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.
Highlights
The rapid development of medical technologies, along with improvements in medical standards and the rise of patient awareness has driven the evolution of traditional large-incision surgical practices to the development of Minimally Invasive Surgery (MIS) which minimizes incision size, blood loss and post-surgical pain [1,2,3,4]
MIS practices have subsequently driven the development of Robotic Surgical Systems (RSS), which aim to improve on Conventional Laparoscopic Surgery (CLS), reduce natural tremor, and improve surgical accuracy and vision [5]
This study was conducted using the method proposed by Chin (1998), in which discriminant validity is demonstrated by the square root of average extraction variance (AVE) of each facet exceeding the correlation coefficient between the facets [34]
Summary
The rapid development of medical technologies, along with improvements in medical standards and the rise of patient awareness has driven the evolution of traditional large-incision surgical practices to the development of Minimally Invasive Surgery (MIS) which minimizes incision size, blood loss and post-surgical pain [1,2,3,4]. MIS practices have subsequently driven the development of Robotic Surgical Systems (RSS), which aim to improve on Conventional Laparoscopic Surgery (CLS), reduce natural tremor, and improve surgical accuracy and vision [5]. Previous relevant research on patient views on surgery and patient satisfaction mainly focused on the patient’s perception of the degree of success of their surgery or how various surgical factors affect patient decision-making [12, 13]. Few such studies examine patient views on emerging medical technologies, especially patient decision-making and intention to adopt new surgical technologies
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