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This puts them in a gatekeeper position that effectively discourages them from investing and updating their technology and protocols to match the speed and ease of services you would expect in the twenty-first century.
"Young women are always put in a gatekeeper role – they're always told, 'Just say no, don't do this, don't do that,' and young men don't really get that same message," says Anne-Frances Watson, a lecturer at the Queensland University of Technology who has studied approaches to sex education.
In a Gatekeeper trial, a pharyngeal perforation occurred in one patient owing to the overtube, whereas a second patient developed chronic nausea requiring the endoscopic removal of the prosthesis 3 weeks after implantation.23 Nonetheless, the Gatekeeper system has been withdrawn from the U.S. market because of lack of efficacy.
Paradoxically, patients in lower socioeconomic groups have high attendance rates to GPs in a gatekeeper system like that in Denmark [ 27, 28].
The nurses act in a gatekeeper role by communicating patient care issues and organising clinical assessments by the doctor when they visit the LTCF.
However, it is of some concern that these referral coordinators may be serving in a gatekeeper role with regard to transfer decisions.
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RA T cells have a defect in PFKFB3, a gatekeeper enzyme in the glycolytic pathway, leaving them energy deprived.
In the Netherlands, GPs have a gatekeeper position in the health care system.
That's really where we would come in — as being a gatekeeper to make sure the play remains safe for our kids.
However, in countries without a gatekeeper system, coordination of care is a concern as well [ 2].
According to some informants, some of their members believe that in acting as a gatekeeper the GP fails to refer migrants to specialized services as desired, so that patients' expectations about treatment are unfulfilled.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com