The pandemic has been a big driver for change. A key reason is the significantly increased need for remote image reading. In addition, because of Covid-19, budgets are under even more pressure due to the decrease in the number of patients, meaning hospitals are also looking for the most cost-effective solutions. On top of that, there is increased demand for networking and collaboration between hospitals – which is also a driver for using web-based cloud solutions like PACSonWEB as a PACS.