Joe: So what TV shows do you like? Erin: Well, I'm a huge fan of Doctor Who. I also Joe: Doctor Who? I LOVE that show. When did you start watching. Erin: Back in when the show was restarted. Joe: Ah, you see, I was watching the classic series long before then. You can't really call yourself a true fan. Joe: Oh, you're a fan definitely but not a proper fan.
We've been there since long before the BBC revived the show. Learn More About gatekeeper. Time Traveler for gatekeeper The first known use of gatekeeper was in See more words from the same year.
Style: MLA. English Language Learners Definition of gatekeeper. Kids Definition of gatekeeper. Medical Definition of gatekeeper. Halm et al. Get Word of the Day daily email! Test Your Vocabulary. Test your visual vocabulary with our question challenge! Love words? Need even more definitions? This research could inform how the U. Many consider gatekeeping to be an effective way to contain costs by reducing unnecessary medical care interventions. Primary-level healthcare and affiliated tests and diagnoses are, on average, less expensive than secondary and specialty care services.
Primary care physicians are considered to be better informed than their patients when it comes to knowing where and how to seek specialist care.
This knowledge benefits the patient care path by making a more efficient search for an adequate and qualitative secondary care provider. A report compared Austria, which lacks gatekeeping, and the United States, where gatekeeping is practiced. It found that Austrian patients more frequently sought help from specialists compared with U. The study revealed that the lack of a system for governing primary to secondary and tertiary care referrals led to overutilization of secondary and tertiary care facilities.
On the other hand, Austrian patients consistently reported a high satisfaction rate with their healthcare system. The country has also increased its hospital capacity to accommodate the high influx of primary care needs. A study of the healthcare system in the Netherlands reported that primary care physicians felt as though they were relegated to administrators when placed in the position of gatekeeper. This presented an issue because the average age of patients seen by primary care physicians was increasing, while elderly and aged patients are more likely to present a plurality of medical ailments and require more robust medical care.
In a traditional gatekeeping mechanism, an elderly individual would be sent to several specialists, which is tiring, time-consuming, and a potentially fragmented approach to their healthcare. An ideal gatekeeping system would embrace innovative solutions, multiple competence centers, clinics with multiple care options on-site, and ambulatory care improvements.
It also creates a situation where, if a general practitioner hands over patients to a specialist too quickly, they could lose part of their funding. On the other hand, if a family doctor is too careful or too reserved with forwarding patients to specialists, the patient may feel that they have been denied access to secondary healthcare.
Primary care physicians feel as though being a gatekeeper reduces them to administrators of health insurance policies, according to a Dutch study. When it comes to long-term care, gatekeepers are not people. Instead, they are the requirements that must be met before an individual can receive any payouts from their long-term care insurance plan. Most long-term care insurance policies require long-term care to be medically necessary for sickness or injury.
Some policies require the patient to be unable to complete a certain number of daily activities on their own, such as bathing, walking, dressing, and eating. Primary care doctors and long-term insurance companies are two different examples of gatekeeping. By potentially reducing the number of unnecessary visits to specialists, gatekeeping can limit spending by both the patient and the hospital.
There are both positive and negative aspects to gatekeeping, for both the healthcare system and individual patients. It is clear that improvements must be made to enable flexible and easy communication between the care providers of distinct entry points. A family doctor should be able to quickly consult a specialist to confirm or eliminate clinical concerns, and a specialist should be able to pass detailed instructions to the doctor for potential follow-ups.
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