TY - JOUR
T1 - Gatekeeping
T2 - a challenge in the management of primary care physicians.
AU - Gross, R.
AU - Tabenkin, H.
AU - Brammli-Greenberg, S.
PY - 2001
Y1 - 2001
N2 - Assesses the degree of self-reported implementation of gatekeeping in clinical practice, and gains insight into primary care physicians' attitudes toward gatekeeping and their perceptions of necessary conditions for implementation of gatekeeping in daily practice. A self-administered questionnaire was mailed to a national sample of 800 primary care physicians in Israel, with a response rate of 86 per cent. Multivariate analysis indicated that sick fund affiliation was the main predictor of self-reported implementation of gatekeeping, while specialty training predicted primary care physicians' attitude toward this role. Close communication with specialists, continuous medical education, and management support of physician decisions were identified by respondents as being important conditions for gatekeeping. Discusses strategies to gain the cooperation of primary care physicians, which is necessary for implementing an effective gatekeeping system.
AB - Assesses the degree of self-reported implementation of gatekeeping in clinical practice, and gains insight into primary care physicians' attitudes toward gatekeeping and their perceptions of necessary conditions for implementation of gatekeeping in daily practice. A self-administered questionnaire was mailed to a national sample of 800 primary care physicians in Israel, with a response rate of 86 per cent. Multivariate analysis indicated that sick fund affiliation was the main predictor of self-reported implementation of gatekeeping, while specialty training predicted primary care physicians' attitude toward this role. Close communication with specialists, continuous medical education, and management support of physician decisions were identified by respondents as being important conditions for gatekeeping. Discusses strategies to gain the cooperation of primary care physicians, which is necessary for implementing an effective gatekeeping system.
UR - http://www.scopus.com/inward/record.url?scp=0035237571&partnerID=8YFLogxK
U2 - 10.1108/02689230110403795
DO - 10.1108/02689230110403795
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C2 - 11765313
AN - SCOPUS:0035237571
SN - 0268-9235
VL - 15
SP - 283
EP - 298
JO - Journal of Management in Medicine
JF - Journal of Management in Medicine
IS - 4-5
ER -