The hub-and-spoke organization design: an avenue for serving patients well
The hub-and-spoke organization design: an avenue for serving patients well
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DOI：
10.1186/s12913-017-2341-x
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发表时间：
2017-01-01
影响因子：
2.8
通讯作者：
Fortenberry, John L., Jr.
中科院分区：
文献类型：
--
作者：
Elrod, James K.;Fortenberry, John L., Jr.
背景：医疗保健行业的特点是发生在多个战线上的密集、永无止境的变化。要在这种动荡的环境中取得成功，医疗保健提供者需要精通多个领域，包括他们组织和提供服务的方式。效率较低的设计耗尽了宝贵的资源，阻碍了为患者提供尽可能好的护理的努力，因此迫切需要确定和追求最佳路径。讨论：轴辐式组织设计是一种将服务交付资产安排到一个网络中的模式，该网络由一个主干机构(HUB)组成，该网络提供全方位的服务，辅以提供更有限服务阵列的次级机构(辐条)，将需要更密集服务的患者路由到中心进行治疗。轴辐式网络为医疗保健提供者提供了许多好处，但为了充分利用资金，需要适当的组装。为了提高人们对中心辐射式组织设计的认识、了解和使用，本文介绍了Willis-Knighton Health System的服务提供网络，该网络使用该模式已有30多年。在其他方面，定义了中心辐射式组织设计，规定了福利，并讨论了应用程序，使医疗保健提供者能够为这些网络的建立和运营提供必要的见解。结论：医疗保健行业的变化丰富的性质非常重视纳入允许卫生和医疗提供者尽可能优化运营的进步。中心辐射式组织设计代表了一种选择，如果部署得当，可以极大地帮助医疗机构更好地为患者服务。
Background: The healthcare industry is characterized by intensive, never-ending change occurring on a multitude of fronts. Success in such tumultuous environments requires healthcare providers to be proficient in myriad areas, including the manner in which they organize and deliver services. Less efficient designs drain precious resources and hamper efforts to deliver the best care possible to patients, making it imperative that optimal pathways are identified and pursued. One particular avenue that offers great potential for serving patients efficiently and effectively is known as the hub-and-spoke organization design.Discussion: The hub-and-spoke organization design is a model which arranges service delivery assets into a network consisting of an anchor establishment (hub) which offers a full array of services, complemented by secondary establishments (spokes) which offer more limited service arrays, routing patients needing more intensive services to the hub for treatment. Hub-and-spoke networks afford many benefits for healthcare providers, but in order to capitalize fully, proper assembly is required. To advance awareness, knowledge, and use of the hub-andspoke organization design, this article profiles Willis-Knighton Health System's service delivery network which has utilized the model for over three decades. Among other things, the hub-and-spoke organization design is defined, benefits are stipulated, and applications are discussed, permitting healthcare providers essential insights for the establishment and operation of these networks.Conclusions: The change-rich nature of the healthcare industry places a premium on incorporating advancements that permit health and medical providers to operate as optimally as possible. The hub-and-spoke organization design represents an option that, when deployed correctly, can greatly assist healthcare establishments in their quests to serve patients well.