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- W776573622 abstract "Objective: We analysed the integrated planning model adopted by the Italian region Emilia Romagna in year 2000 to cover the entire range of treatment of cardiovascular disease. This model, called ‘‘hub and spoke’’, provides for the transfer of patient care and treatment from peripheral units (the spokes) to central units (the hubs) once a certain complexity threshold has been reached. Methods: We examined inter-temporal variations in patients flows for the selectionyreferral and follow-up phases between cardiac surgery and cardiology units during two periods characterised by different organisational set-ups, in order to reflect on the progress being made in the organisation of the network. The database consisted of regional records of hospital discharges during the 1997– 2001 period. Results: The investigation pointed to the achievement of a good degree of coordination between structures at different levels of specialisation in the case of cardiac surgery, for which six centres were selected already in 1996. On the other hand, the more recent" @default.
- W776573622 created "2016-06-24" @default.
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- W776573622 date "2003-01-01" @default.
- W776573622 modified "2023-09-27" @default.
- W776573622 title "Vertical integration and contractual network in the cardiovascular sector: the experience of the Italian region" @default.
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- W776573622 hasPublicationYear "2003" @default.
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