Monitoring the PACS Implementation Process in a Large University Hospital—Discrepancies Between Radiologists and Physicians
Open accessAbstract
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.
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Facilitating conditions influence behavioural intention even in the presence of effort expectancy.
“facilitating conditions influence behavioural intention even in the presence of effort expectancy.”
From Re-examining the Unified Theory of Acceptance and Use of Technology (UTAUT): Towards a Revised Theoretical Model (2019) · cites this paper as Duyck et al. 2010
Prior studies have demonstrated that the influence of behavioural intention on usage behaviour may not be particularly strong or predictable.
“Prior studies have demonstrated that the influence of behavioural intention on usage behaviour may not be particularly strong or predictable (e.g., Duyck et al. 2010; Gupta et al. 2008; Pardamean and Susanto 2012; Weerakkody et al. 2013)”
From Re-examining the Unified Theory of Acceptance and Use of Technology (UTAUT): Towards a Revised Theoretical Model (2019) · cites this paper as Duyck et al. 2010
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- Authors
- Duyck, P., Pynoo, B., Devolder, P., Voet, T., Adang, L., Ovaere, D., & Vercruysse, J.
- Affiliations
- Ghent University Hospital (BE)
- Corresponding author
- Pynoo, Bram
- Venue
- Journal of Digital Imaging
- Published
- 2008-10-28
- Volume
- 23
- Issue
- 1
- Pages
- 73-80
- ISSN
- 0897-1889 (ISSN-L)
- 1618-727X
- PMC
- PMC3043749
- OpenAlex
- W1977965796
- Cited by
- 77
- References
- 24
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 5 · 2023: 3 · 2021: 11 · 2020: 6 · 2019: 6 · 2018: 4 · 2017: 8 · 2016: 5 · 2015: 3 · 2014: 4 · 2013: 3 · 2012: 6
- FWCI
- 5.86
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Imaging Informatics in Medicine (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion, other-oa)
- Lirias (submittedVersion, other-oa)
- VUBIR (Vrije Universiteit Brussel) (submittedVersion)
- Topics
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Social Sciences › Decision Sciences › Information Systems and Management › Technology Adoption and User Behaviour
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Radiology practices and education
- Keywords
- PACS, PACS implementation, health information systems, technology acceptance, Unified Theory of Acceptance and Use of Technology, radiologists, hospital physicians, user acceptance, performance expectancy, facilitating conditions, university hospital
- MeSH terms
- Attitude of Health Personnel, Attitude to Computers, Belgium, Hospitals, University, Humans, Organizational Innovation, Organizational Objectives, Practice Patterns, Physicians', Physicians, Surveys and Questionnaires, Radiology Information Systems
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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