Letters Rethinking primary care’s gatekeeper role

Gatekeeping must go beyond the linear referral model

BMJ 2016; 355 doi: http://dx.doi.org/10.1136/bmj.i5793 (Published 02 November 2016) Cite this as: BMJ 2016;355:i5793
  1. Jonathan Shapiro, independent health policy analyst
  1. Bromsgrove B61 9AX, UK
  1. jsx{at}me.com

Greenfield and colleagues’ article on primary care’s gatekeeping role covers only one aspect of primary care;1 excluding other, more important, elements risks these being forgotten entirely.

Their premise is based on a fashionable model of medicine with a simplistic philosophy: “I’m ill. I need treatment. I need to see a specialist as quickly …

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