醫院無片化管理之效益評估－－衛生署新竹醫院之PACS導入經驗

Assessment in the Effectiveness in a Filmless Hospital - The Experience of PACS Implementation in Hsin Chu General Hospital

近年來，隨著影像儲傳系統（PACS）使用率的增加，已大幅改變了醫院放射科的運作。傳統X光片的缺點包括耗用大量儲存空問、輸送人力及等待時間，為了解決這些問題並提昇管理效率及病患滿意度，衛生署新竹醫院自三年前分階段導入醫療影像儲傳系統（PACS）。我們在此報告本院之系統架構並比較導入前後之各項指標；我們發現建置無片化醫院後獲得的效益包括：1、可減少傳統軟片及藥水的成本。2、縮短檢查流程及判讀報告的時間。3、提昇教學及會診的效率。4、降低廢片及廢水造成的環境污染。5、提高病患滿意度。這些結果證明了影像儲傳系統的成本效益並替本院節省約每年850萬元成本。因此我們建議各醫院應儘早導入PACS，以享受無片化管理的各項好處。

In recent years, the field of radiology has been virtually transformed through the increased use of picture archive and communications systems (PACS). The demerits of traditional X-ray films include large storage space, man power consuming, and time consuming in film retrieving. We try to solve these problems and improve our productivity and patient satisfaction in Hsin Chu General Hospital by implementation of PACS since three years ago. In this presentation, we will introduce our system frame and compare the effectiveness of different measurement before and after PACS implementation. We find the effectiveness of filmness hospital include: 1. Money saving from films, developer and fixer. 2. Tune saving in the whole examination process and making report. 3. More efficient in teaching and consultation. 4. Less pollution by decease of film and water waste. 5. Improved patient satisfaction. As the above results, PACS of our hospital is cost-effective and may save NT$8,500,000 per year. We suggest to implement PACS and establish a filmless hospital as soon as possible.