Hello:
You are invited to participate in this survey on the use of robotic assisted surgery in Urology. It will take approximately 5 minutes to complete the questionnaire.
This study is being conducted for academic ressearch purposes only and is not industry sponsored.
Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project.
Your survey responses will be stricly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. The survey results will be submitted for publication in a scientific journal at the conclusion of the study.
If you have questions at any time about the survey or the procedures, you may contact Mike M Nguyen, M.D. by email at [email protected].
Thank you very much for your time and support. Please start with the survey now by clicking on the Next button below.
Please indicate your role:
Urologist Survey (Page 1/3)
The number of years I have been in practice is: In what zip code do you practice? How did you initially learn about da Vinci(TM) robotic surgical technology?
Urologist Survey (Page 2/3)
My highest level of exposure to da Vinci robotic surgical technology is: I feel my current knowledge level in regards to robotic surgical technology is: Which statement most closely represents your understanding regarding robotic assisted surgical technology? Which statement most closely represents your opinion regarding the role of robotic surgical technology? Which statement most closely represents your opinion of the role that robotic surgical technology has in patient care? If you do not perform robotic surgery, how likely would you refer a patient to another specialist with robotic capability based on your patient's request? If you do not perform robotic surgery, how often have you experienced patient requests for referrals to other specialists with robotic assisted surgery capability? Do you routinely educate your prostate cancer patients regarding the availability of robotic assisted surgical technology?
Urologist Survey (Page 3/3)
The following questions are specifically regarding the use of robotic assisted surgery for radical prostatectomy. For the purposes of this survey, we are not including traditional laparoscopic prostatectomy in the comparison.
For each surgery related parameter listed below, please mark the appropriate box to indicate your opinion regarding the relative strengths of each approach for use in radical prostatectomy:
Please rank what you feel are the main benefits of robotic assisted prostatectomy. (Rank none or as many as you prefer.) Better cancer control outcome Better continence outcomes Better potency outcomes Shortens hospital time Shortens surgical time Less blood loss Less pain Faster recovery Please rank what you feel *patients perceive* are the main benefits of robotic assisted prostatectomy. (Rank none or as many as you prefer.) Better cancer control outcome Better continence outcomes Better potency outcomes Shortens hospital time Shortens surgical time Less blood loss Less pain Faster recovery "Just better than standard surgery" Thank you for participating. This ends your survey. Please add any optional comments below:
Patient Survey (Page 1/2)
My highest education level is: My annual household income level is: What is your home zip code? How did you arrange an appointment with your robotic specialist? How much did the availability of the da Vinci robotic surgery system affect your desire to obtain care at the hospital where you underwent robotic assisted surgery? How much research did you perform on the availibity of the da Vinci robot and the staff experience at your treating hospital prior to making an appointment? Please indicate how you obtained information on the AVAILABILITY of the da Vinci robot at YOUR TREATING HOSPITAL prior to making an appointment. (Please check any that apply) Regarding the previous question, which was the most important SOURCE of information you used to decide on YOUR TREATING HOSPITAL?
Patient Survey (Page 2/2)
How did you hear about da Vinci robotic surgical technology in general? (Please rank all that apply in order of importance) Magazines TV shows/news Advertisements from this hospital From other patients From Intuitive website (makers of da Vinci system) Books on prostate cancer Websites on prostate cacner Other I have never heard of this technology before I feel my current knowledge level in regards to da Vinci robotic surgical technology is:
For each of the factors below, please check the box which indicates your opinion regarding how da Vinci robotic surgery compares to standard open surgery
Which statement most closely represents your understanding of da Vinci robotic surgical technology? List the three most important reasons that influenced you to seek robotic prostatectomy. I feel that da Vinci robotic prostatectomy is: How many surgeons did you consider prior to deciding to seek care with your current surgeon? Thank you for participating. This ends your survey. Please add any optional comments below:
Primary Care Survey (Page 1/2)
In what zip code do you practice? The number of years I have been in practice is: How did you initially learn about da Vinci(TM) robotic surgical technology?
Primary care survey (Page 2/2)
I feel my current knowledge level in regards to da Vinci robotic surgical technology is: Which statement(s) most closely represent your opinion regarding da Vinic robotic surgical technology as compared to standard open surgery? (Please check the statement(s) that you agree with) Which one statement most closely represents your understanding of da Vinci robotic surgical technology? Which one statement most closely represents your opinion regarding the utility of da Vinci robotic surgical technology? Which one statement most closely represents your opinion of the role that da Vinci robotic surgical technology has in patient care? How likely would you refer a patient to a specialist with da Vinci robotic surgical technology capability based on patient request? Have you educated your patients regarding the availability of da Vinci robotic surgical technology? How often have you experienced patient requests for referral to specialists with da Vinci robotic surgical technology capability? How likley would you be to refer your patients to specialists based on the availability of da Vinci robotic surgical technology irregardless of patient request? How much do patient medical comorbidities influence your decision to refer patients to practices with da Vinci robotic surgical technology availability? Thank you for participating. This ends your survey. Please add any optional comments below: |
Survey software
Leading survey software to help you turn data into decisions.
Research Edition
Intelligent market research surveys that uncover actionable insights.
Customer Experience
Experiences change the world. Deliver the best with our CX management software.
Workforce
Powerful insights to help you create the best employee experience.
