守门人制度——临床与管理问题
Gatekeeping--clinical and administrative issues.
作者信息
Ellsbury K E
出版信息
West J Med. 1986 Aug;145(2):254-7.
Abstract
Most gatekeeper-based models of health care delivery utilize primary care physicians for authorizing services, screening referrals, managing cases and monitoring costs. Issues in four major areas related to gatekeeping have arisen in such systems: those affecting patients primarily, those affecting physicians primarily, those related to administering the gatekeeping function and, finally, those issues related to the health care system as a whole.
摘要
大多数基于守门人的医疗服务模式利用初级保健医生来授权服务、筛选转诊、管理病例和监控成本。在这类系统中，出现了与守门人相关的四个主要领域的问题：主要影响患者的问题、主要影响医生的问题、与执行守门人功能相关的问题，以及最后与整个医疗系统相关的问题。
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本文引用的文献
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Pediatric training in family practice residencies.家庭医学住院医师培训中的儿科培训。
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The primary care network--a new type of HMO for private practice physicians.基层医疗网络——面向私人执业医生的新型健康维护组织。
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