Assessing the Acceptance and Challenges of Picture Archiving and Communication System (PACS) Among Radiologic Technologists in Selected Private Hospitals in Laguna
DOI:
https://doi.org/10.5281/zenodo.20552931Keywords:
technology acceptance model, digital radiology systems, information systems success, healthcare informatics, clinical workflow challenges, user adoption, Laguna private hospitalsAbstract
The Picture Archiving and Communication System (PACS) is a digital technology used for the electronic storage, management, retrieval, and distribution of medical images in radiology departments. In regional healthcare settings in the Philippines, the transition from conventional to digital imaging systems is often affected by technical and organizational barriers that may influence professional performance and workflow efficiency. This study aimed to determine the level of acceptance and identify the perceived challenges of PACS among 67 radiologic technologists in selected level 2 private hospitals in Laguna as a basis for a proposed action plan. The researchers employed a quantitative descriptive research design and gathered data through a validated survey questionnaire adapted from the Technology Acceptance Model (TAM) and the Information Systems Success Model (ISSM). Findings revealed a very high level of PACS acceptance (WM = 3.54), particularly in Perceived Usefulness (WM = 3.66), Behavioral Intention (WM = 3.64), Attitude Toward Use (WM = 3.54), and Perceived Ease of Use (WM = 3.33). In terms of perceived challenges (WM = 2.19), System Quality was identified as a moderate challenge (WM = 2.87), while Information Quality (WM = 2.23) and Training Quality (WM = 1.93) were considered minor challenges, and Support Quality (WM = 1.73) was identified as not a challenge. These findings suggest that radiologic technologists demonstrate high readiness and acceptance toward PACS; however, digital workflows remain affected by infrastructure instability and dependence on informal training practices. Therefore, the proposed action plan focuses on technical system improvements and standardized vendor-facilitated training programs to address these challenges and sustain the high level of PACS acceptance among radiologic technologists.
References
Abbasi, R., Sadeqi Jabali, M., Khajouei, R., & Tadayon, H. (2020). Investigating the satisfaction level of physicians in regard to implementing medical picture archiving and communication system (PACS). BMC Medical Informatics and Decision Making, 20(180). https://doi.org/10.1186/s12911-020-01203-0
Abbas, R., & Singh, Y. (2020). PACS implementation challenges in a public healthcare institution: A South African vendor perspective. Healthcare Informatics Research, 25(4), 324. https://doi.org/10.4258/hir.2020.25.4.324
Acacio-Claro, P. J., Estuar, M. R. J. E., Villamor, D. A. R., Bautista, M. C. G., Pulmano, C. E., & Sugon, Q. M., Jr. (2024). Understanding adoption of electronic medical records (EMRs) during a health emergency: An analysis of EMR usage logs from rural health facilities in the Philippines. Acta Medica Philippina, 58(22), 7–13. https://actamedicaphilippina.upm.edu.ph/index.php/acta/article/view/8911
Ahmed, M. H., Bogale, A. D., Tilahun, B., & Abebe, T. A. (2020). Intention to use electronic medical record and its predictors among health care providers at referral hospitals, North-West Ethiopia: Using UTAUT2 model. BMC Medical Informatics and Decision Making, 20, 207. https://doi.org/10.1186/s12911-020-01222-x
Alhur. (2024). Clinician acceptance and adoption of PACS in radiology services: An exploratory study. Indonesian Journal of Information Systems. https://ojs.uajy.ac.id/index.php/IJIS/article/view/7614/3714
Al-Kahtani, N., Al-Dhaif, E., Alsaihtati, N., Farid, K., & AlKhater, S. (2021). Clinicians' perceptions of picture archiving and communication system (PACS) use in patient care in Eastern province hospitals in Saudi Arabia. Journal of Multidisciplinary Healthcare, 14, 743–750. https://doi.org/10.2147/jmdh.s296828
Blaj, A., Zincenco, A. C., & Blaj, A. (2025). PACS integration for faster diagnoses and better patient care. Medicai's Blog. https://blog.medicai.io/en/pacs-integration-and-workflow/
Canguit, J. A., & Sison, M. (2025). Diagnostic efficiency, challenges and job satisfaction of radiologic technologists in picture archiving and communication system (PACS). International Journal of Academic Research in Progressive Education and Development, 14(1). https://doi.org/10.6007/ijarped/v14-i1/25001
Eichelberg, M., Kleber, K., & Kämmerer, M. (2020). Cybersecurity challenges for PACS and medical imaging. Academic Radiology, 27(8), 1126–1139. https://doi.org/10.1016/j.acra.2020.03.026
Fiati, R., Widowati, W., & Nugraheni, D. M. K. (2024). Information system success model: Continuous intention on users' perception of e-learning satisfaction. Indonesian Journal of Electrical Engineering and Computer Science, 37(1), 389. https://doi.org/10.11591/ijeecs.v37.i1.pp389-397
Goodarzi, H., Khatami, S., Javadzadeh, H., Mahmoudi, S., Khajehpour, H., et al. (2016). User acceptance of picture archiving and communication system in the emergency department. Iranian Journal of Radiology, 13(2), e20102. https://doi.org/10.5812/iranjradiol.20102
Hassan, M. (2024, November 14). Descriptive research design: Types, methods and examples. Research Method. https://researchmethod.net/descriptive-research-design/
Kuek, A., & Hakkennes, S. (2020). Healthcare staff digital literacy levels and their attitudes towards information systems. Health Informatics Journal, 26(1), 592–612. https://doi.org/10.1177/1460458219839613
Marikyan, M. D., & Papagiannidis, P. S. (2024). TheoryHub book. https://open.ncl.ac.uk/theories/1/technology-acceptance-model/
Muzanima, M., & Singh, Y. (2023). User acceptance of picture archiving and communication systems at intermediate hospital Katutura, Namibia. South African Radiographer, 61(1), 21–27. https://doi.org/10.54450/saradio.2023.61.1.735
Ojo, A. I. (2017). Validation of the DeLone and McLean information systems success model. Healthcare Informatics Research, 23(1), 60. https://doi.org/10.4258/hir.2017.23.1.60
Ongkeko, M. A. M. O. J., Jr. (2024). Promises and realities of electronic health information system in the Philippines. Acta Medica Philippina, 58(22), 5–6. https://doi.org/10.47895/amp.v58i22.12364
Pandey, D. (2025, January 10). PACS and RIS market size to hit USD 4.62 Bn by 2034. https://www.precedenceresearch.com/pacs-and-ris-market
RamSoft. (2023). Cloud PACS, cloud native, on-premises: What's best for you? https://www.ramsoft.com/blog/cloud-pacs
Tadayon, H., Nafari, B., Khadem, G., Darrudi, R., & Jabali, M. S. (2023). Evaluation of picture archiving and communication system (PACS): Radiologists' perspective. Informatics in Medicine Unlocked, 39, 101266. https://doi.org/10.1016/j.imu.2023.101266






