The diffusion of robotic surgery
Examining technology use in the English NHS
Bibliographic Data
| ID | 21467331 |
|---|---|
| Authors | Laia Maynou (0000-0002-0447-2959, Universitat de Barcelona, corresponding author), Georgia Pearson (London School of Economics and Political Science), Alistair Mcguire (0000-0002-5367-9841, London School of Economics and Political Science), Victoria Serra-Sastre (0000-0002-6329-4507, London School of Economics and Political Science) |
| Year | 2022 |
| Volume | 126 |
| Issue | 4 |
| Pages | 325-336 |
| Publication date | 2022-04-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Policy (JOURNAL) |
| Journal identifiers | ISSN: 0168-8510 • E-ISSN: 1872-6054 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.healthpol.2022.02.007 |
| PMID | 35307200 |
| OpenAlex | W4214736230 |
| Language | EN |
| Citations received | 1 |
| References cited | 33 |
This paper examines the adoption and diffusion of medical technology as associated with the dramatic recent increase in the surgical use of robots. We consider specifically the sequential adoption and diffusion patterns of three interrelated surgical technologies within a single healthcare system (the English NHS): robotic, laparoscopic and open radical prostatectomy. Robotic and laparoscopic techniques are minimally invasive procedures with similar patient benefits, but the newer robotic technique requires a high initial investment cost to purchase the robot and carries high maintenance costs over time. Using data from a large UK administrative database, Hospital Episodes Statistics, for the period 2000-2018, we analyse 173 hospitals performing radical prostatectomy, the most prevalent and earliest surgical area of adoption of robotic surgery. Our empirical analysis first identifies substitution effects, with robotic surgery replacing the incumbent technology, including the recently diffused laparoscopic technology. We then quantify the spillover of robotic surgery as it diffuses to other surgical specialties. Finally, we perform time-to-event analysis at the hospital level to quantitatively examine the adoption. Results show that a higher number of urologists and a wealthier referral area favor robot adoption
Economics · Health care · Health technology · Laparoscopic radical prostatectomy · Laparoscopic surgery · Laparoscopy · Medical physics · Open surgery · Operations management · Prostatectomy · Robot · Robotic surgery · Surgical robot · Computer Science · Engineering · Global Health Care Issues · Medicine · Renal and Vascular Pathologies · Retirement, Disability, and Employment · Artificial Intelligence · Surgery
| Unique citing works | 1 |
|---|---|
| Citations per year | 0,5 |
| Citation span | 2024 - 2024 (1) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 1 |