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Title: Implementing a gatekeeper system to strengthen primary care in Egypt: pilot study
Authors: Ward, T.R.
Issue Date: 2010
Language: English
Abstract: Overuse of hospital outpatient clinics in Egypt, due to lack of an effective gatekeeper system, has threatened the sustainability of improved primary care services. In this pilot project in Menoufia in the Nile delta region, the price of direct hospital outpatient visits was increased, encouraging patients to attend primary care clinics first. As a result, direct hospital outpatient utilization decreased by 63% in the project area compared with a 4% increase in a control district. The majority of this reduction was accounted for by patients attending either public primary care clinics or private clinics. Increasing the price of direct hospital outpatient visits was an effective way to establish a gatekeeper role for family health clinics
Description: 684-689
Keywords: Primary Health Care
Pilot Projects
Health Surveys
Subject: Referral and Consultation
ISSN: 1020-3397
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Appears in Collections:EMRO Journal Articles (EMHJ)

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