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Implementing a gatekeeper system to strengthen primary care in Egypt: Pilot study [Mise en œuvre d'un système de filtrage pour renforcer les soins de santé primaires en Égypte: Étude pilote]

Ward, Thomas


Overuse of hospital outpatient clinics in Egypt, due to lack of an effective gatekeeper system, has threatened the sustainability of improved primary care services. In this pilot project in Menoufia in the Nile delta region, the price of direct hospital outpatient visits was increased, encouraging patients to attend primary care clinics first. As a result, direct hospital outpatient utilization decreased by 63% in the project area compared with a 4% increase in a control district. The majority...[Show more]

CollectionsANU Research Publications
Date published: 2010
Type: Journal article
Source: Eastern Mediterranean Health Journal


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