Resolving the Gatekeeper Conundrum: What Patients Value in Primary Care and Referrals to Specialists

Article Abstract:

Many people value their primary care physician but may come to distrust the doctor if they feel he or she is preventing them from seeing a specialist. This was the conclusion of a survey of 12,707 adult patients covered by managed care in California. Over 90% said they would always see their primary care physician first and 89% wanted their primary care physician to coordinate all referrals to specialists. However, 23% believed their primary care physician was preventing them from seeing a specialist. These patients were more likely to distrust their doctor.

Evaluation, Physician and patient, Physician-patient relations, Surveys, Beliefs, opinions and attitudes, Patients

---

Selection and exclusion of primary care physicians by managed care organizations

Article Abstract:

Physicians who serve large numbers of uninsured patients may be denied participation in a managed care organization. Researchers surveyed 947 primary care physicians to see how many had been excluded from participation in managed care. Twenty-two percent had been denied a contract or terminated from one with a managed care organization. Those in solo practice were most likely to denied a contract and were those who served many uninsured patients and non-white patients.

Contracts, Appointments, resignations and dismissals, Managed care plans (Medical care)

---

Similar abstracts:

• Abstracts: Costs and health consequences of cholesterol screening for asymptomatic older Americans. Screening for hypertension
• Abstracts: A simple procedure for general screening for functional disability in elderly patients. Why screen for functional disability in elderly persons?
• Abstracts: Elective diagnostic laparoscopy. Emergency laparoscopy
• Abstracts: Differences in the use of procedures between women and men hospitalized for coronary heart disease. Racial differences in the use of revascularization procedures after coronary angiography
• Abstracts: Differences in mortality from coronary artery bypass graft surgery at five teaching hospitals. The double edge of knowledge

This website is not affiliated with document authors or copyright owners. This page is provided for informational purposes only. Unintentional errors are possible.