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Previous Volume 345:1342-1343 November 1, 2001 Number 18 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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In this issue of the Journal, Ferris et al.¹ report on the experience of Harvard Vanguard Medical Associates, a multispecialty prepaid group practice, after it eliminated a gatekeeping system that had been in place for more than 25 years. During the first 18 months after the elimination of the requirement that referrals for specialty care be obtained from primary care physicians, there was little evidence of change in the use of specialty services by adults.

The study by Ferris et al. was well done and provides valuable data. It sheds light on an often misunderstood subject. Some caution, however, is . . . [Full Text of this Article]

References

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• Pati, S., Shea, S., Rabinowitz, D., Carrasquillo, O. (2005). Health Expenditures for Privately Insured Adults Enrolled in Managed Care Gatekeeping vs Indemnity Plans. AJPH 95: 286-291 [Abstract] [Full Text]  
• Shumsky, R. A., Pinker, E. J. (2003). Gatekeepers and Referrals in Services. Management Science 49: 839-856 [Abstract]  
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