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The Gatekeeper Model: patient’s view on the role of the family physician

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dc.contributor.author Verulava, Tengiz
dc.contributor.author Dangadze, Beka
dc.contributor.author Jorbenadze, Revaz
dc.contributor.author Lordkipanidze, Ana
dc.contributor.author Karimi, Leila
dc.contributor.author Eliava, Ekaterine
dc.contributor.author Maglakelidze, Tamar
dc.date.accessioned 2020-04-28T19:32:31Z
dc.date.available 2020-04-28T19:32:31Z
dc.date.issued 2020
dc.identifier.citation Family Medicine & Primary Care Review, 22(1):75–79 en_US
dc.identifier.issn 1734-3402
dc.identifier.uri http://dspace.tsu.ge/xmlui/handle/123456789/610
dc.description.abstract Background. An adequate primary healthcare system substantially determines quality of population health and effective spending of healthcare resources. The family physician serving as a ‘gatekeeper’ can make judicious decisions about the appropriate use of medical services. Objectives. The goal of this study was to find out patients’ characteristics, preferences and behavior in regards to the role of the family physician as the gatekeeper in The Republic of Georgia. Materials and Methods. As part of a cross-sectional quantitative study, respondents were interviewed using a structured questionnaire. Results. Majority of the respondents (53.7%, n=245) had a permanent family physician, but were not satisfied with a level of family physician’s professionalism (56.6%, n=258) and preferred self-referral to specialists (55%, n=253). Only 19.5% (n=89) referred to specialists upon family physician’s advice who would coordinate all services and 23% (n=103) have used both family physicians and self-referral. Private health insurance companies were more interested in implementing cost reducing mechanisms rather than the Social Service Agency (which is responsible for Universal Health Care Program). Conclusions. It is appropriate to share private health insurance experiences for developing a model of gatekeeper in the UHCP. In order to improve a family physician institute and increase confidence in it, it is recommended to raise the level of family physicians’ skills of relations with patients as it has a significant effect on the patient preferences. It is advisable to develop a flexible and voluntary gatekeeper model which will better suit the needs of both patients and physicians. en_US
dc.description.sponsorship Shota Rustaveli National Science Foundation of Georgia [grant number FR17_101] en_US
dc.language.iso en en_US
dc.publisher Family Medicine & Primary Care Review en_US
dc.subject primary health care en_US
dc.subject family physician en_US
dc.subject referral to family physician en_US
dc.subject Georgia en_US
dc.title The Gatekeeper Model: patient’s view on the role of the family physician en_US
dc.type Article en_US

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