CONCLUSION
The impact of this pandemic on our region has overwhelmed the sanitary
system and constrained RHCS to a rapid and effective reaction. The
development of a Hub and spoke model to ensure the treatment of urgent
and emergent diseases was complex and not free from obstacles. However,
this health crisis leads public and private Institutions to total
cooperation to achieve the objective.
Results from our preliminary experience are encouraging and support the
fact that hub and spoke network for cardiovascular disease was
functional and adequate to face epidemic emergency. Further
considerations could be made only at the end of the pandemic.