{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T06:02:47Z","timestamp":1784872967484,"version":"3.55.0"},"reference-count":25,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T00:00:00Z","timestamp":1784851200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Health Serv."],"abstract":"<jats:p>\n                    High-cost medical technologies are usually evaluated by clinical outcomes and cost-effectiveness, while their organizational effects are less often examined. We conducted a 10-year longitudinal institutional case study (2012\u20132022) of 395 prostate cancer procedures, combining process tracing, descriptive quantitative trends, implementation records, and workflow documentation. Three quantitative indicators were examined across four adoption stages: procedural volume, biopsy-free surgery, and final pathological confirmation. Biopsy-free surgery increased from 13 of 55 procedures (23.6%) during experimentation to 96 of 125 (76.8%) during maturity, and final pathological confirmation increased from 22 of 55 (40.0%) to 96 of 125 (76.8%). Cochran\u2013Armitage tests showed significant increasing trends for both indicators (Z\u2009=\u20096.48 and 5.25, respectively; both\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&amp;lt;\u20090.001). Institutional records documented concurrent introduction of training, standardized protocols, structured assessment, multidisciplinary processes, and follow-up pathways. These findings demonstrate temporal changes in clinical practice and suggest, without quantitatively establishing, a broader evolution toward more coordinated prostate cancer care. Evaluation of high-cost technologies should therefore distinguish measured clinical changes from organizational interpretations based on implementation evidence.\n                  <\/jats:p>","DOI":"10.3389\/frhs.2026.1836470","type":"journal-article","created":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T05:36:00Z","timestamp":1784871360000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Longitudinal adoption of robotic surgery and changes in prostate cancer care delivery: a 10-year institutional case study"],"prefix":"10.3389","volume":"6","author":[{"given":"Min-Che","family":"Tung","sequence":"first","affiliation":[{"name":"Department of Surgery, Tungs\u2019 Taichung MetroHarbor Hospital","place":["Wuqi, Taichung, Taiwan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lihua","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Surgery, Tungs\u2019 Taichung MetroHarbor Hospital","place":["Wuqi, Taichung, Taiwan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi-Sheng","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Surgery, Tungs\u2019 Taichung MetroHarbor Hospital","place":["Wuqi, Taichung, Taiwan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chao-Yu","family":"Hsu","sequence":"additional","affiliation":[{"name":"Department of Surgery, Tungs\u2019 Taichung MetroHarbor Hospital","place":["Wuqi, Taichung, Taiwan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei-Chun","family":"Weng","sequence":"additional","affiliation":[{"name":"Department of Surgery, Tungs\u2019 Taichung MetroHarbor Hospital","place":["Wuqi, Taichung, Taiwan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lonfye","family":"Lye","sequence":"additional","affiliation":[{"name":"Department of Surgery, Tungs\u2019 Taichung MetroHarbor Hospital","place":["Wuqi, Taichung, Taiwan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yen-Chuan","family":"Ou","sequence":"additional","affiliation":[{"name":"Department of Surgery, Tungs\u2019 Taichung MetroHarbor Hospital","place":["Wuqi, Taichung, Taiwan"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,24]]},"reference":[{"key":"B1","volume-title":"Diffusion of Innovations","author":"Rogers","year":"2003"},{"key":"B2","doi-asserted-by":"publisher","first-page":"581","DOI":"10.1111\/j.0887-378X.2004.00325.x","article-title":"Diffusion of innovations in service organizations: systematic review and recommendations","volume":"82","author":"Greenhalgh","year":"2004","journal-title":"Milbank Q"},{"key":"B3","volume-title":"Platform Revolution: How Networked Markets Are Transforming the Economy","author":"Parker","year":"2016"},{"key":"B4","volume-title":"Platform 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