Fatemeh Saghafi
Zainabolhoda Heshmati
Mahmood Heydari
Mohammad Khansari

This study clarified the critical success factors (CSFs) that effect on adopting and implementing PACS and its applications in Iranian hospitals. We identified CSFs by literature review and interview by experts. Then examined its importance by T-test with 110 respondents. Kaiser-Meyer test and Varimax rotation are used for validity of data. Factor analysis is used for clustering. And the results are examined in 11hospitals who have implemented PACS. 20 of 23 CSFs, are distinguished important by T-test and clustered in 6 groups by Factor analysis. (1st) Ability to choose and purchase the appropriate PACS; (2nd) Being patient-centered and paying attention to patient satisfaction; were the most important CSFs. 77% questionnaires were completed by less than 2% miss data. The results are approved in 11 hospitals in Iran. This paper fulfils an identified need to study how PACS can be adopted in Iran's hospital by determining 6 CSFs. They can be applicable for policy makers and managers of other hospitals of Iran and some developing countries such as Iran to use of PACS as integrated IT technology.

PACS, Cloud computing, Futures trends, CSF, decision makers