title: Double vision: an exploration of radiologists' and general practitioners' views on using picture archiving and communication systems (PACS).
abstract: This article explores the perspectives of two user groups, general practitioners (GPs) and consultant radiologists (CRs), on the rollout of picture archiving and communications systems (PACS) within acute trusts and eventually to primary care as part of the electronic patient record. Qualitative interviews were conducted with 16 CRs and 31 GPs. Analysis was carried out using a grounded theory approach. Radiologists expressed positive views about the implementation of PACS in secondary care, but were wary of GPs accessing radiological images. GPs expressed concerns about the added burdens that PACS might bring to primary care, but most felt that sharing images with patients could benefit doctor-patient communication and increase patient satisfaction. This study highlights both impediments and pathways to the implementation of PACS in primary care, and illustrates the importance of regarding PACS as socially embedded and users as culturally disparate.
authors.affiliation: Division of Primary Care & Public Health, Brighton and Sussex Medical School, UK. l.carlin@bsms.ac.uk
authors.forename: Leslie
authors.initials: L
authors.lastname: Carlin
authors.forename: Helen
authors.initials: H
authors.lastname: Smith
authors.forename: Flis
authors.initials: F
authors.lastname: Henwood
authors.forename: Steve
authors.initials: S
authors.lastname: Flowers
authors.forename: Andrea
authors.initials: A
authors.lastname: Jones
authors.forename: Rebecca
authors.initials: R
authors.lastname: Prentice
authors.forename: Ken
authors.initials: K
authors.lastname: Miles
mesh_terms: D000553:Ambulatory Care; D001291:Attitude of Health Personnel; D006801:Humans; D007407:Interviews as Topic; D010817:Physician-Patient Relations; D010821:Physicians, Family / Q000523:psychology* / Q000706:statistics & numerical data; D011320:Primary Health Care / Q000458:organization & administration; D036301:Qualitative Research; D011871:Radiology; D011873:Radiology Information Systems / Q000458:organization & administration / Q000706:statistics & numerical data*; D013222:State Medicine; D006113:United Kingdom