IDEAS home Printed from https://ideas.repec.org/p/ohe/conrep/001976.html
   My bibliography  Save this paper

Barriers to Uptake of Minimal Access Surgery in the United Kingdom

Author

Listed:
  • Cole, A.
  • O'Neill, P.
  • Sampson, C.
  • Lorgelly, P.

Abstract

Surgical practice has and continues to develop at a tremendous pace, reflecting the evolving technological landscape as well as the expanding skillset of the surgical workforce. Minimal access surgery (MAS) can offer improved recovery prospects for patients, but uptake in the UK is variable across both procedures and hospitals. Through in-depth interviews with key stakeholders (surgeons from both the NHS and private sector, clinical directors and finance directors), supported by an evaluation of the literature, we assess the benefits of minimal access surgery, the extent to which these benefits are realised in practice, and the major barriers to wider adoption. Whilst considerations need to be procedure-specific, both the literature and interviews supported the role for MAS in delivering clinically- and cost-effective patient care, and improving patient experience. Thematic analysis of the interviews identified five key themes as potentially affecting the uptake of MAS - (1) the evidence base, (2) the role of stakeholders (hospitals, commissioners, surgeons and patients), (3) training requirements, (4) the context of the service delivery model (in particular the financial constraints of the NHS), and (5) the forthcoming robotic era. The barriers are explored in detail, along with potential solutions to address them and to harness the benefits of MAS.

Suggested Citation

  • Cole, A. & O'Neill, P. & Sampson, C. & Lorgelly, P., 2018. "Barriers to Uptake of Minimal Access Surgery in the United Kingdom," Consulting Reports 001976, Office of Health Economics.
  • Handle: RePEc:ohe:conrep:001976
    as

    Download full text from publisher

    File URL: https://www.ohe.org/system/files/private/publications/467%20-%20Consulting%20Barriers%20to%20Uptake%20of%20MAS%20%28FINAL%29.pdf
    Download Restriction: no

    References listed on IDEAS

    as
    1. Zafer Tandogdu & Luke Vale & Cynthia Fraser & Craig Ramsay, 2015. "A Systematic Review of Economic Evaluations of the Use of Robotic Assisted Laparoscopy in Surgery Compared with Open or Laparoscopic Surgery," Applied Health Economics and Health Policy, Springer, vol. 13(5), pages 457-467, October.
    Full references (including those not matched with items on IDEAS)

    More about this item

    Keywords

    Economics of innovation; Incentivising quality;

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:ohe:conrep:001976. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Publications Manager). General contact details of provider: http://edirc.repec.org/data/ohecouk.html .

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.