It's About Time: A Study of Rheumatology Patient Consultation Times.

Abstract

A study was conducted evaluating the process of a rheumatology consultation. Data on consultation times was obtained from 100 patient processes over three months. Prior to data collection, unstructured interviews were conducted with the entire staff of the rheumatology clinic in Shalamar Hospital, to understand the consultation process. Based on this, consultation was divided into distinct segments (vitals, history and examination, specialist registrar consultation, specialist consultation, documentation and exercise/prescription handing over) and data was collected for the time taken for the patient to complete each segment. Designation of the personnel conducting the process, diagnosis, current visit number and general notes were also recorded. Patients with rheumatoid arthritis (RA) consulted for an average time of 33.4 and 27.4 minutes for new and established patients respectively in our observations. Patients with systemic lupus erythematosus (SLE) on the other hand spent 34.5 and 37 minutes for new and established patients respectively. The greatest time spent during any segment of the consultation was during documentation, which averaged 10 minutes per patient. Our study found that consultation times at Shalamar Hospital's rheumatology clinic align with international guidelines. Implementing a triaging method could optimize resource allocation, while entrusting specialist nurses with stable patient follow-ups could enhance patient flow and provision of health education.