Health Care Robotics: Qualitative Exploration of Key Challenges and Future Directions

• Published in: Journal of medical Internet research Vol. 20; no. 7; p. e10410
• Main Authors: Cresswell, Kathrin, Cunningham-Burley, Sarah, Sheikh, Aziz
• Format: Journal Article
• Language: English
• Published: Canada Journal of Medical Internet Research 01.07.2018; Gunther Eysenbach MD MPH, Associate Professor; JMIR Publications
• Subjects: Artificial intelligence; Automation; Challenges; Consent; Data analysis; Delivery of Health Care - standards; Design; Disruption; Electronic health records; Female; Forecasting; Health care; Health care delivery; Health care reform; Humans; Innovations; Integrated care; Intelligence; Interviews; Male; Original Paper; Robotics; Robotics - methods; Robots; Surgeons; Technology application; robotics; sociotechnical; health care
• ISSN: 1438-8871; 1439-4456; 1438-8871
• DOI: 10.2196/10410

The emergence of robotics is transforming industries around the world. Robot technologies are evolving exponentially, particularly as they converge with other functionalities such as artificial intelligence to learn from their environment, from each other, and from humans. The goal of the research was to understand the emerging role of robotics in health care and identify existing and likely future challenges to maximize the benefits associated with robotics and related convergent technologies. We conducted qualitative semistructured one-to-one interviews exploring the role of robotic applications in health care contexts. Using purposive sampling, we identified a diverse range of stakeholders involved in conceiving, procuring, developing, and using robotics in a range of national and international health care settings. Interviews were digitally recorded, transcribed verbatim, and analyzed thematically, supported by NVivo 10 (QSR International) software. Theoretically, this work was informed by the sociotechnical perspective, where social and technical systems are understood as being interdependent. We conducted 21 interviews and these accounts suggested that there are significant opportunities for improving the safety, quality, and efficiency of health care through robotics, but our analysis identified 4 major barriers that need to be effectively negotiated to realize these: (1) no clear pull from professionals and patients, (2) appearance of robots and associated expectations and concerns, (3) disruption of the way work is organized and distributed, and (4) new ethical and legal challenges requiring flexible liability and ethical frameworks. Sociotechnical challenges associated with the effective integration of robotic applications in health care settings are likely to be significant, particularly for patient-facing functions. These need to be identified and addressed for effective innovation and adoption.