Olli Tolkki

Using the benefits of picture archiving and communicating systems constraints in stakeholder governance

Healthcare organisations are adopting new technologies with a view to controlling their costs and improving the quality of service. This study investigates different stakeholder management settings in four different phases of technology adoption: introduction, acquisition, implementation and utilisation. In radiology, the most crucial change in recent years has been the introduction of digital Picture Archiving and Communicating Systems (PACS). This article discusses the benefits of extensive utilisation of the PACS and the governance constraints that have complicated the technology adoption process at the HUS Helsinki Medical Imaging Center (HMIC). The study finds a link between the governance of organisational stakeholders and the dynamics of the technology introduction process. It also has both managerial and business implications vis-a-vis the technology introduction process. The managerial implications are related to the more extensive utilisation of the system and better control over the adoption process. Business implications for system vendors point out how they may improve their possibilities for cross-selling and up-selling.