Health Policy 2022 Apr 27;126(4):325-336. Epub 2022 Feb 27.
Department of Economics, City, University of London, Northampton Square, EC1V 0HB London, UK; Department of Health Policy, London School of Economics and Political Science, Houghton Street, WC2A 2AE London, UK; Visiting Research Fellow, Office of Health Economics, 105 Victoria Street, London, SW1E 6QT, UK.
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. Read More