Gatekeeping: a challenge in the management of primary care physicians.

R. Gross, H. Tabenkin, S. Brammli-Greenberg

Research output: Contribution to journalArticlepeer-review


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.

Original languageEnglish
Pages (from-to)283-298
Number of pages16
JournalJournal of Management in Medicine
Issue number4-5
StatePublished - 2001
Externally publishedYes

ASJC Scopus subject areas

  • General Medicine


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