Gatekeeping and the utilization of physician services in France: Evidence on the Médecin traitant reform.

@article{Dumontet2017GatekeepingAT,
  title={Gatekeeping and the utilization of physician services in France: Evidence on the M{\'e}decin traitant reform.},
  author={Magali Dumontet and Thomas C Buchmueller and Paul Dourgnon and Florence Jusot and J{\'e}r{\^o}me Wittwer},
  journal={Health policy},
  year={2017},
  volume={121 6},
  pages={675-682}
}
In 2005, France implemented a gatekeeping reform designed to improve care coordination and to reduce utilization of specialists' services. Under this policy, patients designate a médecin traitant, typically a general practitioner, who will be their first point of contact during an episode of care and who will provide referrals to specialists. A key element of the policy is that patients who self-refer to a specialist face higher cost sharing than if they received a referral from their médecin… CONTINUE READING