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The healthcare system can consist of three levels: primary, secondary, and tertiary. The primary level is usually administrated by general practitioners (GP), who deal with common health problems (Bodenheimer & Grumbach, 2016). There are several advantages of implementing a primary-care-based system. First of all, patients are examined by a GP and, if need be, are directed to other specialists. Secondly, as many GPs work in collaboration with nurses, it is easier to prevent specific issues, like postponed childhood vaccination (Bodenheimer & Grumbach, 2016). This approach reduces the possibility of patients referring themselves to specific professionals or levels. Therefore, every patient has a personal gatekeeper, be it a general practitioner or physician assistant.
I believe that there are advantages and disadvantages to the gatekeeping system. The main pro of the system is an opportunity to strengthen primary care through preventive measures. Moreover, the allocation of financial resources is done reasonably to ensure long-term sustainability. It is becoming more crucial for countries where there are trends of the aging population. Since the GP becomes an entry point into the medical system, patients get protection from the harmful effects of unnecessary services. Overall, patients establish more reliable connections with their physicians and are more likely to do regular check-ups.
However, this system has disadvantages that should be taken into account. Many physicians jointly create Independent Practice Associations (IPAs) that manage financial risks for diagnostic and specialist services (Bodenheimer & Grumbach, 2016). Sometimes IPAs provide GPs with financial incentives for not prescribing diagnostic services to avoid financial risks (Bodenheimer & Grumbach, 2016). These actions can potentially harm the well-being of people and provoke complications. Also, the reputation of medical professionals will be challenged.
To recap, I am convinced that the advantages of the primary-care-based system outweigh the disadvantages. The flow of patients can be quickly and effectively distributed via points of entry. Hence, people do not need to take responsibility for referring to other medical specialists. As a result, authorities have a chance to better understand the needs and concerns of different population groups. Finally, patients are more inclined to trust their GPs who keep track of the medical records.
Reference
Bodenheimer, T. & Grumbach, K. (2016). Understanding health policy. A clinical approach (7th ed.). New York, NY: McGraw-Hill Education.
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