The Hub-and-Spoke Model for Organizing an Ethics Program

In the contemporary healthcare sector, organizations frequently function within networks. This has implications for the ethics consultation services they offer. The issue at hand concerns the integration of these services into the network, with the objective of ensuring their role as an integral component of the intricate healthcare delivery system. In practice, the hub-and-spoke model is employed for this purpose and is thoroughly discussed in the relevant literature. The present article examines the organizational ethical aspects of this model. The hub-and-spoke model has been demonstrated to be a framework that must be contextualized in relation to ethics consultation. A thorough examination of the model’s implications, both advantageous and disadvantageous, is conducted. The article elucidates which elements of an organizational culture can facilitate it. When understood in this manner, the hub-and-spoke model is not merely an administrative form of organization, but rather an opportunity to develop the healthcare organization in terms of organizational ethics.

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Publication Details

Journal
HEC Forum
Published
2026-04-10
DOI
https://doi.org/10.1007/s10730-026-09591-y
Primary Topic
Ethics in medical practice
Type
article
Field-Weighted Citation Impact
0.00

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article

The Hub-and-Spoke Model for Organizing an Ethics Program

J Wallner
HEC Forum
Ethics in medical practice
article

The Hub-and-Spoke Model for Organizing an Ethics Program

J Wallner
article en

Abstract

In the contemporary healthcare sector, organizations frequently function within networks. This has implications for the ethics consultation services they offer. The issue at hand concerns the integration of these services into the network, with the objective of ensuring their role as an integral component of the intricate healthcare delivery system. In practice, the hub-and-spoke model is employed for this purpose and is thoroughly discussed in the relevant literature. The present article examines the organizational ethical aspects of this model. The hub-and-spoke model has been demonstrated to be a framework that must be contextualized in relation to ethics consultation. A thorough examination of the model’s implications, both advantageous and disadvantageous, is conducted. The article elucidates which elements of an organizational culture can facilitate it. When understood in this manner, the hub-and-spoke model is not merely an administrative form of organization, but rather an opportunity to develop the healthcare organization in terms of organizational ethics.

HEC Forum
University of Vienna (AT), Hospital of the Brothers of St. John of God (AT)
Universität Wien
Openalex Percentile: Top 15%
Ethics in medical practice
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