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Gatekeeping versus direct-access when patient information matters
Health Economics, 06/22/09

Gonzalez P et al. - The authors find that, when GPs incentives matter, a non-gatekeeping system is preferable only when (i) patient pressure to refer is sufficiently high and (ii) the quality of the patient's self-health information is neither highly inaccurate (in which case the patient's self-referral will be very inefficient) nor highly accurate (in which case the GP's agency problem will be very costly).

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