Related Experiment Video
Updated: Aug 6, 2026

The Dyspepsia Educational Tool As a Novel Aid in Dyspepsia Management
Published on: June 29, 2019
Diffusion of innovation in medicine to evaluate impact of new technology
Bryant Morocho1, N Joseph Espat2, Ponnandai Somasundar3
1Department of Surgery, Division of Surgical Oncology, Roger Williams Medical Center, Providence, RI, USA; Roger Williams Surgery and Cancer Outcomes Research and Equity (RWSCORE) Center, Roger Williams Medical Center, Providence, RI, USA.
Purpose:
Diffusion of Innovation (DOI) model, used in finance to evaluate technology adoption, was applied to medicine using robotic surgery adoption as a case study.
Methods:
National Cancer Database (2010-2021), facility level compound annual growth rate (CAGR) in colorectal surgical volume was calculated. Facilities were grouped by year of robotic adoption into DOI categories. Multivariable linear regression estimated associations between CAGR, DOI groups, initial surgical volume and robotic utilization.
Results:
There were 714,742 patients. DOI groups demonstrated a bell-shaped association with CAGR (Innovators β = 1.88; Early Majority β = 3.98; Late Majority: 2.57; Laggards: 2.07; all p < 0.01). Patients travelled further to Innovator/Early Adopters (β = 7.42 miles) and Early Majority hospitals (β: 8.25 miles, both p < 0.01).
Conclusion:
DOI served as a useful model to evaluate the impact of technology adoption at various points of dissemination, demonstrating largest surgical volume growth in institutions who adopt the technology after a period of initial dissemination.
More Related Videos
10:42Design to Implementation Study for Development and Patient Validation of Paper-Based Toehold Switch Diagnostics
Published on: June 17, 2022
06:05The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
Related Concept Videos
Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Clinical Trials: Overview
Clinical Trials
There are four phases in a clinical trial. A phase one...
Therapeutic Drug Monitoring: Affecting Factors
Impact of Pharmacokinetic–Pharmacodynamic Models: Regulatory Decisions
Automated Microbial Diagnostics