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dc.creatorTaylor, Thomas R.en
dc.date.accessioned2015-05-05T18:24:36Zen
dc.date.available2015-05-05T18:24:36Zen
dc.date.created1989-11-25en
dc.date.issued1989-11-25en
dc.identifier10.1136/bmj.299.6711.1323en
dc.identifier.bibliographicCitationBMJ (British Medical Journal). 1989 Nov 25; 299(6711): 1323-1325.en
dc.identifier.issn0959-8138en
dc.identifier.urihttp://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Pity+the+Poor+Gatekeeper:+a+Transatlantic+Perspective+on+Cost+containment+in+Clinical+Practice&title=BMJ+&volume=299&issue=6711&pages=1323-1325&date=1989&au=Taylor,+Thomas+R.en
dc.identifier.urihttp://dx.doi.org/10.1136/bmj.299.6711.1323en
dc.identifier.urihttp://hdl.handle.net/10822/732566en
dc.description.abstractThis paper summarizes the key findings of a U.S. study of 48 primary care physicians acting as gatekeepers in a large health maintenance organization to determine the effects of their cost containment role on the doctor patient relationship. Taylor highlights some of the findings and conclusions that he believes are relevant to the current and projected problems concerned with controlling costs in Britain's National Health Service. Individual interviews, group discussions, and reviews of patient records with physicians yielded a series of decisions or clinical problems that the interviewees believed exemplified the gatekeeper role. These decisions and problems entailed overt conflict between doctor and patient. Study participants described how they coped with the conflicts associated with gatekeeping decisions, and what they perceived as the gatekeeper role's effect on their relations with patients. (KIE abstract)en
dc.formatArticleen
dc.languageenen
dc.sourceBRL:KIE/29943en
dc.subjectAttitudesen
dc.subjectConflict of Interesten
dc.subjectContainmenten
dc.subjectConsenten
dc.subjectConsultationen
dc.subjectDecision Makingen
dc.subjectDiagnosisen
dc.subjectEconomicsen
dc.subjectGatekeepingen
dc.subjectHealthen
dc.subjectHealth Careen
dc.subjectHealth Care Deliveryen
dc.subjectIncentivesen
dc.subjectInformed Consenten
dc.subjectInterviewsen
dc.subjectOrganizationsen
dc.subjectPatient Advocacyen
dc.subjectPatient Careen
dc.subjectPatientsen
dc.subjectPhysician Patient Relationshipen
dc.subjectPhysician's Roleen
dc.subjectPhysiciansen
dc.subjectProfessional Patient Relationshipen
dc.subjectRecordsen
dc.subjectResource Allocationen
dc.subjectSelection for Treatmenten
dc.subjectSurveyen
dc.titlePity the Poor Gatekeeper: A Transatlantic Perspective on Cost Containment in Clinical Practiceen
dc.provenanceDigital citation created by the National Reference Center for Bioethics Literature at Georgetown University for the BIOETHICSLINE database, part of the Kennedy Institute of Ethics' Bioethics Information Retrieval Project funded by the United States National Library of Medicine.en
dc.provenanceDigital citation migrated from OpenText LiveLink Discovery Server database named NBIO hosted by the Bioethics Research Library to the DSpace collection BioethicsLine hosted by Georgetown University.en


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