The Effects of Elimination of Gate-Keeping on Tertiary Care and the Social Insurance System

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dc.contributor.authorSavas, Nazan
dc.contributor.authorOzer, Cahit
dc.contributor.authorInandi, Tacettin
dc.date.accessioned2024-09-18T20:25:18Z
dc.date.available2024-09-18T20:25:18Z
dc.date.issued2011
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description12th National Congress on Public Health -- OCT 21-25, 2008 -- Ankara, TURKEYen_US
dc.description.abstractThe aim was to investigate the effects of elimination of gatekeeping on a university hospital and Social Insurance Institute (SII). Electronic records of 2006-2007 were analyzed. The mean outpatient visits was 273.8 +/- 69.9 before the gate-keeping elimination, it was 471.8 +/- 114.7 after the gate-keeping elimination (p<0.001). The increased rate of visits were in the department of cardiology (95.4%) followed by respiratory medicine (33.3%), orthopedics (22.6%), neurology (16.1%) and gynecology (11.4%). Also the most frequent diagnoses changed in these departments. The most frequent diagnoses before and after elimination were as follows; hypertension in comparison to anxiety disorders after elimination in cardiology, chronic obstructive lung disease compared to myalgia in respiratory medicine, fracture follow up compared to joint pain in orthopaedics, epilepsy compared to dizziness in neurology and infertility compared to vaginitis in gynecology. SII has paid 10.67 fold higher dues after elimination for these 7 departments and diagnoses. Consequently; elimination of the gate-keeping can easily be applied to tertiary care and can increase health expenditures.en_US
dc.identifier.doi10.5174/tutfd.2009.03092.1
dc.identifier.endpage54en_US
dc.identifier.issn2146-3123
dc.identifier.issn2146-3131
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-79959660920en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage49en_US
dc.identifier.urihttps://doi.org/10.5174/tutfd.2009.03092.1
dc.identifier.urihttps://hdl.handle.net/20.500.12483/10222
dc.identifier.volume28en_US
dc.identifier.wosWOS:000293059800011en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherGalenos Publ Houseen_US
dc.relation.ispartofBalkan Medical Journalen_US
dc.relation.publicationcategoryKonferans Öğesi - Uluslararası - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectGate-keepingen_US
dc.subjectuniversity hospitalen_US
dc.subjecthealth expendituresen_US
dc.titleThe Effects of Elimination of Gate-Keeping on Tertiary Care and the Social Insurance Systemen_US
dc.typeConference Objecten_US

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