The Effects of Elimination of Gate-Keeping on Tertiary Care and the Social Insurance System
The aim was to investigate the effects of elimination of gatekeeping on a university hospital and Social Insurance Institute (SII). Electronic records of 2006-2007 were analyzed. The mean outpatient visits was 273.8±69.9 before the gate-keeping elimination, it was 471.8±114.7 after the gate-keeping...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Galenos Publishing House
2011-03-01
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| Series: | Balkan Medical Journal |
| Subjects: | |
| Online Access: | http://balkanmedicaljournal.org/text.php3?id=421 |
| _version_ | 1797910103253319680 |
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| author | Nazan Savaş Cahit Özer Tacettin İnandı |
| author_facet | Nazan Savaş Cahit Özer Tacettin İnandı |
| author_sort | Nazan Savaş |
| collection | DOAJ |
| description | The aim was to investigate the effects of elimination of gatekeeping on a university hospital and Social Insurance Institute (SII). Electronic records of 2006-2007 were analyzed. The mean outpatient visits was 273.8±69.9 before the gate-keeping elimination, it was 471.8±114.7 after the gate-keeping elimination (p<0.001). The increased rate of visits were in the department of cardiology (95.4%) followed by respiratory medicine (33.3%), orthopedics (22.6%), neurology (16.1%) and gynecology (11.4%). Also the most frequent diagnoses changed in these departments. The most frequent diagnoses before and after elimination were as follows; hypertension in comparison to anxiety disorders after elimination in cardiology, chronic obstructive lung disease compared to myalgia in respiratory medicine, fracture follow up compared to joint pain in orthopaedics, epilepsy compared to dizziness in neurology and infertility compared to vaginitis in gynecology. SII has paid 10.67 fold higher dues after elimination for these 7 departments and diagnoses. Consequently; elimination of the gate-keeping can easily be applied to tertiary care and can increase health expenditures. |
| first_indexed | 2024-04-10T11:19:04Z |
| format | Article |
| id | doaj.art-7df8e9fdb10d4f438d5a8acb311a9f6b |
| institution | Directory Open Access Journal |
| issn | 2146-3123 2146-3131 |
| language | English |
| last_indexed | 2024-04-10T11:19:04Z |
| publishDate | 2011-03-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Balkan Medical Journal |
| spelling | doaj.art-7df8e9fdb10d4f438d5a8acb311a9f6b2023-02-15T16:18:43ZengGalenos Publishing HouseBalkan Medical Journal2146-31232146-31312011-03-0128014954The Effects of Elimination of Gate-Keeping on Tertiary Care and the Social Insurance SystemNazan SavaşCahit ÖzerTacettin İnandıThe aim was to investigate the effects of elimination of gatekeeping on a university hospital and Social Insurance Institute (SII). Electronic records of 2006-2007 were analyzed. The mean outpatient visits was 273.8±69.9 before the gate-keeping elimination, it was 471.8±114.7 after the gate-keeping elimination (p<0.001). The increased rate of visits were in the department of cardiology (95.4%) followed by respiratory medicine (33.3%), orthopedics (22.6%), neurology (16.1%) and gynecology (11.4%). Also the most frequent diagnoses changed in these departments. The most frequent diagnoses before and after elimination were as follows; hypertension in comparison to anxiety disorders after elimination in cardiology, chronic obstructive lung disease compared to myalgia in respiratory medicine, fracture follow up compared to joint pain in orthopaedics, epilepsy compared to dizziness in neurology and infertility compared to vaginitis in gynecology. SII has paid 10.67 fold higher dues after elimination for these 7 departments and diagnoses. Consequently; elimination of the gate-keeping can easily be applied to tertiary care and can increase health expenditures.http://balkanmedicaljournal.org/text.php3?id=421Gate-keepinguniversity hospitalhealth expenditures |
| spellingShingle | Nazan Savaş Cahit Özer Tacettin İnandı The Effects of Elimination of Gate-Keeping on Tertiary Care and the Social Insurance System Balkan Medical Journal Gate-keeping university hospital health expenditures |
| title | The Effects of Elimination of Gate-Keeping on Tertiary Care and the Social Insurance System |
| title_full | The Effects of Elimination of Gate-Keeping on Tertiary Care and the Social Insurance System |
| title_fullStr | The Effects of Elimination of Gate-Keeping on Tertiary Care and the Social Insurance System |
| title_full_unstemmed | The Effects of Elimination of Gate-Keeping on Tertiary Care and the Social Insurance System |
| title_short | The Effects of Elimination of Gate-Keeping on Tertiary Care and the Social Insurance System |
| title_sort | effects of elimination of gate keeping on tertiary care and the social insurance system |
| topic | Gate-keeping university hospital health expenditures |
| url | http://balkanmedicaljournal.org/text.php3?id=421 |
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