The Diffusion of Robotic Surgery in Health Public Organizations: The Case of the National Cancer Institute of Brazil (INCA)
DOI:
https://doi.org/10.21118/apgs.v1i3.4909Keywords:
gestão em saúde, inovação, difusão, tecnologia, cirurgia robóticaAbstract
The purpose of this article is to analyze the process of diffusion of surgery assisted by robotics in the Unified Health System (SUS) through a case studyconducted at the National Cancer Institute of Brazil (INCA). This is a theoretical, empirical and qualitative study, whose data were collected through participant
observation, internal documents and semi-structured interviews. The evidence collected indicates the relevance of INCA for the definitive incorporation of
robotic surgery in SUS. Reports from the clinical area left no doubt of the benefits of robotic surgery to the quality of life of patients. However, indications were
collected demonstrating the lack of consensus on the cost-effectiveness of robotic in public hospitals in countries with Brazilian social, economic and
demographic profile. There are also indications that the process of adoption by SUS of state of the art medical technologies is not a decision with clearly defined
criteria. Thus, the inclusion of procedures in the compensation table proved to be the major challenge in the diffusion process of robotic surgery into the SUS.
Keywords: health management; innovation; diffusion; technology; robotic surgery.
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References
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Yin, R. K. (2005). Estudo de caso: planejamento e métodos. Porto Alegre: Bookman.
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Baek, S. et alli. (2012). Robotic versus conventional laparoscopic surgery for rectal cancer: a cost analysis from a single institute in Korea. World Journal of Surgery, 36(11), 2722-2729.
Ballantyne, G.H, & Moll, F. (2003). The da Vinci telerobotic surgical system: the virtual operative field and telepresence surgery. Surgical Clinics of North America, 83(6), 1293–1304.
Bardin, L. (1999). Análise de Conteúdo. Lisboa: Edições 70, LDA,.
Bell, M. & Figueiredo, P.N. (2012). Innovation capability building and learning mechanisms in latecomer firms: recent empirical contributions and implications for research. Canadian Journal of Development Studies, 3(1), 14-40.
Button, V.L.S.N. & Oliveira, E.J.V. (2012). Uma estratégia de desenvolvimento para o sistema nacional de inovação de produtos médicos. Revista Brasileira de Engenharia Biomédica, 28 (2), 124-139.
Calil, S.J. (2011). Gestão de tecnologias hospitalares. In: VENCINA NETO, G.; MALIK, A.M. Gestão em Saúde. 1ª. ed. Rio de Janeiro: Guanabara Koogan.
Camarillo, D. B., Krummel, T. & Salisbury, K.J. (2004). Robotic technology in surgery: past, present, and future. The American Journal of Surgery, 188 (4), 2-15.
Christensen, J. F. (2006). Whiter core competency for the large corporation in an open innovation world? In: Chesbrough, H.W, & Vanhaverbeke, W. J. Open innovation: researching a new paradigm. New York: Oxford University Press.
Daniels, N. (2006). Toward ethical review of health system transformations. American Journal of Public Health, v (3), 447-451.
Dixon-Woods, M. et al. (2011). Problems and promises of innovation: why healthcare needs to rethink its love/hate relationship with the new. BMJ Quality & Safety, 20(1), 147-151.
Ekedahl, M. & Wengstrom, Y. (2008). Coping processes in a multidisciplinary healthcare team a comparison of nurses in cancer care and hospital chaplains. European Journal of Cancer Care, 7(1), 42-48.
Fichman, R G. (2000). The diffusion and assimilation of information technology innovations. In ZMUD R.B. (Dir.). Framing the domains of IT management: projecting the future through the past (pp. 105-127). Cincinnati: Pinnaflex Educational Resources Inc.
Figueiredo, P. N. (2009). Gestão da inovação: conceitos, métricas e experiências de empresas no Brasil. Rio de Janeiro: LTC.
Freeman, C. & Soete, L. (1997). The economics of industrial innovation. 3. ed. London: Frances Pinter.
Freire, R. P., Pitassi, C., Gonçalves, A.A., & Schout, D. (2012). Gestão de equipamentos médicos: o papel das práticas de qualidade em um hospital de excelência brasileiro. Revista de Administração Hospitalar e Inovação em Saúde, 8(8), 28-41.
Barbash, G.I., & Glied, SA. . (2010). New technology and health care costs—the case of robot-assisted surgery. New England Journal of Medicine, 363, 701–704.
Gaia, G. et alli. A. (2010). Robotic-assisted hysterectomy for endometrial cancer compared with traditional laparoscopic and laparotomy approaches: a systematic review. Obstet Gynecology, 116(6), 1422–1431.
Nakib, G. et alli. G. (2013). Robotic assisted surgery in pediatric gynecology: promising innovation in mini invasive surgical procedures. Journal of Pediatric and Adolescent Gynecology, 6(1), e5–e7.
Gibilisco S. (1994). The McGraw-Hill illustrated encyclopedia of robotics & artificial intelligence. New York: McGraw-Hill,
Giulianotti, P. C., et alli. (2003). Robotics in general surgery: personal experience in a large community hospital. Archives Surgery, 8(7), 777-784.
Gonçalves, A.A.; Pitassi, C. & Moreno, V.Jr . (2014). The case of Inca´s National Tumor Bank management system in Brazil. Revista de Gestão da Tecnologia e Sistemas de Informação (Online), 11(3), 549-568.
Gomes, P. (2011). Surgical robotics: reviewing the past, analyzing the present, imagining the future. Robotics and Computer-Integrated Manufacturing, 27(2), 261-266.
Hartley, J. (2005). Innovation in governance and public services: past and present. Public Money and Management, 25(1), .27-34.
Herzlinger, R. E. (2006). Why innovation in health care is so hard. Harvard Business Review, 84(5), 58-66.
Hughes, B. & Wareham, J. (2010). Knowledge arbitrage in global pharma: a synthetic view of absorptive capacity and open innovation. Research & Development Management, 40(3), 324-343.
Isaacson, W. (2014). The innovators: how a group of hackers, geniuses, and geeks created the Digital Revolution. New York: Simon & Schuster.
Lara, N. (2015). Diagnosis Related Groups (DRG’s) e seus efeitos sobre os custos e a qualidade dos serviços hospitalares. Instituto de Estudos de Saúde Complementar, Textos para Discussão, 54.
Levaggi, R., Moretto, M. & Rebba, V. (2009). Investment decisions in hospital technology when physicians are devoted workers. Economics of Innovation and New Technology, 18(5), 487-512.
Miles, M.B., Huberman. M.A. & Saldaña, J. (2014). Qualitative data analysis. A methods sourcebook. London: SAGE Publications.
Nof, S.Y. & Hall, N. G. (2007). Handbook of industrial robotics. Second Edition. New Jersey: John Wiley & Sons, Inc.
Kaplan, R.S. & Porter, M.E. (September 2011). How to solve the cost crises in health care. Harvard Business Review, 89(9), 47-64.
Organização para a Cooperação e Desenvolvimento Econômico-OCDE. (2007). Manual de Oslo - Diretrizes para a coleta e interpretação de dados sobre Inovação. 3ª ed., Tradução FINEP, Recuperado de http://download.finep.gov.br/imprensa/oslo2.pdf.
Orvieto M.A. et alli. (2011). Robotic technologies in surgical oncology training and practice. Surgical Oncology, 20(3), 203-209.
Porter, M.E. & Lee, T.H. (October 2103). The strategy that will fix health care. Harvard Business Review,. Disponível em https://hbr.org/2013/10/the-strategy-that-will-fix-health-care. Acesso em abril de 2015.
Powell, W.W.; White, D; R.; Koput, K.W. & Owen-Smith, Jason. (2005). Network dynamics and field evolution: the growth of interorganizational collaboration in the life sciences. American Journal of Sociology, 110(4), 1132-1205.
Rogers, E. M. (2003). Diffusion of innovations. New York: Free Press.
Schumpeter, J. (1934). The theory of economic development. Cambridge: Harvard UP.
Thakur, R.; Hsu, S. H.Y; Fontenot, G. (2012). Innovation in healthcare: Issues and future trends. Journal of Business Research, 65(4), 562–569.
Tidd, J., Bessant, J. & Pavitt, K. (2008). Gestão da inovação. Porto Alegre: Bookman.
Varkey, P., Horne, A. & Bennet, K.E. (2008). Innovation in health care: a primer. American Journal of Medical Quality, 23(5), 382-388.
Yin, R. K. (2005). Estudo de caso: planejamento e métodos. Porto Alegre: Bookman.
Windrum, P., Garcia-Goñi, M. & Fairhurst, E. (2010). Innovation in public health care: diabetes education in the UK. In: Gallouj F. & Djellal F. The Handbook of Innovation and Services: a multi-disciplinary perspective. Cheltenham, UK: Edward Elgar.
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Published
2016-08-08
How to Cite
Pitassi, C., Gonçalves, A. A., Barbosa, J. G. P., & Martins, C. H. F. (2016). The Diffusion of Robotic Surgery in Health Public Organizations: The Case of the National Cancer Institute of Brazil (INCA). Administração Pública E Gestão Social, 1(3), 187–197. https://doi.org/10.21118/apgs.v1i3.4909
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