van Poppel B M, Bakker A R, Wilmink J B
BAZIS, Hospital Information System, Leiden, The Netherlands.
Med Inform (Lond). 1990 Jan-Mar;15(1):67-75. doi: 10.3109/14639239009025256.
The hospital-wide use of picture archiving and communication systems (PACS) promises a number of advantages in the future. These benefits will only be obtained at considerable costs, however. In view of the rapidly developing technology the costs of hardware can be expected to decrease. The ideas about the expected moment when the benefits will exceed the costs show wide variation. In order to get a better view on the cost comparison between PACS and the classical film-based system and also to stimulate discussions on this topic, a software package called CAPACITY (cost and critical analysis of picture archiving and communication indicating its true yield) has been developed by BAZIS within the scope of its IMAGIS (image information system) project. CAPACITY calculates the costs in the year of introduction for both situations, conventional and PACS, based on the consumption or use of the various resources (e.g. film, optical disks, manpower in the archive, operators, network, workstations etc.) needed for the production of the radiological department. These two costs are calculated for a series of years, thus giving an indication for the moment of breakeven. User-supplied data is interrelated and checked for plausibility against a number of expert given rules of thumb by CAPACITY's critique module. The first results and experiences acquired during a pilot study using a prototype version of the package will be discussed. The CAPACITY package is available for evaluation and trial (only distribution costs will be charged if experiences and results are returned).
在全院范围内使用图像存档与通信系统(PACS)有望在未来带来诸多优势。然而,要获得这些益处需付出高昂成本。鉴于技术的快速发展,硬件成本有望降低。关于收益何时会超过成本的预期差异很大。为了更清楚地了解PACS与传统基于胶片的系统之间的成本比较,并促进对该主题的讨论,BAZIS在其IMAGIS(图像信息系统)项目范围内开发了一个名为CAPACITY(图像存档与通信的成本及关键分析,表明其实际收益)的软件包。CAPACITY根据放射科生产所需的各种资源(如胶片、光盘、存档人力、操作员、网络、工作站等)的消耗或使用情况,计算出传统系统和PACS系统在引入当年的成本。这两种成本会逐年计算,从而给出收支平衡的时间点。用户提供的数据相互关联,并由CAPACITY的评估模块根据一些专家给出的经验法则检查其合理性。将讨论使用该软件包原型版本进行试点研究期间获得的初步结果和经验。CAPACITY软件包可供评估和试用(如果反馈经验和结果,仅收取分发成本)。