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Background <p>Due to the need to reorganize the care network for the national screening mandated by law, a new healthcare model was required for the management of coeliac disease. The hub-and-spoke model is a new healthcare organizational system, here we describe its application (supported by telehealth), in the management of pediatric coeliac disease (CD) in Liguria. The results of the pilot phase are presented and the system's strengths and weaknesses discussed.</p> Methods <p>A mixed-methods survey followed by an observational pilot study was performed. A multiphase approach was used including preparation setting, operative planning and application. The pilot phase involves a single primary center. The reduction of families’ expenditure and environmental impact was assessed using the Viamichelin calculator.</p> Results <p>A regional meeting followed by a survey (specifically developed for this study) and a needs analysis highlighted the priority to have an efficient, up to date and homogeneous model of care assistance throughout the network. A diagnostic and therapeutic care pathway (PDTC) was developed by the regional working group. The project involved 986 Ligurian families and allowed a 90% reduction in the distance traveled by families residing within the pilot center’s catchment area, saving €177 and 113&#xa0;kg of CO2 on average per family per year.</p> Conclusions <p>The Gaslini Diffuso hub-and-spoke system for managing CD in Liguria exemplifies a commitment to enhancing healthcare efficiency and patient care, reducing environmental impact and cost for both family and healthcare system.</p>

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Hub-and-Spoke regional system supported by telehealth for managing coeliac disease in Liguria: a mixed-methods survey followed by an observational pilot study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年3月18日

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  • Marco Crocco,
  • Federica Malerba,
  • Paolo Gandullia,
  • Noemi Zampatti,
  • Maria Franca Corona,
  • Monica Barrani,
  • Massimiliano Leoni,
  • Sara Ceresoli,
  • Andrea Gazzolo,
  • Alberto Gaiero,
  • Riccardo Borea,
  • Alessandro Giorgio Lo Curto,
  • Maria Paola Ierardi,
  • Silvia Scelsi,
  • Giuseppe Spiga,
  • Raffaele Spiazzi,
  • Renato Botti,
  • Marisa Alberti

摘要

Background

Due to the need to reorganize the care network for the national screening mandated by law, a new healthcare model was required for the management of coeliac disease. The hub-and-spoke model is a new healthcare organizational system, here we describe its application (supported by telehealth), in the management of pediatric coeliac disease (CD) in Liguria. The results of the pilot phase are presented and the system's strengths and weaknesses discussed.

Methods

A mixed-methods survey followed by an observational pilot study was performed. A multiphase approach was used including preparation setting, operative planning and application. The pilot phase involves a single primary center. The reduction of families’ expenditure and environmental impact was assessed using the Viamichelin calculator.

Results

A regional meeting followed by a survey (specifically developed for this study) and a needs analysis highlighted the priority to have an efficient, up to date and homogeneous model of care assistance throughout the network. A diagnostic and therapeutic care pathway (PDTC) was developed by the regional working group. The project involved 986 Ligurian families and allowed a 90% reduction in the distance traveled by families residing within the pilot center’s catchment area, saving €177 and 113 kg of CO2 on average per family per year.

Conclusions

The Gaslini Diffuso hub-and-spoke system for managing CD in Liguria exemplifies a commitment to enhancing healthcare efficiency and patient care, reducing environmental impact and cost for both family and healthcare system.