Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2014 Jun;27(3):337-50.
doi: 10.1007/s10278-013-9671-y.

Towards a theory of PACS deployment: an integrative PACS maturity framework

Rogier van de Wetering  1 , Ronald Batenburg
Affiliations

Towards a theory of PACS deployment: an integrative PACS maturity framework

Rogier van de Wetering et al. J Digit Imaging. 2014 Jun.

Abstract

Owing to large financial investments that go along with the picture archiving and communication system (PACS) deployments and inconsistent PACS performance evaluations, there is a pressing need for a better understanding of the implications of PACS deployment in hospitals. We claim that there is a gap in the research field, both theoretically and empirically, to explain the success of the PACS deployment and maturity in hospitals. Theoretical principles are relevant to the PACS performance; maturity and alignment are reviewed from a system and complexity perspective. A conceptual model to explain the PACS performance and a set of testable hypotheses are then developed. Then, structural equation modeling (SEM), i.e. causal modeling, is applied to validate the model and hypotheses based on a research sample of 64 hospitals that use PACS, i.e. 70 % of all hospitals in the Netherlands. Outcomes of the SEM analyses substantiate that the measurements of all constructs are reliable and valid. The PACS alignment-modeled as a higher-order construct of five complementary organizational dimensions and maturity levels-has a significant positive impact on the PACS performance. This result is robust and stable for various sub-samples and segments. This paper presents a conceptual model that explains how alignment in deploying PACS in hospitals is positively related to the perceived performance of PACS. The conceptual model is extended with tools as checklists to systematically identify the improvement areas for hospitals in the PACS domain. The holistic approach towards PACS alignment and maturity provides a framework for clinical practice.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Theoretical SEM notation for the PACS alignment model (β = estimated value for the path relationship in the structural model)
See this image and copyright information in PMC

References

    1. Huang HK. Some historical remarks on picture archiving and communication systems. Comput Med Imaging Graph. 2003;27:93–99. doi: 10.1016/S0895-6111(02)00082-4. - DOI - PubMed
    1. Andriole KP, Khorasani R. Implementing a replacement PACS: issues to consider. J Am Coll Radiol. 2007;4(6):416–418. doi: 10.1016/j.jacr.2007.03.009. - DOI - PubMed
    1. Van de Wetering R, et al. A balanced evaluation perspective: picture archiving and communication system impacts on hospital workflow. J Digit Imaging. 2006;19(Suppl. 1):10–17. doi: 10.1007/s10278-006-0628-2. - DOI - PMC - PubMed
    1. Venkatraman N. The concept of fit in strategy research: towards verbal and statistical correspondence. Acad Manage Rev. 1989;14(3):423–444.
    1. Gibson CF, Nolan RL. Managing the four stages of EDP growth. Harv Bus Rev. 1974;52(1):76–88.

MeSH terms

LinkOut - more resources