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{"target":"https://pubannotation.org/docs/sourcedb/PMC/sourceid/7314078","sourcedb":"PMC","sourceid":"7314078","source_url":"https://www.ncbi.nlm.nih.gov/pmc/7314078","text":"The hub-and-spoke system is an organizational model comprising a network of primary anchor centres (hubs), able to provide a wide spectrum of services, and secondary satellite establishments (spokes), which offer more limited assistance [9]. Patients in the spokes needing more intensive care are routed to their hubs. This model provides a highly efficient organization and enhanced quality of care. It has been used in several countries (i.e. Willis-Knighton Health System’s hub-and-spoke network, Shreveport, LA, USA) and even in rural areas with beneficial results (i.e. catheterization laboratories in the Tamil Nadu region of India). 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