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However, in practice almost half oppose the full gatekeeper model.
For example, in some countries with what is known as the GP or Gatekeeper Model access to medical services is restricted by law.
However, only about half of the respondents support a full gatekeeper model and most of them think that the gatekeeper concept has a negative connotation.
Therefore, introduction of a gatekeeper model into the Israeli health care system should be implemented gradually, based on incentives rather than regulations.
In light of the broad consensus that competent primary care physicians are the basis for implementation of the gatekeeper model, board certification should be gradually required by employers of primary care physicians.
Since the rhesus is often used as a "gatekeeper" model for the evaluation of malaria and simian immunodeficiency virus (SIV /HIV vaccines, the identification of strategies to enhance the activation of rhesus T cells would potentially aid in the generation of more potent vaccines directed against these infectious agents.
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PRSs might be interesting esspecially for countries that do not follow gatekeeper models and therefore have free physician choice (e.g. Germany).
An example of this can be seen in Figure 4. Compared with other community annotation projects, it is apparent that the 'Blessed Annotator' and 'Gatekeeper' models can give a much wider range of biotypes with a relatively small number of annotators.
According to official statistics, in 2001, about 45% of the insured chose the lowest permissible deductible and only 9% the highest; about 8% chose a managed care policy, mainly the general practitioner-gatekeeper model.
Insurers can offer different schemes for health care provision such as patients' free choice of physician ("any-willing-provider" or compulsory contracting) or preferred providers' contracts (general practitioner-gatekeeper model or restricted network of providers).
The standard insurance plan included free access to all physicians, in the telephone counselling plan the insured person had to call a medical call centre before going to a physician and in the gatekeeper-model the insured person had to first go to a selected physician.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com