This report examines the argument of whether integrating robot doctors in medical practices is efficient or not. It evaluates the patient experience and the benefits and drawbacks of using robot doctors. The report also discusses the impact on trust and the doctor-patient relationship.
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Debate-Robot doctors represent a negative step in terms of patient experience 1
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Today, technology has become much advanced that helps healthcare system to offer more innovative and better services to people, for well-being. In such area, robots are one of the latest invention in technology, which are being utilised in clinical setting across a wide spectrum (Wood and Schulman, 2019). But rise of automation with replacement of human resource by machinery, put negative experience on patients also. The present report is going to make an argument about whether integration of robots within medical practices proves efficient of not. For this purpose, an investigation is made to evaluate how patients experience well as form impressions after getting robots care. Benefits and drawbacks of its utilisation is examined in brief by emphasising upon the way robot care or represent patients. With new advancement in the field of artificial intelligence and robotics, interest has grown towards utilisation of such technology within health care sector (Hoorn and Winter, 2018). Robots are increasinglydesigned in each and every field, to facilitatebest management applications. In health care practices, it plays a crucial role as social agents in terms of managing geriatric conditions and chronic illness. Robots provide assistance via social means, instead of physical ones by using social interaction through coaching, monitoring and supporting the health promotion activities. In providing care to patients, it helps in reducing stress and providing relief from different mood swings through therapeutic tasks (Gombolay and et. al., 2018). Robotic medical assistants aid in monitoring the patient vital statistics, then alert nurses if urgent need for doctor’s presence in room is required. It also allows nurses for monitoring health of several patients simultaneously. Along with this, robots automatically enter the important information related to patient’s health into their electronic record. Robot doctors are provided assistance to medical team in surgery, as well as allows doctors for conducting operations surgery through tiny incision rather than an inches-long incision (From Surgeries to Keeping Company: The Place of Robots in Healthcare,2019). This fact shows the effective impact of utilising robots in different areas of medicine. There are number of factors present that shows positive impression of patient after getting healthcare service from robot doctors. They can be optimised for disinfect patient rooms, operating suites, reducing risks for them and medical personnel. Introducing robots as doctors provide the biggest advantage in terms of all time availability. In context with surgery, which refersto themost unpleasantexperiencefor patientsdue to shortageof experienced and high skilled doctors (Fosch-Villaronga, 2019). Therefore, they have to wait for longer period for getting appointment for surgeries. In this regard, surgical robots like da Vinci 2
Surgical system, are considered as boon for patients in providing them emergent services. As these are featured with magnified three-dimensional high definition vision system, with tiny wristed instruments, so, it makes able to bend and rotate more easily during surgery. This provides 100% control to surgeons and with robotic systems, they can carry out accurate and more precise operations (Chita-Tegmark, Ackerman and Scheutz, 2019). Similarly, robotic nurses help in providing more secure environment to patients, by developing feeling of all time monitoring of their health. They are designed in such a manner, that they can carry out monotonous and repetitive task continuously. So, this allow human nurses to pay more attention for taking decisions related to recovery and well-being of patient as early as possible, with more efficiency. Robot nurse like TUG autonomous mobil delivery robot, might even can perform numerous lab test with or without interventions of human medical staff (Wood and Schulman, 2019). Similarly, remote controlled medical robots like Anybots, Sam – The Robotic Concierge’ allow medical staff or doctors to make efficient interaction with patients, check out their health problems, as well as fix appointments with human doctors for further appointment, if required. Thus, it would in minimising time-consuming practices like visiting home to patients for accessing their health. So, reducing the waiting time, cost of care, frequent check-ins or non- medical care services etc. helps in raising satisfaction of patients and enhance their positive experience as well, towards robot doctors/nurses (Hoorn and Winter, 2018). 3
A number of sources provides information related to bringing robot doctors/nurses, about how it helps medical professionals in providing best services for well-being of patients. Decrease in surgeon fatigue, involvement of robots in surgery and keeping them under observation, each and every second shows the benefits and efficiency of robotics in healthcare system (Wood and Schulman, 2019). But apart from various benefits, numerous factors show about limitations of robot doctors, which raise negative experience of patients. The one thing that binds patient’s relationship with doctors is trust, whenever a person who is suffering from chronic issues like cancer come in hospitals then medical team instead to tell him/her about seriousness of disease directly, firstly influence them some act of service will improve their health. So, this criterion will be missing if doctors will replace by robots and artificial intelligence. Because these are just the machine whose work is to diagnose the issue and measure its extent that could raise threat to patients in terms of their death or chance of improvement (Hoorn and Winter, 2018). Therefore, during examining the body, such machine will directly inform patient about symptoms and death, which could prove quite harmful that break trust of them on medical services. In case of cancer type of diseases, sometime it will take long years to recover health of patient, where positive support of them help doctors to provide better services. But getting services from machine, it will directly inform people that they are going to be died in upcoming period due to identified symptoms. So, patient under such condition instead of feeling that they could prevent from early-death, they might completely loss their hope (Gombolay and et. al., 2018). This could result in arise negativity under them and break trust of others also on medical science. Similarly, problem associated with over-diagnosis is another main factor that shows in-effectiveness of robot doctors. For example – in relation with two common cancers that are breast and prostate, enhanced technology like artificial intelligence can easily detect the small abnormalities, which may never result to cause life-threatening harm during a lifetime (Will robots make doctors obsolete? Nothing could be further from the truth, 2020). But machine-learning features of robot doctors may trump the human interpretation. It merely making the diagnosis related to changes that patient will face in rest of the days; will he/she die early and more. Thus, these questions indicate about ethical issues associated with robot doctors in healthcare settings. Machines or AI technology do not place highly significance upon intangible values which inform the lives (Fosch-Villaronga, 2019).It may sound academic sometime, but as per oncologist viewpoints, it has identified that interaction between robot and patients or relative ones, may cause untold 4
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psychological harm instead of making positive relation and building of trust for improvement. Patient might panic during treatment and can resist to take certain medical service in case getting information about chronic issues or risk of life. Therefore, terrified patients could rarely be willing for sustaining perennial injury (Chita-Tegmark, Ackerman and Scheutz, 2019). Basically main role of doctors is to help patients to drive positive feeling towards healthcare system, that it would prove helpful for them in increasing life-expectancy. But incorporation of robot doctors or AI diagnostic system that reduces trust of them on medical services (Hoorn and Winter, 2018). Therefore, these ethical issues are needed to be address first before replacing human doctors by robots and artificial intelligence machines. Thus, from all over discussion, it has been identified that robot doctors are featured with high-technology,wherelikelihoodofmisdiagnosis,lackofdiagnosisbyhumandoctor, maltreatment in terms of over, under, less or inappropriate medical prescription is rarely less. Robot doctors help in diagnosing the symptoms of any disease instantly with medication that helps patient to recover from the same. This would naturally lead to make improvement or diagnostic experiences, which further increased trust among patients, that they are treated under observations of best technology. Moreover, successful incorporation of robots and AI system, should improve the care management plan of patient, which further increase trust of them in healthcaresystem(WoodandSchulman,2019).Butextentatwhichrobotsarebeing implemented is suboptimal due to failure of making positive relationship among doctors and patients. It has been expected that patient’s experiences towards robot doctors might be negative, which may reduce trust of them on healthcare system. Therefore, reliability of accurate diagnosis as well as beneficial treatment regimens, with appropriate interaction between patient and doctors, are all critical in terms of strengthening and understanding the trust. 5
REFERENCES Books and Journals Chita-Tegmark, M., Ackerman, J. M. and Scheutz, M., 2019. Effects of Assistive Robot Behavior on Impressions of Patient Psychological Attributes: Vignette-Based Human- Robot Interaction Study.Journal of medical Internet research.21(6). p.e13729. Fosch-Villaronga, E., 2019.Robots, healthcare, and the law: Regulating automation in personal care. Routledge. Gombolay, M. and et. al., 2018. Robotic assistance in the coordination of patient care.The International Journal of Robotics Research.37(10). pp.1300-1316. Hoorn,J.F.andWinter,S.D.,2018.Herecomesthebadnews:doctorrobottaking over.International Journal of Social Robotics.10(4). pp.519-535. Wood, S. and Schulman, K., 2019. The Doctor-of-the-Future Is In: Patient Responses to DisruptiveHealth-CareInnovations.JournaloftheAssociationforConsumer Research.4(3). pp.231-243. Online From Surgeries to Keeping Company: The Place of Robots in Healthcare.2019. [Online] Available at: <https://medicalfuturist.com/robotics-healthcare/>. Will robots make doctors obsolete? Nothing could be further from the truth. 2020.[Online] Available at:<https://www.theguardian.com/commentisfree/2020/jan/22/will-robots-make- doctors-obsolete-nothing-could-be-further-from-the-truth>. 6