Gatekeeping must go beyond the linear referral modelBMJ 2016; 355 doi: https://doi.org/10.1136/bmj.i5793 (Published 02 November 2016) Cite this as: BMJ 2016;355:i5793
- Jonathan Shapiro, independent health policy analyst
- Bromsgrove B61 9AX, UK
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 …