There was no difference between the two groups in the dimension of completeness or the three derived dimensions. This is likely because community physicians were still providing the traditional visit-based model of health care, which emphasized the medical care model of the disease. As a result, basic health services have not been integrated at the individual level. The practice model of family physicians in China has not yet been able to develop into a patient-centered service model [56] that emphasizes the holistic concept of time, space and therapies. At present, the government attaches great importance to basic public health services and is committed to enriching community service, but from the patient`s perspective, the assessment of completeness is still somewhat weak. There was also no increase in patient satisfaction with their care in CHCs with control policies consistent with previous studies [33, 38]. Many see access control as an effective way to contain costs by reducing unnecessary medical care interventions. Primary health care and related tests and diagnoses are, on average, more cost-effective than secondary and specialized care services. Family physicians are seen as being better informed than their patients when it comes to where and how to get specialized care. This knowledge benefits the patient care pathway by enabling a more effective search for an adequate and qualitative secondary care provider. In 2009, China officially announced the instruction of the CPC Central Committee and State Council to deepen the reform of the medical and health system [19], which strengthened the provision of community-based primary care, established a referral system [20], and expanded the role of CHCs as the first point of contact for care and as guardians of the entire health system [21]. China has achieved remarkable successes since 2009.
First, in 2014, the primary care system managed to achieve universal health insurance coverage for 97.5% of the Chinese population [22,23,24]. The government has also increased subsidies to CHCs [10], which has increased primary care affordability and affordability [24]. Second, the government expanded and improved the network of primary care facilities, with 84.0% of residents able to reach CHCs in 15 minutes in 2013 [25], which improved geographic accessibility [26]. Third, the service capacity of CHCs has been strengthened. The government has established a national system for essential medicines [27] and a programme of basic public health services. CHCs have provided residents with low-cost medicines and free basic public health services [28], including the creation of health records, chronic disease management, etc., which has improved access to and availability of primary health services [10]. Xiong X, Zhang Z, Ren J, Zhang J, Pan X, Zhang L, et al. Impact of the universal health insurance system on the accessibility of medical care and patient affordability in China. PLoS one. 2018;13(3):e0193273. The healthcare industry is an area where guardians are widely used.
But what exactly do they do? And in what areas of the industry do they work? In this article, we define the term guardian, their roles in health insurance and long-term care, as well as some of the criticisms of them. Guardians play a very important role in the health care system. Because they are not only the first line of defense when it comes to treating an illness or injury in many cases, but they also play the crucial role of triaging patients. Essentially, they find out what`s wrong with the patient and who they need to see next to solve the problem. Therefore, custodians are very important to patients and the healthcare system. Family physicians often act as gatekeepers and allow patients access to specialized treatments. Access control is often seen as a reduction in the use of health services and health expenditure. However, there is little evidence that access control is more beneficial than direct access in terms of patient and health-related outcomes. When it comes to long-term care, caretakers are not people.
Instead, it is the requirements that must be met before a person can receive payments from their long-term care insurance. Different specialties act as gatekeepers: A recent study in the United States showed that 36% worked in general internal medicine, 26% in internal medicine subspecialties, 23% in general pediatrics, 7% in pediatric subspecialties, and 5% in family medicine.8 In nine of the 15 European countries, primary care physicians were assigned a role as full or partial gatekeepers for specialized forms of care.1 In the Netherlands, General practitioners have been guardians for several decades. The included studies suggest a link between control and better quality of care, particularly in terms of prevention, and an adequate referral for specialised treatment and examinations. . . . .
