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Problems of Transition to a Gatekeeper Model in Healthcare

Author

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  • Natalya N. Sisigina

    (Financial Research Institute, Moscow 127006, Russia; Russian Presidential Academy of National Economy and Public Administration, Moscow 119571, Russia)

Abstract

Regulation of access to specialist medical care is widely viewed as effective tool for health cost containment. However, the results of the access reforms in well-developed public health systems in practice are often below the expected level. The article provides an overview of structure and outcomes of major national access reform programmes in European countries. Based on the collected data key determinants of successful adoption of gatekeeping model were highlighted in the article. The author proposes the promising ways of the development of the current access model reform in Russia.

Suggested Citation

  • Natalya N. Sisigina, 2018. "Problems of Transition to a Gatekeeper Model in Healthcare," Finansovyj žhurnal — Financial Journal, Financial Research Institute, Moscow 125375, Russia, issue 3, pages 64-77, June.
    • Handle: RePEc:fru:finjrn:180305:p:64-77
    DOI: 10.31107/2075-1990-2018-3-64-77
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    References listed on IDEAS

    as
    1. Dumontet, Magali & Buchmueller, Thomas & Dourgnon, Paul & Jusot, Florence & Wittwer, Jérôme, 2017. "Gatekeeping and the utilization of physician services in France: Evidence on the Médecin traitant reform," Health Policy, Elsevier, vol. 121(6), pages 675-682.
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    More about this item

    Keywords

    access to health care; gatekeeper model; health cost containment; managed care;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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