Competition, gatekeeping, and health care access
نویسندگان
چکیده
منابع مشابه
Competition, gatekeeping, and health care access.
We study gatekeeping physicians' referrals of patients to specialty care. We derive theoretical results when competition in the physician market intensifies. First, due to competitive pressure, physicians refer patients to specialty care more often. Second, physicians earn more by treating patients themselves, so refer patients to specialty care less often. We assess empirically the overall eff...
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We study the competitive effects of restricting direct access to secondary care by gatekeeping, focusing on the informational role of general practitioners (GPs). In the secondary care market there are two hospitals choosing quality and specialization. Patients, who are ex ante uninformed, can consult a GP to receive an (imperfect) diagnosis and obtain information about the secondary care marke...
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In the 1990's, primary care gatekeeping became a hallmark of managed care and a major model of health care delivery. Proponents claimed that gatekeeping--requiring that primary care providers preauthorize specialty visits--could control costs and improve coordination of care. However, much of this potential has remained unrealized, and managed care organizations are beginning to loosen these re...
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Physicians are increasingly confronted with the consequences of allocation policies. In several countries, physicians have been assigned a gatekeeper role for secondary health care. Many ethicists oppose this assignment for several reasons, concentrating on the harm the intrusion of societal arguments would inflict on doctor-patient relations. It is argued that these arguments rest on a distinc...
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Background & objectives: Health care centers are among the most important and essential centers that proper and timely access to them is one of the basic goals of social justice. The health of the individual and the community depends on the centers that provide primary health care. Rapid, timely, and inexpensive access to these centers is very important and necessary, in any community, especial...
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ژورنال
عنوان ژورنال: Journal of Health Economics
سال: 2015
ISSN: 0167-6296
DOI: 10.1016/j.jhealeco.2014.11.005