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Current issues and future considerations for the wider implementation of robotic-assisted surgery: a qualitative
Louisa Lawrie1, Katie Gillies2, Loretta Davies3
1Health Services Research Unit, Institute of Applied Health Sciences, School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Aberdeen, UK louisa.lawrie1@abdn.ac.uk.
BMJ Open
|November 11, 2022
Summary
Stakeholders have positive views on robotic-assisted surgery (RAS) but highlight needs for quality control, training, public education, and equitable access to optimize its future implementation in the UK.
Area of Science:
- Healthcare innovation
- Surgical technology
- Health services research
Background:
- Robotic-assisted surgery (RAS) is a rapidly evolving healthcare innovation.
- Effective implementation of RAS is influenced by external contextual factors.
- Optimizing RAS implementation requires understanding current challenges and future predictions.
Purpose of the Study:
- To uncover current issues and future predictions for robotic-assisted surgery (RAS).
- To identify challenges and opportunities in RAS implementation within the UK healthcare system.
- To gather perspectives from key stakeholders involved in RAS delivery and implementation.
Main Methods:
- Qualitative study employing semi-structured interviews and focus groups.
- Thematic analysis of participant data to identify salient issues.
- Involved a diverse sample of 35 healthcare professionals and 15 public/trainee participants.
Main Results:
- Predominantly positive attitudes towards RAS technology and expected expansion.
- Key areas for attention include quality control, expertise quantification, and training.
- Public education, centralisation, service organisation, and equity of access were also emphasised.
Conclusions:
- Identified pertinent issues for current and future RAS provision.
- Findings can guide healthcare managers and surgeons in RAS adoption and expansion planning.
- Addressing highlighted areas is crucial for successful RAS integration.
