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    Innovating organ delivery to improve access to care: Surgeon perspectives on the current system and future use of unmanned aircrafts

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    Author
    Talaie, Tara
    Niederhaus, Silke
    Villalongas, Ester
    Scalea, Joseph
    Date
    2020-11-23
    Journal
    BMJ Innovations
    Publisher
    BMJ Publishing Group
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.1136/bmjinnov-2020-000439
    Abstract
    Objective Organ transportation requires innovation. We recently showed that unmanned aircraft systems (UAS) could transport human organs. There are no data addressing UAS acceptance among healthcare providers. Conceptually, UAS implementation may improve delivery of care through improved efficiency. We sought to learn surgical perspectives on current and innovated organ transport systems. Methods An Institutional Review Board exempt, pretested, 5-point Likert scale web-based survey was undertaken. Transplant surgeons taking kidney transplant offers in the USA (n=174) were sampled. Results Of 174 surveys, 122 were delivered successfully, and 55 responses collected. Mean age was 48.1 (range 34-64), and 80% were male. Forty-two (76.4%) surgeons felt cold ischaemia time reduction to 8 hours would increase organ acceptance rates. More than 23% of respondents were fearful and 34.5% nervous regarding drones. Nearly all (92.7%) respondents believed drones could help people; 90.9% felt the mode of transportation was irrelevant to their decision to accept an organ but that speed and quality were most important. Only 16.4% of surgeons believed the current system is adequate for our transportation needs. Conclusions Surgeons feel the present system of organ transportation needs reform, and an innovated system using UAS might improve care. An innovated organ transportation system involving UAS may lead to fear and anxiety among transplant surgeons, suggesting that research and education are required ahead of adoption.
    Keyword
    clinical decision-making
    delivery of health care
    ethics
    health care facilities, manpower and services
    health care quality, access and evaluation
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/14314
    ae974a485f413a2113503eed53cd6c53
    10.1136/bmjinnov-2020-000439
    Scopus Count
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    UMB Open Access Articles 2020

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