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 ?
A gatekeeping approach to gender-affirming care is founded on the idea that hormonal therapy may be harmful to patients--either directly, through the biological and chemical consequences of such treatment, or because of the 'social risks', or the fear that patients will regret their decision to pursue medical transition.
Additionally, we combine this approach with exploiting variation in the regional provision of gatekeeping in an instrumental variable (IV) framework.
In a process defined by Meraz and Papacharissi (2013) as "networked gatekeeping," actors are crowd-sourced to prominence through the use of such practices.
(8) They also argued that, in contrast to other circuits, both the Ninth and Tenth Circuits were applying an automatic-new-trial rule in cases in which a district court failed to perform its Daubert gatekeeping role.
In the review presented here, David DeIuliis of Duquesne University offers an introduction to more recent work on gatekeeping. Even with online media more or less removing the limitations of available space or available time, gatekeeping seems to have changed its role and operations.
In the accounting literature, however, "gatekeeping profession" was not commonly used to refer to CPAs, although Coffee introduced it in his 2000 testimony before the SEC.
The purported causes we observed in the low involvement articles (in order of frequency) include: father's work, father's character (e.g., his dispositions, traits, and inclinations), reasons associated with the child, traditional social norms, father's leisure pursuits, maternal gatekeeping, father's inadequate socialization, institutional gatekeeping (institutions, such as hospitals, keeping fathers from being more involved), divorce, father's biological unsuitability for caretaking, father's general level of busyness (not explicitly tied to work), father's time in personal care, and father's or child's illness preventing greater involvement.
State regulatory agencies are fulfilling their gatekeeping responsibility on the proposed Northwest coal export terminals.
The court of appeals noted that although federal courts have applied the gatekeeping function for scientific testimony set out in Daubert v.
New media platforms operating outside of the borders of institutional publication and broadcast structures allow for practices that detour from established conventions, thus norms of objectivity, accountability and gatekeeping being reconfigured (their unstructured, open space facilitates the public expression of personal commentary, whereas their openness and instantaneity affect sourcing and verification), and established distinctions between newsmaker, news reporter and news consumer being unclear.
THE GATEKEEPER ALTERNATIVE: FLAVORS OF AGENCY GATEKEEPING
Under the theme of engagement, the second section concentrates on elements related to the participatory future of news organisations --such as user-centric practices that should be employed by professionals in the industry, the integration of 'network journalism' into news production and journalistic processes, and the importance of user gatekeeping and the need for 'journalistic facilitators' to interface with audiences.