Template-Type: ReDIF-Article 1.0 Author-Name: Natalya N. Sisigina Author-Email: sisigina@nifi.ru Author-Workplace-Name: Financial Research Institute, Moscow 127006, Russia; Russian Presidential Academy of National Economy and Public Administration, Moscow 119571, Russia Title: Problems of Transition to a Gatekeeper Model in Healthcare Abstract: Regulation of access to specialist medical care is widely viewed as effective tool for health cost containment. However, the results of the access reforms in well-developed public health systems in practice are often below the expected level. The article provides an overview of structure and outcomes of major national access reform programmes in European countries. Based on the collected data key determinants of successful adoption of gatekeeping model were highlighted in the article. The author proposes the promising ways of the development of the current access model reform in Russia. Classification-JEL: I18 Keywords: access to health care, gatekeeper model, health cost containment, managed care Journal: Finansovyj žhurnal — Financial Journal Pages: 64-77 Issue: 3 Year: 2018 Month: June DOI: 10.31107/2075-1990-2018-3-64-77 File-URL: http://www.nifi.ru/images/FILES/Journal/Archive/2018/3/statii/fm_2018_3_05.pdf File-Format: Application/pdf Handle: RePEc:fru:finjrn:180305:p:64-77