La chirurgia robotica - Agenzia sanitaria e sociale regionale ...

La chirurgia robotica: il robot da Vinci
Measuring tools and indicators are also suggested to monitor the process of introduction
and integration of the new technology into the Regional Health System.
Chapter 6 . Adoption of the da Vinci robot in the Regional Health System
In line with the da Vinci robot’s status of emerging technology, knowledge on its clinical
effectiveness and potential health impact is limited and does not allow to forward firm
conclusions or indications for future adoption programmes. Nonetheless, applying the
criteria used for establishing plausible clinical effectiveness (Chapter 3), economic
sustainability (Chapter 4) and necessary requirements for introduction and integration
of the technology in the health service (Chapter 5), some hypothetical scenarios for the
adoption and support to the development of robotic surgery are proposed:
• experimental use of the da Vinci robot in local Health Trusts (mono-center clinical
trials);
• experimental use in the Regional Health System (multi-center clinical trials);
• use of the technology for training purposes and set-up of a regional school for robotic
surgery;
• acquisition of a da Vinci robot;
• demission of a robotic surgery’s service.
Each scenario is discussed on the basis of the main issues considered in the preceding
chapters (clinical use, research questions, organizational requirements and economic
impact).
Appendix: full version of the systematic review of scientific literature and tables
of evidence.
Dossier 167
12