Repository hosted by TU Delft Library

Home · Contact · About · Disclaimer ·

Implications of minimally invasive therapy

Publication files not online:

Author: Banta, H.D. · Schersten, T. · Jonsson, E.
Institution: Instituut voor Verouderings- en Vaatziekten Onderzoek TNO
Source:Health Policy, 1-2, 23, 167-177
Identifier: 232393
doi: doi:/10.1016/0168-8510(93)90014-G
Keywords: Health · Communication · Day surgery · Minimally invasive therapy · Quality assurance · Training · ambulatory surgery · article · biomedical technology assessment · cost benefit analysis · health care delivery · health care policy · health care quality · mass communication · medicine · organization and management · patient · surgery · therapy · Ambulatory Surgical Procedures · Cost-Benefit Analysis · Delivery of Health Care · Diffusion of Innovation · Europe · Health Policy · Hospitals · Human · Patient Participation · Quality Assurance, Health Care · Specialties, Medical · Surgical Procedures, Operative · Technology Assessment, Biomedical · Therapeutics


The field of minimally invasive therapy (MIT) raises many important issues for the future of health care. It seems inevitable that MIT will replace much conventional surgery. This trend is good for society and good for patients. The health care system, however, may find the change disruptive. The need for hospital beds will shrink. Day surgery and community care will grow. Physicians will have to have special training in doing the new procedures. New organizational forms of care will evolve. Quality assurance procedures will be needed to assure that out-of-hospital care is safe and effective. One negative consequence of MIT is that the indications broaden, so that many 'preventive' procedures may be carried out. Societies are doing little to face up to these changes. The potential of MIT could be enhanced by active policy interventions, including evaluation and attention to the organization and financing of health care.