Greenfield and colleagues argue that gatekeeping is associated with delayed diagnosis and adverse outcomes for patients.1 But they do not present a strong enough argument that a “specialist first” system… Click to show full abstract
Greenfield and colleagues argue that gatekeeping is associated with delayed diagnosis and adverse outcomes for patients.1 But they do not present a strong enough argument that a “specialist first” system would reduce the waiting time from onset of symptoms to receipt of an appropriate diagnosis and treatment plan. If more patients self refer to specialist services without a simultaneous increase in the supply of specialists, …
               
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