Scandinavian journal of primary health care
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Scand J Prim Health Care · Mar 2011
ReviewThe effects of gatekeeping: a systematic review of the literature.
To assess the effects of physician-centred gatekeeping on health, health care utilization, and costs by conducting a systematic review of the literature. ⋯ Overall, the evidence regarding the effects of gatekeeping is of limited quality. Many studies are available regarding the effects on health care utilisation and expenditures, whereas effects on health and patient-related outcomes have been studied only exceptionally and are inconclusive.