gatekeeping


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The matching of patients’ needs and preferences with the judicious use of medical services. The term is controversial because of its connotation as a menial, bureaucratic function of controlling access to high-cost medical services, a meaning that portrays the physician as the agent of the third-party payers, not the patient

gatekeeping

An activity that '…has come to imply the medically limited and bureaucratic function of opening or closing the gate to high-cost medical services. This simplistic view …is controversial, both because of its menial connotation and because of the implication that the physician is the agent of the third-party payers, not the patient. The more politically correct way to define gatekeeping is '… matching patients' needs and preferences with the judicious use of medical services.'

gatekeeping

(gat'ke?ping)
In medical care, deciding the allocation, limitation, or rationing of services. Decisions are based on a variety of factors including need; cost; the potential for success of the proposed therapy; and the availability of facilities, staff, and equipment.
See: triage
References in periodicals archive ?
In particular, critiques of prohibitive traditional social norms and maternal gatekeeping surged, especially during the 1980s.
Along the way, I find much to recommend in agency gatekeeping.
64) In this case, Chancellor Allen exhibits a limited example of settlement gatekeeping.
He goes so far as to characterize the (unsuccessful) bills that preceded the 1997 act as flirting "with the evisceration and privatization of FDA gatekeeping power--by authorizing experiments with 'third party' review.
The notion of gatekeeping has nuanced applications in the field of Indigenous research (ARC 1999; Kavelin 2008; Nakata 2006; Swartz 2009).
The status quo has been maintained by fixed boundaries and gatekeeping.
The reporter fills the role of trusted informational gatekeeper and has two important gatekeeping responsibilities--deciding what information to gather about the reportee and how to communicate that information to report users.
The increased return preparer standard enacted in 2007 was originally intended to reduce the increasing number of what were perceived to be aggressive positions being taken on a tax return by requiring tax return preparers to serve in a greater gatekeeping role.
The application helps to streamline workflows to centralize the management of conferences, devices, and systems and provides gatekeeping, scheduling, and directory management.
One use of gatekeeping technology is the assignment of a portable personal telepresence ID.
The mainstreaming of fan fiction is likely to raise standards further, bringing more educated people into the arena and perhaps encouraging some voluntary gatekeeping, such as contests with input from professional writers or editors.