-153. https://doi.org/10.1117/12.2582209
Polit, D. F., & Beck, C. T. (2021). Nursing research: Generating and assessing evidence for nursing practice (11th ed.). Wolters Kluwer.
Rudawska, I., Krot, K., & Porada-Rocho?, M. (2024). Unveiling the nexus of technology acceptance in healthcare: Empirical exploration of the multifaceted drivers. Human Technology, 20(1), 114-130. https://doi.org/10.14254/1795-6889.2024.20-1.6
Sanfilippo, F., Pomeroy, C., & Bailey, D. (2023). Interdepartmental interactions. In The Role of Radiology in Interdepartmental Collaboration (pp. 183-188). https://doi.org/10.1007/978-3-031-41177-9_29
Sexton, S., & McNulty, J. (2024). Job satisfaction and career plans among Irish radiography services managers and clinical specialist radiographers. Radiography, 30(6), 1622-1628. https://doi.org/10.1016/j.radi.2024.10.004
Sigl, B., Schreyer, A., Henkel, M., & Herold, C. (2023). [Requirements and value of interdisciplinary communication and consultation]. Die Radiologie, 63(2), 89-94. https://doi.org/10.1007/s00117-022-01113-4
Troupis, C., Knight, R., & Lau, K. (2024). What is the appropriate measure of radiology workload: Study or image numbers? Journal of Medical Imaging and Radiation Oncology. https://doi.org/10.1111/1754-9485.13713
Varghese, A., Naik, S., Andrabi, S., Luharia, A., Tivaskar, S., John, J., Mishra, G., Uke, A., Pisulkar, S., & Wanjari, M. (2024). Emerging applications of Picture Archiving and Communication Systems and their impact on research and education: A literature review. Cureus. https://doi.org/10.7759/cureus.65019
Wilson, D. (2022). Interdisciplinary collaboration: Data scientists and radiologists. Veterinary Radiology & Ultrasound, 63(Suppl 1), S1, 916-919. https://doi.org/10.1111/vru.13170
World Health Organization. (2020). The importance of medical imaging in global health. WHO Press.
Wenderott, K., Krups, J., Luetkens, J., & Weigl, M. (2024). Radiologists’ perspectives on the workflow integration of an artificial intelligence-based computer-aided detection system: A qualitative study. Retrieevd from: https://doi.org/10.1016/j.apergo.2024.104243
Canguit, J. A., & Sison, M. (2025). Diagnostic Efficiency, Challenges and Job Satisfaction of Radiologic Technologists in Picture Archiving and Communication System (PACS). International Journal of Academic Research in Progressive Education and Development, 14(1), 2393–2408.
Copyright: © 2025 The Author(s)
Published by HRMARS (www.hrmars.com)
This article is published under the Creative Commons Attribution (CC BY 4.0) license. Anyone may reproduce, distribute, translate and create derivative works of this article (for both commercial and non-commercial purposes), subject to full attribution to the original publication and authors. The full terms of this license may be seen at: http://creativecommons.org/licences/by/4.0/legalcode