New Research and Publications
Efficiency: Simulation Tool to Evaluate Electronic Consultations in Rheumatology
At the 2018 Winter Simulation Conference Researchers, Duke Health researchers presented an e-consult simulation tool created using e-consult data from Duke Health’s Rheumatology clinics. Based on the hypothesis that e-consult decreases lead times and makes specialty clinics more efficient and effective, the simulation estimates how e-consults will impact lead time, queue length, and specialists’ workload for an e-consult implementation. The tool is adaptable and includes visualizations that any specialty clinic can use to “estimate the impact e-consults have on delivering quality care to referred patients,” write the authors.
Access: Médecins Sans Frontières Brings E-Consult to Global Frontlines
Journal of Global Health, December 2018
In 2010, Médecins Sans Frontières began using e-consult to provide field medical staff with access to specialist advice. A study of MSF’s e-consult use over seven years demonstrates that “offering direct specialist expertise in low-resource settings improved the management of patients and provided additional educational value to the field physicians.” MSF’s specialist network comprises doctors that are part of the organization (75%) as well as volunteers located in Europe and America. Use of e-consults in MSF’s low-resource and humanitarian aid settings rose significantly among the organization’s 271 operational sites. As the number of e-consults rose, response times decreased indicating an overall quality and performance increase.