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Tidsskr Nor Laegeforen. 2002 Aug 20;122(19):1874-9.

[What does it feel like for a physician to be a gatekeeper?].

[Article in Norwegian]

Author information

1
Legeforeningens forskningsinstitutt Postboks 1152 Sentrum 0107 Oslo. palgul@heltef.no

Abstract

BACKGROUND:

Doctors increasingly act as gatekeepers. We have studied the effect that this function has on the doctors themselves.

MATERIAL AND METHODS:

Analysis of 24 questions from large surveys of representative samples of Norwegian doctors in 1993 and 2000.

RESULTS:

Six out of seven doctors sometimes or often met unrealistic demands from patients. More than one third experienced stress because of patient expectations about help for non-medical problems. Nearly 50% had adjusted medical certificates in order to help the patient. More than 50% sometimes or often gave more weight to patients' wishes than to their own medical judgement. 86% had chosen to come in for work themselves when they would have certified as sick a patient with the same symptoms and working situation. The proportions were significantly smaller among older doctors and doctors with a high level of job satisfaction.

INTERPRETATION:

The gatekeeper role has important influence on doctors' job satisfaction. A possible generation effect may imply that society will meet problems more often in the future when assigning gatekeeper functions to doctors.

PMID:
12362710
[Indexed for MEDLINE]
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