How Are Decisions to Introduce New Surgical Technologies Made? Advanced Laparoscopic Surgery at a Canadian Community Hospital: A Qualitative Case Study and Evaluation
| Autor: | David R. Urbach, Bharat Sharma, Julie L. Harnish, Nathalie M. Danjoux |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Laparoscopic surgery
media_common.quotation_subject medicine.medical_treatment Hospitals Community 03 medical and health sciences 0302 clinical medicine Nursing Humans Medicine Operations management 030212 general & internal medicine Enforcement Decision Making Organizational Qualitative Research media_common Ontario Health Priorities business.industry 030503 health policy & services Organizational Innovation Community hospital Organizational Case Studies Accountability Laparoscopy Surgery The Conceptual Framework Diffusion of Innovation Thematic analysis 0305 other medical science business Publicity Qualitative research |
| Zdroj: | Surgical Innovation. 13:250-256 |
| ISSN: | 1553-3514 1553-3506 |
| DOI: | 10.1177/1553350606296341 |
| Popis: | The introduction of many new surgical technologies is associated with increased costs and uncertainty regarding risks and benefits. Currently, little is known about how decisions are made regarding the adoption of surgical innovations. To study the decision-making process for adoption of advanced laparoscopic surgical procedures at a community hospital in Toronto, Canada, we used qualitative case study methods. Data were collected using semi-structured interviews with key informants. We performed a modified thematic analysis of the data, using the conceptual framework for priority setting known as accountability for reasonableness, which consists of 4 conditions: relevance, publicity, appeals, and enforcement. Several advanced laparoscopic surgical procedures were introduced at the hospital between 2000 and 2005. During that time, there was no structured, explicit process for making decisions about introducing new surgical technologies. Use of the new surgical technologies was relevant, as measured by the perception of patient benefit and alignment with the hospital’s strategic priorities. There was no systematic structure in place to oversee publicity, appeals, or enforcement. The decision to adopt advanced laparoscopic surgery at a community hospital in Toronto, Canada, was made primarily on the basis of its relevance to patient care. The process for making decisions about the adoption of new surgical technologies can be improved. |
| Databáze: | OpenAIRE |
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