The challenges of installing Picture Archiving and Communication Systems (PACS) in a low- or poor-income resource nation: Our experience in a teaching hospital in Sub-Saharan Africa

Kogha Nicholas, Emuoghenerue Onoriode Ekokidolor, Eberegwa Eguono, Anyanwu Ebiringa Blaise
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Abstract

The practice of radiology as a subspecialty of medicine has undergone remarkable advancement as a result of picture archiving and communication Systems(PACS) technology. This technology allows for storage and retrieval of radiographic images and reports at any time, and possible transfer to other locations for secondary viewing and opinions. PACS enables healthcare professionals to access and review medical images quickly, allowing for faster and more accurate diagnosis and treatment planning. However, there are challenges involved in its installation and operations in our health facility, a teaching hospital in Sub-Saharan Africa. These challenges range from lack of huge financial resources required to acquire PACS equipment and accessories to lack of steady and regular electric power supply. Other challenges include inadequate dedicated space for its installation, inadequate functional cooling systems for its sensitive components, inadequate internet services for end users and paucity of qualified and trained personnel. There is, therefore, need for increased government and private sector funding in order to surmount these challenges, thereby enhancing health promotion in Sub-Saharan Africa.
在低收入或资源贫乏的国家安装图片存档和通信系统(PACS)所面临的挑战:我们在撒哈拉以南非洲一家教学医院的经验
由于图片存档和通信系统(PACS)技术的发展,放射学作为医学的一个分支学科取得了显著进步。这项技术允许随时存储和检索放射影像和报告,并可将其传输到其他地点进行二次查看和提出意见。PACS 使医护人员能够快速访问和查看医学影像,从而更快、更准确地制定诊断和治疗计划。然而,在我们的医疗机构--撒哈拉以南非洲的一家教学医院--安装和运行 PACS 却面临挑战。这些挑战包括缺乏购置 PACS 设备和配件所需的巨额资金,以及缺乏稳定和正常的电力供应。其他挑战还包括安装 PACS 的专用空间不足、敏感元件的功能性冷却系统不足、为终端用户提供的互联网服务不足以及合格和训练有素的人员匮乏。因此,需要增加政府和私营部门的资金投入,以克服这些挑战,从而加强撒哈拉以南非洲的健康促进工作。
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