Problems and Promises of Introducing the Magnetic Resonance Imaging Linear Accelerator Into Routine Care: The Case of Prostate Cancer
| Autor: | Hehakaya, Charisma, Van der Voort van Zyp, Jochem R., Lagendijk, Jan J. W., Grobbee, Diederick E., Verkooijen, Helena M., Moors, Ellen H. M., Innovation and Sustainability, Innovation Studies |
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| Přispěvatelé: | Innovation and Sustainability, Innovation Studies |
| Rok vydání: | 2020 |
| Předmět: |
0301 basic medicine
Cancer Research medicine.medical_specialty Staffing lcsh:RC254-282 cancer care Health administration 03 medical and health sciences Prostate cancer 0302 clinical medicine medicine Medical physics implementation Empirical evidence Routine care Original Research MR-Linac Abandonment (legal) Professional development image-guided radiotherapy lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens prostate cancer medicine.disease 030104 developmental biology Oncology 030220 oncology & carcinogenesis MRI-guided radiotherapy healthcare management Business qualitative research Qualitative research |
| Zdroj: | Frontiers in Oncology Frontiers in Oncology, 10. Frontiers Media S.A. Frontiers in Oncology, Vol 10 (2020) |
| ISSN: | 2234-943X |
| DOI: | 10.3389/fonc.2020.01741 |
| Popis: | The new radiotherapy high field, 1.5 Tesla MRI-guided linear accelerator (MR-Linac) is being clinically introduced. Sensing and evaluating opportunities and barriers at an early stage will facilitate its eventual scale-up. This study investigates the opportunities and barriers to the implementation of MR-Linac into prostate cancer care based on 43 semi-structured interviews with Dutch oncology care professionals, hospital and division directors, patients, payers and industry. The analysis was guided by the Non-adoption, Abandonment, Scale-up, Spread, and Sustainability framework of new medical technologies and services. Opportunities included: the acquirement of (1) advanced MRI-guided radiotherapy technology with (2) the potential for improved patient outcomes and (3) economic benefits, as well as (4) professional development and (5) a higher hospital quality profile. Barriers included: (1) technical complexities, (2) substantial staffing and structural investments, (3) the current lack of empirical evidence of clinical benefits, (4) professional silos, and (5) the presence of patient referral patterns. While our study confirms the expected technical and clinical prospects from the literature, it also reveals economic, organizational, and socio-political challenges. |
| Databáze: | OpenAIRE |
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