Patients do not simply pass through the health care system. The gatekeeper remains a touchstone throughout a patient’s care. If their healthcare complaint is simple, such as a minor sexually transmitted infection, the gatekeeper will most likely diagnose and treat the problem. If lab tests are required to confirm a diagnosis, the gatekeeper will order these tests and receive the results. In the case of more serious health problems, the gatekeeper will authorize hospital stays as required and liaise with hospital staff.
People typically develop relationships with their healthcare gatekeepers. If they fall ill again or develop recurring symptoms, as can happen with some sexually transmitted infections including herpes, they get back in touch with their gatekeeper. Patients who use the same gatekeeper usually receive more consistent care than people who approach different health care professionals with their problems.
Using gatekeepers doesn’t just make sure patients receive the best care. It also reduces costs by ensuring patients do not organize tests or treatment they don’t need. Primary level health care, tests, and diagnosis are usually more affordable than secondary and specialty health care services. Gatekeepers only approve these more expensive services if they’re absolutely necessary.