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September 1, 2026CJC OpenOpen Access

Spoke-Hub-Node framework provides a practical roadmap to optimize integrated care and equitable access for VHD.

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Why the study?

Increasingly prevalent valvular heart disease poses major challenges to the Canadian healthcare system due to population aging, workforce shortages, regional disparities, and rising demand for specialized care.

Does an integrated Spoke-Hub-Node framework improve access and efficiency of care for patients with valvular heart disease in Canada?

Design

Review

Key result

The proposed Spoke-Hub-Node framework provides a practical roadmap to optimize integrated, patient-centred care and improve equitable access for valvular heart disease across Canada.

Authors

ECElizabeth D.A. ChanSCS. ChakrabartiJFJessica Forcillo

Discussion

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Member takes

Overview

Should not yet alter Canadian VHD care delivery; leaves open whether Spoke-Hub-Node networks improve access or outcomes.

Structured PICO

Does an integrated Spoke-Hub-Node framework improve access and efficiency of care for patients with valvular heart disease in Canada?

P
Population
Patients with Valvular Heart Disease (VHD) in Canada
I
Intervention
Integrated, patient-centred models of care (Spoke-Hub-Node framework)
C
Comparator
Current Canadian model of VHD care
O
Outcome
Access, efficiency, and sustainability of healthcare delivery

A Spoke-Hub-Node framework is proposed to address barriers in the Canadian healthcare system and optimize the delivery of care for patients with valvular heart disease.

Cite This Study

Chan et al. (2026) conducted a review in Valvular heart disease. Spoke-Hub-Node framework was evaluated. The proposed Spoke-Hub-Node framework provides a practical roadmap to optimize integrated, patient-centred care and improve equitable access for valvular heart disease across Canada.

synapsesocial.com/papers/6aa458f10b8cb08d02154659https://doi.org/10.1016/j.cjco.2026.08.020
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