I welcome the Debate and Analysis piece ‘Preventing gatekeeping delays in the diagnosis of rare disease’ by Esther de Vries and colleagues.1 Discussion about how we can improve the diagnostic delay for patients with rare diseases, on average 4.8 years,2 is much needed.
The use of the term ‘Gatekeeper’ is often associated with negative connotations, simply preventing the patients accessing the health care they need. I …