The process of gatekeeping in health care research.
نویسنده
چکیده
Gatekeeping in health care research is the process of permitting or denying access to a selected research site. It is a complex process that researchers should be aware of as the process of gaining the confidence of the various gatekeepers is often time-consuming. This article identifies how gatekeeping occurs at various stages of the research process and highlights the reasons why some gatekeepers may deny access to researchers. It also offers strategies to minimise any problems associated with gatekeeping.
منابع مشابه
Gatekeeping and children's health care costs.
In the 1990's, primary care gatekeeping became a hallmark of managed care and a major model of health care delivery. Proponents claimed that gatekeeping--requiring that primary care providers preauthorize specialty visits--could control costs and improve coordination of care. However, much of this potential has remained unrealized, and managed care organizations are beginning to loosen these re...
متن کاملThe appropriateness of gatekeeping in the provision of reproductive health care for adolescents in Lithuania:the general practice perspective
BACKGROUND Adolescents' consultation of primary health care services remains problematic despite their accessibility. The reproductive health service seeking behavior of adolescents is the object of much research but little is known about how this behavior is influenced by the gatekeeping system. This study aimed to explore general practitioners' perceptions of the appropriateness of gatekeepin...
متن کاملA screening tool for predicting gatekeeping behaviour
AIM To develop a typology and screening tool for gatekeeping behaviours by nurses responsible for recruitment in palliative care research. DESIGN Concurrent analysis. METHOD Two focus groups were conducted in 2015 with nine qualified hospice community nurses involved in recruitment to a trial in palliative care. The literature was searched for research into gatekeeping from 2000-2016. All n...
متن کاملPrimary care, financing and gatekeeping in western Europe.
Primary care in western Europe is delivered by general practitioners (GPs) but their role within the overall health system is poorly understood. The aim of this article is to present an overview of the characteristics of general practice in the context of health systems and to describe their variability and interrelationships. Data were obtained from two main sources: publications of official o...
متن کاملEffects of removing gatekeeping on specialist utilization by children in a health maintenance organization.
BACKGROUND The "gatekeeping" model of access to specialty care has been an essential managed care tool, intended to control costs of care and promote coordination between generalists and specialists. OBJECTIVE To investigate the impact of removing gatekeeping on specialist utilization. METHODS A capitated multispecialty group discontinued a gatekeeping system on April 1, 1998. We assessed t...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Nursing times
دوره 101 32 شماره
صفحات -
تاریخ انتشار 2005