Table 6. Sample comments made by nonusers based on the modified UTAUT model.
| Subconstruct | Nonusers | |
| Perceived Usefulness | Pro | There is definitely a place for robotic surgery.Some of the advantages of the robot are the articulation and the range of motion.The visualization and depth perception are much better than the alternatives.The robot permits the surgeon to perform fine dissection and suturing.The surgeon cannot quite do what the robot can do. |
| Con | The fact that robotic surgeons cannot feel is a huge disadvantage.There are enough cases that require me to perform open surgery. | |
| Extrinsic Motivation | Pro | I want the patient to have a good outcome.I recommend it to the majority of patients [whom] are good candidates. |
| Con | Being able to see better [does not] correlate to better margin data. | |
| Personal Outcome Expectation | Pro | My practice could advertise and market the robot to try to get more patients. |
| Con | I would not be comfortable sacrificing patient outcomes to be able to say I've done something innovative. | |
| Perceived Ease of Use & Complexity | Pro | I think the da Vinci system has made the surgery easier. |
| Con | Robotic surgery has a long learning curve.Robotic surgery has a 50 to 100 case learning curve.The disadvantages of robotic surgery are time related. | |
| Subjective Norm | Pro | The pressures to switch to robotic surgery are mainly market driven.Because robotic surgery is new, there is the perception that it may be better. |
| Social Factors | Pro | Physicians will refer their patient to surgeons who perform robotic surgery. |
| Perceived Behavioral Control | Pro | The hospital would like to see the robot used. |
| Con | There is no reimbursement benefit.The cost of the robot is a disadvantage.Simple procedures can be performed at less cost without the robot. | |
| Facilitating Conditions | Con | I am going to do 50 simulations before performing an actual case.I don't want my patient to be on the table for eight hours for the first case. |
| Attitude Toward Using Technology | Pro | I am impressed by the science and technology that to into the robot.The role robotics will play in surgery is being worked out. |
| Con | I have not taken up robotic surgery because of fear of the unknown.I did not feel comfortable learning on my patients. | |
Image and Leadership are omitted, because there were no comments.