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Diffusion of laparoscopic technologies in Denmark.

P B Poulsen¹, S Adamsen, H Vondeling

¹Centre for Health and Social Policy, Odense University, Denmark. p.poulsen@chsmed.ou.dk

Health Policy (Amsterdam, Netherlands)

|July 6, 1998

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Minimally invasive surgery adoption in Denmark was rapid for laparoscopic cholecystectomy but slower for other procedures. Technology, training, and competition spurred adoption, while budget constraints impeded it, suggesting a need for health technology guidance.

Area of Science:

Surgical Innovation
Health Services Research
Medical Technology Adoption

Background:

Minimally invasive therapy, exemplified by laparoscopic cholecystectomy, is predicted to significantly impact general surgery.
Understanding the adoption determinants of various laparoscopic technologies is crucial for healthcare planning.

Purpose of the Study:

To investigate the factors influencing the adoption of five laparoscopic technologies in Denmark.
To identify stimulating and impeding factors for the diffusion of surgical innovations.

Main Methods:

A questionnaire survey was distributed to 59 Danish hospitals regarding 17 factors affecting the adoption of laparoscopic cholecystectomy, appendicectomy, colon cancer surgery, inguinal hernia repair, and fundoplication.
Fifty hospitals (85% response rate) provided data on technology adoption and influencing factors.

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Main Results:

Laparacopic cholecystectomy adoption reached 98% in Denmark (1991-1995), while other procedures ranged from 7-65% adoption.
Early adopters were typically large, specialized hospitals.
Technology nature, training, competition, and media attention stimulated adoption; budget and regulation impeded it.

Conclusions:

Stimulating factors generally outweighed impeding factors for laparoscopic technologies, indicating a need for guided adoption of new health technologies.
An early warning system is proposed as a health policy in Denmark to ensure timely guidance for new technology implementation.