title: A hub-and-spoke model of care: providing specialty care in patients' own communities.
abstract: The authors describe how they used lessons learned in increasing office efficiency to improve primary care providers' ability to arrange for many specialty consultations and care within a reasonable driving distance for patients.
mesh_terms: D003153:Community Health Services / Q000458:organization & administration*; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D006297:Health Services Accessibility; D006801:Humans; D007400:Interprofessional Relations; D008499:Medical Records; D008511:Medicine / Q000458:organization & administration*; D017146:Models, Organizational; D009817:Office Management; D010044:Outpatient Clinics, Hospital / Q000458:organization & administration*; D010414:Pennsylvania; D011216:Practice Management, Medical; D012017:Referral and Consultation; D013038:Specialization; D017749:Total Quality Management