Preventing gatekeeping delays in the diagnosis of rare diseases

E. de Vries, L. Fransen, M. van den Aker, B.R. Meijboom

Research output: Contribution to journalEditorialScientificpeer-review

Abstract

GPs acting as gatekeepers render a healthcare system easily accessible as well as affordable. However, gatekeeping can have an important drawback: it may hamper timely diagnosis and treatment of patients suffering from a rare disease (incidence <1:2000),1 especially if patients present with common symptoms. This delays referral, possibly resulting in permanent organ damage, reduction in quality of life, and increased healthcare costs. In this article we reflect on both organisational and GP factors that contribute to the problem, and offer suggestions on organisational and educational approaches to tackling it.
Original languageEnglish
Pages (from-to)145-146
JournalBritish Journal General Practice
Volume68
Issue number668
DOIs
Publication statusPublished - 2018

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Gatekeeping
Rare Diseases
Delivery of Health Care
Incidence

Keywords

  • CARE

Cite this

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Preventing gatekeeping delays in the diagnosis of rare diseases. / de Vries, E.; Fransen, L.; van den Aker, M.; Meijboom, B.R.

In: British Journal General Practice, Vol. 68, No. 668, 2018, p. 145-146.

Research output: Contribution to journalEditorialScientificpeer-review

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AU - de Vries, E.

AU - Fransen, L.

AU - van den Aker, M.

AU - Meijboom, B.R.

PY - 2018

Y1 - 2018

N2 - GPs acting as gatekeepers render a healthcare system easily accessible as well as affordable. However, gatekeeping can have an important drawback: it may hamper timely diagnosis and treatment of patients suffering from a rare disease (incidence <1:2000),1 especially if patients present with common symptoms. This delays referral, possibly resulting in permanent organ damage, reduction in quality of life, and increased healthcare costs. In this article we reflect on both organisational and GP factors that contribute to the problem, and offer suggestions on organisational and educational approaches to tackling it.

AB - GPs acting as gatekeepers render a healthcare system easily accessible as well as affordable. However, gatekeeping can have an important drawback: it may hamper timely diagnosis and treatment of patients suffering from a rare disease (incidence <1:2000),1 especially if patients present with common symptoms. This delays referral, possibly resulting in permanent organ damage, reduction in quality of life, and increased healthcare costs. In this article we reflect on both organisational and GP factors that contribute to the problem, and offer suggestions on organisational and educational approaches to tackling it.

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DO - 10.3399/bjgp18X695225

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SP - 145

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JO - British Journal General Practice

JF - British Journal General Practice

SN - 0960-1643

IS - 668

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