W21C Research and Innovation Centre, University of Calgary, Calgary, Alberta, Canada.
W21C Research and Innovation Centre, University of Calgary, Calgary, Alberta, Canada; O'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada; Department of Medicine, Cumming School of Medicine, University of Calgary and Alberta Health Services, Calgary, Alberta, Canada.
Am J Infect Control. 2022 Aug;50(8):849-856. doi: 10.1016/j.ajic.2022.03.004.
Health care inequity in remote and rural Indigenous communities often involves difficulty accessing health care services and supplies. Remotely Piloted Aircraft Systems, or drones, offer a potentially cost-effective method for reducing inequity by removing geographic barriers, increasing timeliness, and improving accessibility of supplies, equipment, and remote care.
We assessed the feasibility of drones for delivery of supplies, medical equipment, and medical treatment across multiple platforms, including drone fleet development and testing; payload system integration (custom fixed-mount, winch, and parachute); and medical delivery simulations (COVID-19 test kit delivery and return, delivery of personal protective equipment, and remote ultrasound delivery and testing).
Drone operational development has led to a finalized, scalable fleet of small to large drones with functional standard operating procedures across a range of scenarios, and custom payload systems including a fixed-mount, winch-based and parachute-based system. Simulation scenarios were successful, with COVID-19 test swabs returned to the lab with no signal degradation and a remote ultrasound successfully delivered and remotely guided in the field.
DISCUSSION/CONCLUSIONS: Drone-based medical delivery models offer an innovative approach to addressing longstanding issues of health care access and equity and are particularly relevant in the context of SARS-CoV-2.
偏远和农村地区的原住民社区的医疗保健不平等问题通常涉及到难以获得医疗保健服务和供应。远程驾驶飞机系统(或无人机)提供了一种潜在的具有成本效益的方法,可以通过消除地理障碍、提高及时性和改善供应品、设备和远程护理的可及性来减少不平等。
我们评估了无人机在多个平台上运送供应品、医疗设备和治疗的可行性,包括无人机机队的开发和测试;有效载荷系统集成(定制固定安装、绞车和降落伞);以及医疗交付模拟(COVID-19 检测试剂盒的交付和返回、个人防护设备的交付以及远程超声的交付和测试)。
无人机运营开发已经导致了一个最终的、可扩展的小型到大型无人机机队,在一系列场景中具有功能标准操作程序,以及定制有效载荷系统,包括固定安装、绞车和降落伞系统。模拟场景取得了成功,COVID-19 检测拭子成功返回实验室,信号没有降级,远程超声成功地在现场进行了远程引导。
讨论/结论:基于无人机的医疗交付模式为解决长期存在的医疗保健获取和公平问题提供了一种创新方法,在 SARS-CoV-2 的背景下尤其相关。