Representative quotes
| Respondent | Quote | Clinical outcome | Financial outcome | Organizational outcome | Technological outcome |
|---|---|---|---|---|---|
| Director of Robotic program | “For me robotic surgery is the future I will no longer pursue any single laparoscopic case, the world is advancing forward, people are exploring Mars and Venus so does the health care field, the robotic intervention represents a revolution in medicine that we should all capitalise” | Minimization of surgical errors and infections | – | – | – |
| Director of obstetrics, gynecology and women health | “For me going into a traditional laparoscopic case is only an option while the case cannot be performed robotically otherwise, I would rather use the robot for a single hysterectomy case because of the benefits that I will be adding to both patient safety and patient experience” | Patient safety and Patient experience | – | – | – |
| Director of surgery and weight loss program-member of the robotic team | “For a sleeve gastrectomy case performed robotically, the incision that I will make on the patient body is 20% less than the one I did in a traditional laparoscopic case” | Better aesthetic result | – | – | – |
| Director of obstetrics, gynecology and women health | “It is very important to work on the moral of the patient, especially for a lady, having a scar of 2 cm is much more welcomed than having a 5 plus cm scare” | Better aesthetic result | – | – | – |
| Director of surgery and weight loss program-member of the robotic team | “On the other hand, sending my patient home after a sleeve gastrectomy within 24 h is much more welcomed than admitting him for 72 h” | Faster time of recovery and less percentage of pain and trauma | – | – | – |
| Director of Robotic program | “Patient doesn't like to stay at hospital, everyone even myself, the idea of being at hospital is mentally intolerable by all human beings” | Maximization of the patient experience | – | – | – |
| Director of surgery program in Emirates hospital | “One of the major obstacles we are facing in pursuing a bariatric surgery while adopting the laparoscopic approach is patient feedback” | Maximization of patient experience | – | – | – |
| Director of revenue cycle management | “That's a huge milestone for us, the additional service fees will be help the hospital to cover the cost of acquisition of the robot and to increase the remuneration fees for physicians in a way that will attract top-notch physicians across the world to come and pursue cases in CMC Dubai” | – | Better financial performance | – | – |
| Finance Manager | “Financially speaking, for a hospital averaging 30 robotic case a month, an amount of 500 K will financially improve our performance and we will be able to cover the cost of robot acquisition (14 M K) in less than 3 years, our expectations were to break even after 5 years however with the recent decrees from DHA and with the anticipated increase in workload we can make it much faster” | – | Better financial performance | – | – |
| Director of revenue cycle management | “On the other hand, DHA are now revisiting the CPT codes issued on 2018 and will release a new version by 2022 which will take into account the robotic assisted approach, and this will automatically increase our DRG lumpsum amount and our base rate with third party payers” | – | Better financial performance | – | – |
| Director of revenue cycle management | “The insurance companies along with third party payers treat hospitals on a base rate system which means for every case submitted the hospital will get reimbursed based on the agreed on base rate and usually this commitment is renewed on yearly basis” | – | Better financial performance | – | – |
| Director of revenue cycle management and Finance Manager | “The main concern of TPP is the satisfaction of their customers to retain their premiums accordingly when patients are choosing CMC Dubai over competitors this will reinforce and strengthen the company bargaining power with TPP and will lead to an increase in the base rate and automatically an increase in the total revenue” | – | Increased profits | – | – |
| Director of clinical services | “We need two circulating nurse and 1 nurse assistant while pursuing a laparoscopic case however we only need one circulating nurse while using the robotic approach | – | – | Better management and utilization of resources and premises | – |
| Or manager at Emirates hospital | “Laparoscopic cases are consuming my resources and making our OR schedule very busy and tight” | – | – | Better management and utilization of resources and premises | – |
| Director of nursing at CMC | “From a nursing perspective we prefer the robotic approach for many reasons starting from the number of staffs engaged in a robotic case (1) compared to 3 in a laparoscopic one, in addition to the operating room occupancy time which is 20% less when a surgery is being performed robotically which will reduce the cost of anesthesiologist and anesthesia technicians who are getting paid hourly and will definitely reduce the cost of materials used in the surgery because the more you spend time the more you consume” | – | – | Better management and utilization of resources and premises | – |
| Director of surgery and weight loss program-member of the robotic team | “While a conventional laparoscopy provides two-dimensional (2D) imaging of the operative field, a robotic system affords a 3D vision while allowing rapid camera zooming and panning of the. An effect called fulcrum is being created when the rigid conventional instruments pass through the incision which will lead to inversion of movement from the surgeon's hand to the working end of the instrument” | – | – | Superior visualization and Mechanical improvements | |
| Director of Robotic program | “For an obese patient, there is more torque placed on an instrument and the rigid smaller caliber instruments, such as laparoscopes, may result in fracture” | – | – | Superior visualization and Mechanical improvements |
| Respondent | Quote | Clinical outcome | Financial outcome | Organizational outcome | Technological outcome |
|---|---|---|---|---|---|
| Director of Robotic program | Minimization of surgical errors and infections | – | – | – | |
| Director of obstetrics, gynecology and women health | Patient safety and Patient experience | – | – | – | |
| Director of surgery and weight loss program-member of the robotic team | Better aesthetic result | – | – | – | |
| Director of obstetrics, gynecology and women health | Better aesthetic result | – | – | – | |
| Director of surgery and weight loss program-member of the robotic team | Faster time of recovery and less percentage of pain and trauma | – | – | – | |
| Director of Robotic program | Maximization of the patient experience | – | – | – | |
| Director of surgery program in Emirates hospital | Maximization of patient experience | – | – | – | |
| Director of revenue cycle management | – | Better financial performance | – | – | |
| Finance Manager | – | Better financial performance | – | – | |
| Director of revenue cycle management | – | Better financial performance | – | – | |
| Director of revenue cycle management | – | Better financial performance | – | – | |
| Director of revenue cycle management and Finance Manager | – | Increased profits | – | – | |
| Director of clinical services | – | – | Better management and utilization of resources and premises | – | |
| Or manager at Emirates hospital | – | – | Better management and utilization of resources and premises | – | |
| Director of nursing at CMC | – | – | Better management and utilization of resources and premises | – | |
| Director of surgery and weight loss program-member of the robotic team | – | – | Superior visualization and Mechanical improvements | ||
| Director of Robotic program | – | – | Superior visualization and Mechanical improvements |
Source(s): Authors work
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