Adoption of a RIS-PACS system in a hospital: cost-benefit analysis

Author:

De Rosa Emilia1,Grazioli Fabio2ORCID

Affiliation:

1. Economic and Finance’s Doctor

2. Medical Radiology Technician, Diagnostic Imaging Department, AOU “San Giovanni di Dio e Ruggi D’Aragona”, Salerno (Italy)

Abstract

Cost-benefit analysis (CBA) is one of the most widely used evaluation methods for studying the effects of different programs on the allocation of resources and the well-being of the involved agents. Therefore, it is possible to assess the cost-effectiveness of a PACS by analysing the relationship between costs and savings. A complete digitalization of the radiology acquisition, reporting and archiving process leads to a significant improvement in the quality of reporting, allowing the radiologist to intervene directly on the image display, making it faster and more accurate. The savings resulting from the implementation of the PACS can only be appreciated after some time; they take the form of a reduction in the running costs of the Diagnostic Imaging Service, above all due to the lower consumption of X-ray films. Secondly, there is a reduction in the number of staff employed in activities related to film processing and the redistribution of the space required for archives. A proper financial plan and a dilution of the required investment over several years allow an improvement of the systems to be achieved without increasing the costs for the company.

Publisher

Ordine TSRM PSTRP di Napoli, Avellino, Benevento

Subject

Earth-Surface Processes

Reference13 articles.

1. Malathi Srinivasan et Al: Saving time,Improving Satisfaction: the impact of a Digital Radiology System on Physician Workflow and System Efficiency Journal of Healthcare Information Management Vol 20, N2, pag 123-131;

2. AI, De Backer et Al: Picture Archiving and Communication System – Part 2 Cost-Benefit consideration for Picture archiving and communication system JBR-BRT, 2005, 87: 296-299;

3. Ehsan Samei et Al: AAPM/RSNA Tutorial on Equipment Selection: PACS Equipment Overview Radiographics 2004, 24: 313-334;

4. A. Giovagnoni, G.M. Raggetti La complessità nella valutazione economica per l’adozione dei sistemi PACS in F. Schiavon, G Guglielmini, A. Rotondo (a cura di) La comunicazione radiologica nella società del benessere Springer-Verlang Italia 2012 pag. 147-158;

5. Bruce I. Reiner et Al: Effect of Filmless Imaging on the Utilization of Radiologic Services Radiology 2000; 215:163–167

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