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In 2005, France implemented a gatekeeping reform designed to improve care coordination and to reduce utilization of specialists' services.
Meanwhile, the national board, which will oversee the new system as well as taking charge of specialists services, such as heart surgery, is well on the way to being formed.
Our model does not cover the fact that the demand for specialists' services can be the result of referrals of general practitioners.
The guideline specifies that all health care providers must provide 5As counseling as a part of routine health care consultations and dedicated tobacco cessation specialists services should also be set up in health care settings [ 5].
This indicates that price signals (such as higher charges for specialists' services without a referral) might still be necessary to discourage bypass practices if official patient charges are introduced.
The following models have been identified [ 19]: PHC based on choice of specialists' services PHC based on individual generalists PHC based on group practices PHC through health centers PHC through integrated services Table 1 summarizes the features of PHC identified in the participating countries.
Similar(54)
"We are not asking for specialist services.
No one from children's specialist services visited the pub.
That means more resources to develop specialist services.
Alternatively, your GP can refer you on to specialist services.
"All I can do is refer you to specialist services".
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com