When Does Da Vanci Robotic Surgical Systems Come Into Play?

Abstract

The emergent of medical science and technology has risen the minimally invasive surgery. Da Vinci Robotic Surgical Systems (RSS) is the trend at present. Compared with the past surgical methods, many studies related to RSS tend to explore postoperative outcomes and quality of life or compare the advantages and disadvantages than the other surgery. Few studies to understand the patients' willing who use RSS. This study mainly explores the patients' willingness and adopts the Technology Acceptance Model (TAM) as the theoretical foundation, and appended the trust concept to discuss. The study was a retrospective study and used a structured questionnaire to conduct a survey. The subjects included the patients with single-disease who had used RSS in a Medical Center of Southern Taiwan but excluded the patients with multiple disorder. This study conducted SPSS 22.0 and Smart PLS 2.0 software for statistical analysis, which included descriptive statistical analysis and applied Partial Least Squares (PLS) analysis to test the research model and to examine the established hypotheses. A total of 136 cases were collected in this study. Study validation was tested. Trust positively affects Perceived Usefulness (β = 0.550) and Perceived Ease of Use (β = 0.300). Perceived Ease of Use positively affects Perceived Usefulness (β = 0.188). Perceived Usefulness positively affects Attitude Toward Using (β = 0.589. Attitude Toward Using positively affects Behavioral Intention (β = 0.446. The relationship between perceived Ease of Use and Attitude toward Using was insignificant. Additionally, the relationship between Perceived Usefulness and Behavioral Intention was insignificant. In the research results, we found that patients are mostly in the middle and high age groups, and if the patient himself feels that RSS is extremely helpful to his illness, the intensity of his choice of intention will be high. In comparison, the information related to RSS has been clearly known, it does not directly affect the selection intention. According to age, most of the choices of RSS is based on safety and risk considerations, and it is beneficial to the patient himself, but RSS is also more expensive. We recommended that the government consider ββ reimbursing the RSS process in health insurance programs to meet the needs and expectations of patients.

Investigating Patients' Continuance Intention Toward Conversational Agents in Outpatient Departments: Cross-sectional Field Survey

“…Although accumulated evidence has shown the significant impact of perceived ease of use on both perceived usefulness and usage intention [ 15 - 17 ], in this study, perceived ease of use turned out to be trivial in the context of CAs. Not coincidentally, some studies on information system usage in hospitals have also shown the insignificant relationship between perceived ease of use and usage intention [ 36 - 38 ]. This result indicates that once CAs prove to be useful and effective, patients will consider it worth their time and effort to learn how to use CAs.…”

The evolution and development of a robotic acute care surgery program

“…As robotics have evolved over the last 25 years, the scientific evidence has continued to accumulate in response to the rapid adoption of this technology by surgeons across specialties. Today, there are more than 30,000 peer-reviewed publications on da Vinci robotic-assisted surgery 2 . However, as robotics have been integrated into each specialty, safety, feasibility, and reproducibility have been concerns for surgeons and hospitals.…”

“…Today, there are more than 30,000 peer-reviewed publications on da Vinci robotic-assisted sur-gery. 2 However, as robotics have been integrated into each specialty, safety, feasibility, and reproducibility have been concerns for surgeons and hospitals.…”