Abstract: The rising cost of health care ushered in the health management organization (HMO) or 'managed care' concept of the past two decades. In managed care the patient chooses a primary care physician (PCP) that oversees their medical interactions, often being the point of contact as well as providing diagnosis and referral. Most managed care organizations use primary care physicians (PCPs) as gatekeepers, controlling access to specialty care. This 10 page paper argues that the disadvantages far outweigh the advantages for consumers and providers in using a primary care physician as an initial contact and as 'gatekeeper' to further services. Bibliography lists 4 sources.
Subcatagory: Health Care