Preview

Gatekeepers' Pros and Cons

Better Essays
Open Document
Open Document
1332 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Gatekeepers' Pros and Cons
A gatekeeper is a primary care provider who acts as an agent for patients. They coordinate medical care so that patient receives appropriate services and also provide referrals to specialists. Typically, primary care physicians include family practitioner, generalist physician and pediatrician. Ideally, gatekeepers are much like family doctors, they focus on the health of the person as a whole instead of a single organ. They help emphasize prevention care and establish appropriate health screening based on the patient. On the hand, there are concerns that the system of gatekeeping makes urgent care inconvenient. The pros and cons surrounding the system of gatekeeping really question its effectiveness. On the other hand, no system is perfect, if the good can outweigh the bad, the gatekeeper system can be helpful in reducing health care cost and organize how patients receive care. Like other healthcare systems, systems that utilize a gatekeeper have both benefits and flaws. The first advantage of having a primary care provider (PCP) as a gatekeeper is that your healthcare will be organized. PCPs are trained to treat the entire person, physically, mentally and emotionally. Instead of honing on a single disease or organ, PCPs diagnose and treat both acute and chronic illnesses. They also help prevent diseases by providing routine health care check ups and counseling for lifestyle changes. If PCP suspects any problem, they make initial diagnoses, counsel their patients and make necessary referral to a specialist. After the patient is recovered with the help of a specialist, they return to their PCP who is updated with their current information and helps them with ongoing recovery and prevention. According to Palos Hospital Community, the involvement and communication that can develop between PCP and their patient help better overall health outcomes. When patients feel comfortable explaining intimates details of their health, their doctor can better understand their


Citations: "Advantages and Disadvantages of Managed Health Care." Insure Me. N.p., n.d. Web. 9 July 2013. <http://insureme.us/advantages-disadvantages-managed-health-care/>. Crist, Carolyn. "Primary Care Physician Shortage Requires System Overhaul, Panel Says." Primarycare Progress. N.p., 25 Apr. 2013. Web. 9 July 2013. <http://primarycareprogress.org/blogs/16/244>. Carlson, Gail. "What is a Gate Keeper?." Missouri Families. University of Missouri Extension, 5 May 2009. Web. 9 July 2013. <http://missourifamilies.org/features/healtharticles/health44.htm>. "Primary Care Physicians and Why You Need One." Palos Community Hospital. N.p., 2009. Web. 9 July 2013. <http://www.paloscommunityhospital.org/health/health-library/primary-care-physicians-and-why-you-need-one/>.

You May Also Find These Documents Helpful

  • Best Essays

    on preparing enough primary care providers to handle the increased demand for health care that…

    • 2186 Words
    • 9 Pages
    Best Essays
  • Good Essays

    Currently we have an imbalance in our physicians since there are more specialty doctors than primary doctors. This may be because most medical students are choosing the specialist route over primary because of the drastic increase of income. However, if we were to shift our attention to primary and preventative care; we can catch illness early on and reduce the cost by preventing the need to see a specialist. Also as the article mentions, the increase of primary care can cut down on emergency room visits. An example of this was how a woman would end up in the emergency room every time she had a migraine and the physicians would provide her with the medication she needed which cured her migraines temporarily however, she would be back in the emergency room within a couple of weeks (Gwande 25). These emergency room visits could have been easily prevented by seeking a primary care physician where he would try different medications and provide patient centered care. It is with situations like these where patients are not utilizing the healthcare services properly. To fix such a problem, patients need to be educated on when to seek primary care and when to seek urgent care. Also, we need to look at both medical and non-medical determinants such as behavior and socio-economic status. Determinants are very beneficial when attempting to provide preventative…

    • 1177 Words
    • 5 Pages
    Good Essays
  • Best Essays

    "Health Care Changes Spur Need For More Medical Specialists." WOSU Public Media. N.p., 24 Sept. 2013. Web. 25 Sept. 2013.…

    • 1964 Words
    • 8 Pages
    Best Essays
  • Satisfactory Essays

    The goal of the PCMH is to coordinate health care for a patient, prevent possible medical situations from arising, and provide increased quality and safety of medical care by approved practitioners. The primary care physician is responsible for providing continuous care and is designated as the primary contact for the patient. This physician refers the patient to other qualified professionals in the event that additional medical expertise is needed, and all selected providers collectively accept responsibility for the patient's care.…

    • 158 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    These roles have been established and sustained out of need. APRN’s are in demand due to a shortage of primary care providers, an aging population, and demand for more cost-effective health care. A recent study was…

    • 145 Words
    • 1 Page
    Good Essays
  • Good Essays

    Hence, in addition to providing basic services, primary care professionals serve the role of patient advisor, advocate. Another main characteristic is essential care. Primary health care is regarded as essential health care. As such, the goal of the health delivery system is to optimize population health, not just the health of individuals who have the means to access health services. Achievement of this goal requires that disparities across population subgroups be minimized to ensure equal…

    • 685 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    Pros And Cons Of The PPACA

    • 1023 Words
    • 5 Pages

    The state of primary care is somewhat volatile with an uncertain future as a shortage is inevitable. People are living longer while established providers are retiring creating a deficient. Therefore, millions of newly insured individuals that are entitled to free preventative care is an additional stressor. Data indicates in 2011, a minimum of 40 million people will not have to pay for preventive screenings; and that number will increase to 90 million by 2013(Abrams, 2011).…

    • 1023 Words
    • 5 Pages
    Powerful Essays
  • Good Essays

    “Within their areas of competence, Nurse Practitioners were able to provide care whose quality is to that of care provided by physicians. In preventable care and communication with patients, Nurse Practitioner’s were able to outperform doctors” (Strekley, 2008).…

    • 1865 Words
    • 8 Pages
    Good Essays
  • Good Essays

    Primary care nurse practitioner workforce represents a significant supply of primary care providers able to meet the demand for care.…

    • 421 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Miller, R.H. (2015). Does managed care lead to better or worse quality of care? Retrieved from http://content.healthaffairs.org/content/16/5/7.short…

    • 727 Words
    • 2 Pages
    Good Essays
  • Better Essays

    Evolution of Managed Care

    • 1519 Words
    • 7 Pages

    References: Davis, K., Collins, K., & Morris, C. (2006). Managed Care: Promise and Concerns. Retrieved on August 25, 2010, from http://content.healthaffairs.org/cgi/reprint/13/4/178.pdf…

    • 1519 Words
    • 7 Pages
    Better Essays
  • Good Essays

    According to the American Academy of Family physicians, by 2020, the United States will need 40 percent more primary care providers . One way to meet the increasing shortage of primary care provider is to enhance and expedite the growth of Advanced Practice Registered Nurse. A government accounting office noted that Nurse Practitioner are the fastest growing group of primary care providers .…

    • 684 Words
    • 4 Pages
    Good Essays
  • Best Essays

    Managed Care History

    • 4302 Words
    • 18 Pages

    Managed care plans and other insurers: By better understanding the past and present of managed care plans and other insurers in the USA, we can make well-grounded statements about its challenges and proper ways of answering them; furthermore, having a health care plan can help to help improve your chances of getting medical treatment to control and reduce the risk of sickness and disease.…

    • 4302 Words
    • 18 Pages
    Best Essays
  • Better Essays

    Primary Care Physician

    • 1198 Words
    • 5 Pages

    There are a number of factors contributing to the shortage of primary care physicians. The simple rule of supply and demand is driving the physician shortage. The existing primary care physician workforce is shrinking as the demand for primary care services is increasing because of the aging population and the expected number of insured Americans who will enter the system through the Patient Protection and Affordable Care Act (Christian, 2011). The Patient Protection and Affordable Care Act is the federal statute that attempts to reform the American healthcare system by providing more Americans with affordable health insurance (Currie, 2013). Some other reasons why there is a shortage of primary care physicians is that a significant portion of the physician workforce (33%) is over the age of 55 and is planning to retire in the next ten to fifteen years (Amirault, 2014). The number of U.S. medical students going into…

    • 1198 Words
    • 5 Pages
    Better Essays
  • Better Essays

    Managed Care

    • 1382 Words
    • 6 Pages

    Millions of individuals live in the United States of America, and they all need effective, affordable and accessible health care coverage and services. Within decades, the scope and cost of health care has changed dramatically with increased complexity and significance to the healthcare market. The purpose of this paper is to analyze the managed care industry and examine how organizations try to control costs.…

    • 1382 Words
    • 6 Pages
    Better Essays