The role of empanelment and gatekeeping in primary care

Reflect on the different forms of empanelment and gatekeeping

PC empanelment and gatekeeping event image

Patient registration with a primary care provider, referred to as empanelment, enrolment or rostering, is often linked to larger health system reforms, particularly those with a focus on improving the continuity of care. Patient registration has often be accompanied by the introduction of gatekeeping, in which primary care providers control access to specialist medical services and investigations. 

In this round table discussion a panel of cross-country experts will reflect on the different forms of empanelment and gatekeeping that have been implemented across settings, the evidence of what ‘works’ and the lessons learnt from countries that have introduced empanelment and gatekeeping reforms.

Learn more about, and watch back, previous sessions run by LSHTM’s primary health care group on our website. 


Gregory Marchildon was the Ontario Research Chair in Health Policy and System Design and Professor at the Institute of Health Policy, Management and Evaluation at the University of Toronto.  

Karen Kinder is a research associate in the department of Management in Healthcare at the Technical University of Berlin and is currently a consultant for the WHO Primary Health Care Team.

Sophia Chan is currently the Senior Advisor to President’s Office at the University of Hong Kong (HKU), and the Professor and Director to HKU Primary Health Care Academy at the University of Hong Kong. She was the Secretary for Food and Health from 2017-2022. 


Luke Allen, LSHTM 


Free and open to all. No registration required.