Abstract
The promise of picture archiving and communication systems (PACS) is, as yet, unrealized. Manufacturers provide what they can make rather than what radiologists and clinicians need. A failure to understand that a PACS is merely a tool in the health care enterprise, not an end in itself, has stifled development. The problem is compounded by a misunderstanding of the role of technology in personal services and the application of an erroneous analogy to productivity growth in the larger economy. Only by focusing on the goals of a radiology department—patient care and physician service—can radiologists overcome these difficulties and use PACS technology advantageously. The interaction between the system and its users must be the primary emphasis.
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