Nowadays, National Health Systems must face two great issues: first, to pursue care objectives through equity & equality of access to safe and high quality healthcare services, second, to optimize resource use through high-level efficiency. Among the different organizational models suggested to face these aspects, most national health systems have opted for Network Models. In Italy, the D.M. 70 of 2 April 2015 "Regulation defining the qualitative, structural, technological and quantitative standards related to hospital assistance" identifies Hub & Spoke as the main reference model for Hospital networks and assigns the Regions full autonomy to define implementation strategies and operational methods. The objective of the study is to identify criticities and barriers perceived by the stakeholders involved in the organizational change. Through the implementation of the Delphi Technique, we have elaborated new, relevant results to suggest to policy makers.
Keywords: Hub & Spoke, Healthcare integrated network, D.M. 70, April 2015, Delphi Method, Critical Success factor and Barriers.