Implementation And Evaluation Of The Pacs System In The Radiology Department Of A Hospital: A Case Study In A Hospital In Indonesia
DOI:
https://doi.org/10.31004/joecy.v5i2.2559Keywords:
PACS implementation, operational efficiency, service quality, patient satisfaction, staff satisfaction, financial managementAbstract
This study aims to evaluate the implementation and impact of the Picture Archiving and Communication System (PACS) in the Radiology Department of Wava Husada Hospital, focusing on operational efficiency, service quality, budget management, and satisfaction levels among patients and staff. A mixed-methods approach was employed, integrating both qualitative and quantitative research methods to provide a comprehensive analysis. The study assessed key variables, including operational efficiency, financial management, radiology image quality, service quality indicators, and satisfaction levels of both patients and staff involved in the PACS workflow. The findings indicate that the implementation of PACS resulted in improved operational efficiency, with an increase in the number of radiological procedures per working day and per working hour of radiographers. Financially, there was variation in revenue and cost realization, but the long-term benefits of PACS implementation outweighed the initial investment costs. Service quality indicators, such as the turnaround time for CT scan and chest X-ray readings, showed significant improvements. Additionally, the quality of radiology images improved, as evidenced by evaluations from radiology specialists. Patient and staff satisfaction regarding PACS services also yielded positive results, particularly concerning waiting times and clarity of diagnostic results. In conclusion, the implementation of PACS in the Radiology Department of Wava Husada Hospital positively affected operational efficiency, service quality, and satisfaction levels among both patients and staff. Although there was an increase in expenditure, the long-term benefits of the system justify the investment, making it a valuable asset for the hospital. Further evaluations of cost-benefit ratios are recommended, alongside continuous efforts to enhance service quality in line with technological advancements and regulatory standards.
References
Abdekhoda, M., & Salih, K. M. (2017). Determinant factors in applying Picture Archiving and Communication Systems (PACS) in healthcare. Perspectives in Health Information Management, 14(Summer), 1c.
Alim, N., Mulyantoro, D. K., & Rusyadi, L. (2024). The impact of implementing a Picture Archiving and Communication System (PACS) on minimum service standards in the field of radiology. International Journal of Social Health, 3, 245–263.
Alwahaishi, S., & Snášel, V. (2022). Adoption of eHealth systems in developing countries. [Journal details needed].
Davis, F. D. (1989). Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Quarterly, 13(3), 319–340.
Handayani, P. W., Hidayanto, A. N., Pinem, A. A., Hapsari, I. C., Azzahro, F., Sandhyaduhita, P. I., & Ayuningtiyas, D. (2018). Pengantar Sistem Informasi Manajemen Rumah Sakit (SIMRS) (1st ed.). Rajagrafindo Persada.
HIMSS. (2019). Digital Imaging Adoption Model (DIAM). https://www.himss.org
Huang, H. K. (2019). PACS-based multimedia imaging informatics: Basic principles and applications (3rd ed.). John Wiley & Sons.
Kaplan, R. S., & Norton, D. P. (2005). The balanced scorecard: Measures that drive performance. Harvard Business Review, 70(1), 71–79.
Ministry of Health, Republic of Indonesia. (2013). Regulation No. 82 of 2013 on Hospital Information Systems (SIMRS). Jakarta: Ministry of Health.
Ministry of Health, Republic of Indonesia. (2024). Regulation No. 6 of 2024 on Minimum Service Standards (SPM) for Health. Jakarta: Ministry of Health.
Nadhiroh, A. L. (2022). Peranan Picture Archiving and Communication System (PACS) dalam pelayanan radiologi [Undergraduate thesis, Universitas Widya Husada Semarang].
National Electrical Manufacturers Association. (2016). Digital Imaging and Communications in Medicine (DICOM) Standard.
Nugroho, F., & Ali, H. (2022). Determination of SIMRS: Hardware, software, and brainware. Jurnal Manajemen Pendidikan dan Ilmu Sosial, 3(1), 254–265.
Papp, J. (2005). Quality management in the imaging sciences (6th ed.). Elsevier.
Peck, A. (2017). Clark's essential PACS, RIS and imaging informatics. CRC Press.
Premkumar, G., & King, W. R. (1992). An empirical assessment of information systems planning and the role of information systems in organizations. Journal of Management Information Systems, 9(2), 99–125.
Rahman, H., & Sutariniasih, N. K. (2022, July). Implementation of the use of PACS in the patient radiation dose management process at Siloam Hospitals Lippo Village. In Proceedings of the 2022 Patient Dose Data Information System Seminar (Si-INTAN): Implementation of Radiation Dose Optimization to Ensure the Protection of Diagnostic and Interventional Radiology Patients (No. INIS-ID–119, pp. 1–7).
Rohim, F. N. H. (2021). Analisis implementasi Picture Archiving and Communication System (PACS) di instalasi radiologi [Undergraduate thesis, Fakultas Kesehatan dan Keteknisian Medis].
Semwanga, A. R., Namatovu, H. K., Kyanda, S., Kaawaase, M., & Magumba, A. (2021). An eHealth adoption framework for developing countries: A systematic review. [Journal details needed].
Setyawan, N. H., & Supriatna, Y. (2016). Implementasi Picture Archiving and Communication System (PACS) dan Radiology Information System (RIS) di RSUP Dr. Sardjito Yogyakarta. Jurnal Radiologi Indonesia, 1(4), 260–274.
Suandari, P. V. L., Juliantara, I. P. E., & Rusmana, E. R. (2020). Peran implementasi Picture Archiving and Communication System dalam pelayanan radiologi di Rumah Sakit Premier Bintaro. Jurnal Manajemen Kesehatan Indonesia, 8(3), 161–166.
Venkatesh, V., Thong, J. Y. L., & Xu, X. (2016). Unified theory of acceptance and use of technology: A synthesis and the road ahead. Journal of the Association for Information Systems, 17(5), 328–376.
World Health Organization. (2018). Global strategy on digital health 2020–2025: Implementation roadmap.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Sonia Ayu Islami, Anugrah Bagus Sugiharto
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
