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The relative merits of hub and spoke models of service delivery are often debated, but accessing data on how they may benefit service delivery can be difficult, and may hinder the adoption of a model which can benefit the health community.
In cancer care the introduction of tumour-specific referral pathways and "hub and spoke" models of local and specialist MDTs appear to have overcome shortfalls in the quality, equity and safety of care [ 22].
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In a hub and spoke model of a central burns unit and three peripheral hospitals, telemedicine use led to increased consultation, but burns assessment was as accurate as face-to-face assessment and reduction in transfers to burns units led to significant cost savings [[41]].
The CSAG report proposed a centralised 'hub and spoke' model of care comprising central 'hub' units working with a series of peripheral 'spoke' units.
This mirrors the development of stroke services within metropolitan areas such as London and Greater Manchester, which have both pursued variations on a 'hub and spoke' model of service design [ 42].
This effectively created a 'hub and spoke' model of reconstructive services with plastic surgical centres as the central 'hub' and the OBPS as the 'spokes'spokes
Costs were assessed for the two different service delivery models that were implemented; a 'hub and spoke model' of central HPV testing in a microbiology laboratory with separate cytology laboratories, and an 'integrated model' where HPV testing was conducted within the cytology laboratory.
Woollams argues that this lends weight to the theory that semantic representations are stored in an amodal hub in the anterior temporal lobes which connect with different modality-specific featural representations as part of a "hub and spoke" model of semantic processing (Patterson, Nestor, & Rogers, 2007).
In the 'hub and spoke' model, costs of administration and identifying/specimen reception are incurred in both spoke laboratories (i.e., cytology laboratories) and the hub laboratory (HPV laboratory).
Apparently, the protein network supports the picture of "spoke" model rather than rigid hierarchy of "deterministic hierarchical model".
As the regional organization of deliveries is often based on a 'hub and spoke' model, the timely identification of those infants in need of moderate to advanced respiratory support is crucial.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com