Gatekeeping and Provider Choice in OECD Healthcare Systems


Reibling, Nadine ; Wendt, Claus



DOI: https://doi.org/10.1177/0011392112438333
URL: http://journals.sagepub.com/doi/10.1177/0011392112...
Additional URL: http://www.researchgate.net/publication/241645682_...
Document Type: Article
Year of publication: 2012
The title of a journal, publication series: Current Sociology
Volume: 60
Issue number: 4
Page range: 489-505
Place of publication: London [u.a.]
Publishing house: Sage
ISSN: 0011-3921 , 1461-7064
Publication language: English
Institution: Außerfakultäre Einrichtungen > Mannheim Centre for European Social Research - Research Department A
Außerfakultäre Einrichtungen > Graduate School of Economic and Social Sciences- CDSS (Social Sciences)
Subject: 300 Social sciences, sociology, anthropology
Abstract: Gatekeeping and provider choice have become central in health policymaking within the last two decades. This article contributes to the debates in two ways: first, it provides an extended review of evidence on the impact of gatekeeping and provider choice on efficiency, costs, quality, equality and patient empowerment; and second, it empirically analyses regulations and identifies common trends in healthcare reforms in OECD countries since 1990. More than half of the countries analysed have established gatekeeping systems, while a smaller number provides free access to secondary care. The study discovers a trend towards strengthening gatekeeping regulations within free access countries. Free choice of provider is the standard in the OECD, where only a small number of countries restrict provider choice. The article identifies a diverging trend of reforms, with some traditionally restrictive countries offering more provider choice and other countries limiting the choice of providers as a result of managed care reforms.

Dieser Eintrag ist Teil der Universitätsbibliographie.




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Reibling, Nadine ; Wendt, Claus (2012) Gatekeeping and Provider Choice in OECD Healthcare Systems. Current Sociology London [u.a.] 60 4 489-505 [Article]


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