No abstract

The integration of drones into health care as a supplement to existing logistics methods may generate a need for cooperation and involvement across multiple resource areas. It is currently not well understood whether such integrations would merely represent a technical implementation or if they would cause more significant changes to laboratory services. By choosing socio-technical theory as the theoretical lens, this paper intends to harvest knowledge from the literature on various organizational concepts and examine possible synergies between such theories to determine optimal strategies for introducing the use of drones in a health care context. Our particular interest is to examine whether the insights generated from the multi-level perspective (MLP) may have the potential to create dynamic spin-offs related to the organizational transitions associated with the implementation of drones in health services. We built our study on a scoping literature review of topics associated with the MLP and socio-technical studies from differing arenas, supplemented with studies harvested on a broader basis. The scoping review is based on 25 articles that were selected for analysis. As a way of organizing the literature, the niche, regime, and landscape levels of the MLP are translated to the corresponding health care-related terms, i.e., clinic, institution, and health care system. Furthermore, subcategories emerged inductively during the process of analysis. The MLP provides essential knowledge regarding the context for innovation and how the interaction between the different levels can accelerate the diffusion of innovations. Several authors have put both ethical topics and public acceptance into a socio-technological perspective. Although a socio-technical approach is not needed to operate drones, it may help in the long run to invest in a culture that is open to innovation and change.

Purpose Drones are an emerging technology with the potential to improve laboratory logistics. This study is based on the hypothesis that the implementation of drones will benefit from an understanding of the current system and that existing transport solutions should be optimized before drone solutions are considered. It focuses on carriers transporting biological material today by car along a traditional circular route. It aims to explore how the current transport service is organized, identify areas for improvement, and investigate carriers’ perceptions of how drones could be integrated into or substituted for their services. Methods A mixed-methods approach was applied, combining a questionnaire, shadowing of nine transport trips, semi-structured interviews, and time assessments. Results The carriers shared insights into how to optimize existing transport solutions in terms of structure, culture, attitudes, and overall functionality. Most carriers expressed in the questionnaire that they were little involved in innovation work. The time assessment revealed that not the driving times, but the loading times had the highest deviations from plans and thus represented the area with the greatest potential for simple improvements. Questions about the use and organizational impact of drones are generated, and their prospects are discussed from a broad sociotechnical perspective. Conclusion Our concept was to broaden our understanding of implementing drones into existing systems in a fairly simple setting. Although improved logistics may take place without complex processes, future research opportunities such as the impact of drones on organizational processes and social dynamics in the adoption of drones may be needed if more complex systems are involved. The paper proposes experimenting with, and learning from, transport with “road vehicles” and drones in combination and suggests that improvements should be made to existing transport solutions before drones are implemented.