Users' Perspectives on a Picture Archiving and Communication System (PACS): An In-Depth Study in a Teaching Hospital in Kuwait.
BACKGROUND
Picture archiving and communication system (PACS) is a well-known imaging informatics application in health care organizations, specifically designed for the radiology department. Health care providers have exhibited willingness toward evaluating PACS in hospitals to ascertain the critical success and failure of the technology, considering that evaluation is a basic requirement.


OBJECTIVE
This study aimed at evaluating the success of a PACS in a regional teaching hospital of Kuwait, from users' perspectives, using information systems success criteria.


METHODS
An in-depth study was conducted by using quantitative and qualitative methods. This mixed-method study was based on: (1) questionnaires, distributed to all radiologists and technologists and (2) interviews, conducted with PACS administrators.


RESULTS
In all, 60 questionnaires were received from the respondents. These included 39 radiologists (75% response rate) and 21 technologists (62% response rate), with the results showing almost three-quarters (74%, 44 of 59) of the respondents rating PACS positively and as user friendly. This study's findings revealed that the demographic data, including computer experience, was an insignificant factor, having no influence on the users' responses. The findings were further substantiated by the administrators' interview responses, which supported the benefits of PACS, indicating the need for developing a unified policy aimed at streamlining and improving the departmental workflow.


CONCLUSIONS
The PACS had a positive and productive impact on the radiologists' and technologists' work performance. They were endeavoring to resolve current problems while keeping abreast of advances in PACS technology, including teleradiology and mobile image viewer, which is steadily increasing in usage in the Kuwaiti health system.
Faculty of Medicine, Community Medicine and Behavioral Sciences, Kuwait University, Hawally, Kuwait. ali.buabbas@hsc.edu.kw.
Ali Jassem
http://orcid.org/0000-0002-2980-4956
AJ
Buabbas
Dawood Ameer
http://orcid.org/0000-0002-7077-0129
DA
Al-Shamali
Prem
http://orcid.org/0000-0002-3503-6850
P
Sharma
Salwa
http://orcid.org/0000-0002-2363-1580
S
Haidar
Hamza
http://orcid.org/0000-0002-4572-9597
H
Al-Shawaf
IS success; PACS evaluation; imaging informatics; radiology; user perspective