Which term refers to clients traditionally located at supervised sites?

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In telemedicine, care is often organized in a hub-and-spoke model. The hub is the central site where the clinician is located, while the spoke sites are the satellite locations that connect to the hub. Spoke sites are typically communities or facilities where patients receive the service and where supervision or on-site staff (such as telepresenters) are present. Because these sites are the places where clients are located and where supervision is provided during the encounter, they are described as spoke sites. The term originating site, by contrast, refers to the patient’s own location during the telemedicine visit, which can be a home or another setting, not specifically the supervised satellite facility. Home or unsupervised sites imply environments without the same supervisory structure, making them less fitting for the description. Therefore, the term that best fits clients traditionally located at supervised sites is the spoke site.