{"entity":{"id":"idea-acc-diaspora-tele-tumour-boards","kind":"idea","name":"Credentialed diaspora oncologists staffing remote tumour boards for home-country hospitals","aka":[],"tldr":"Thousands of oncologists trained in poorer countries now work abroad. A structured programme could let them join weekly video case conferences for hospitals back home, improving decisions at almost no cost.","summary":"Ad hoc tele-tumour boards between high-income and LMIC centres exist but are fragile and unmeasured. A formal programme would credential diaspora and partner specialists, schedule weekly boards by tumour type, use a standard case template, record recommendations, and audit whether they were implemented and whether outcomes changed. The cost is coordination, not salaries.","asOf":"2026-09-08","links":[{"label":"Bottleneck evidence (Most of the world has almost no cancer care): WHO fact sheet, Cancer","url":"https://www.who.int/news-room/fact-sheets/detail/cancer"}],"tags":[],"related":[],"cancers":[],"sections":[],"technologies":[],"targets":[],"drugs":[],"companies":[],"institutions":[],"pathways":[],"terms":[],"trials":[],"people":[],"bottlenecks":["b-global-access","b-workforce","b-knowledge-diffusion"],"keyPapers":[],"journals":[],"dependsOn":[],"notes":[],"hypothesis":"Hospitals with a weekly structured remote tumour board will change management in at least 25% of presented cases and increase guideline-concordant treatment by at least 20 percentage points over one year.","rationale":"Multidisciplinary review changes management in a substantial minority of cases in every setting studied; the marginal value is highest where local specialist input is scarcest.","test":"Twelve hospitals, six with boards and six waitlisted, comparing concordance, time to treatment decision, and clinician-reported confidence.","maturity":"early-clinical","actor":"clinic","cost":"small","horizonYears":1},"route":"/ideas/idea-acc-diaspora-tele-tumour-boards/","neighbours":{"bottleneck":[{"id":"b-knowledge-diffusion","kind":"bottleneck","name":"Knowledge reaches practice too slowly","route":"/bottlenecks/b-knowledge-diffusion/"},{"id":"b-global-access","kind":"bottleneck","name":"Most of the world has almost no cancer care","route":"/bottlenecks/b-global-access/"},{"id":"b-workforce","kind":"bottleneck","name":"Not enough oncologists, nurses, pathologists, physicists","route":"/bottlenecks/b-workforce/"}]}}