释义 |
gatekeeping
gatekeeping (ˈɡeɪtˌkiːpɪŋ) n1. the work of a gatekeeper2. the practice of controlling access to information, advanced levels of study, elite sections of society, etcEncyclopediaSeegatekeepergatekeeping The matching of patients’ needs and preferences with the judicious use of medical services. The term is controversial because of its connotation as a menial, bureaucratic function of controlling access to high-cost medical services, a meaning that portrays the physician as the agent of the third-party payers, not the patientgatekeeping An activity that '…has come to imply the medically limited and bureaucratic function of opening or closing the gate to high-cost medical services. This simplistic view …is controversial, both because of its menial connotation and because of the implication that the physician is the agent of the third-party payers, not the patient. The more politically correct way to define gatekeeping is '… matching patients' needs and preferences with the judicious use of medical services.'gatekeeping (gat'ke?ping) In medical care, deciding the allocation, limitation, or rationing of services. Decisions are based on a variety of factors including need; cost; the potential for success of the proposed therapy; and the availability of facilities, staff, and equipment. See: triage |