Davidson R C, Fox J E
West J Med. 1986 Aug;145(2):251-3.
Primary care case management is frequently proposed as one mechanism to reduce the overall cost of health services. This concept places a utilization control function upon primary care physicians who, under primary care case management, must approve all patient access to specialty physician services and hospital services. This utilization control function, often called the gatekeeper role, places new responsibilities on primary care physicians. In this study we surveyed primary care physician attitudes regarding their role as case managers.
初级保健病例管理常常被视为降低医疗服务总成本的一种机制。这一概念赋予了初级保健医生利用控制职能，在初级保健病例管理模式下，初级保健医生必须批准患者获得专科医生服务和医院服务的所有申请。这种利用控制职能，通常被称为把关人角色，给初级保健医生带来了新的责任。在本研究中，我们调查了初级保健医生对其作为病例管理者角色的态度。
