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The interviewed GPs were convinced that a gate keeper role for GPs as in many other health care systems could reduce patients' pressure to refer to orthopaedics and decrease performed x-rays.
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Overall, the reviewers felt that the evidence for a 'gate-keeper' role for Rab23 was weak, and that the authors should concentrate on D1R ciliary targeting mechanisms.
Due to decreasing financing resources and the potential effectiveness and efficiency of a primary care centred system, an intense political discussion has started on the gate keeper role of the GP for access to hospital care in Germany [ 4].
Patients were most positive if the physician had initiated the referral, which supports the gate keeper role of the GP.
GPs desired a gate keeper role to decrease patients' pressure for extensive diagnostic procedures and referrals.
One of the key determinants of demand in the NHS remains the GP's gate keeper role, whereby decisions about referral for further opinion, investigation or treatment are taken by GPs [ 5].
But many GPs felt urged by patients to perform referral and, consequently the wish for a gate keeper role – which was assumed to reduce this pressure – was frequently mentioned.
Most systems retain the gate-keeper role of GPs to regulate access to specialists [ 44].
Patients have quasi-universal access to care with only a very limited gate-keeper role of the GP [ 18].
Although not identified in this study as being important predictors of overweight and obesity, given the "gate-keeper" role that parents and schools often play in providing activity opportunities for children [ 41], understanding the activity preferences of students may help to inform the types of interventions provided in the school context.
Access to specialist care is usually achieved by referral from the GP (the gate-keeper role).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com