A Study to Determine User's Requirements for The Design of A PACS-Based Healthcare System in Iraq

INTRODUCTION: The Iraqi healthcare sector faces significant challenges in the management of medical images, leading to diagnostic delays and increased error rates. Picture Archiving and Communication Systems (PACS) are essential for improving workflow and patient care, yet their implementation in Iraq remains limited and underexplored. OBJECTIVES: This study aims to identify the essential user requirements and major obstacles for implementing PACS in Iraqi hospitals, and to propose solutions tailored to the local context. METHODS: A quantitative survey was conducted among 60 healthcare professionals to assess both functional and non-functional requirements for PACS. The survey also explored current usage, perceived barriers, and user expectations. RESULTS: Findings revealed that a significant proportion of respondents had never used PACS, highlighting the urgent need for comprehensive training and support. The main obstacles identified were high system upgrade costs, data security concerns, and slow image retrieval times. The study set specific goals: to improve image retrieval speed by at least 40%, ensure 95% data security, increase user satisfaction by 75%, address at least three major usability challenges, and develop and test a PACS prototype in two hospital departments. CONCLUSION: The research recommends the development of a customised PACS solution for Iraq, addressing the unique needs of the healthcare environment. These findings provide a foundation for future digital health initiatives, aiming to enhance healthcare quality, reduce diagnostic errors, and improve operational efficiency in Iraqi hospitals.