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Physician dual practice: A review of literature

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisReviewForskningpeer review

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Physician dual practice: A review of literature. / Socha, Karolina; Bech, Mickael.

I: Health Policy, 2010.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisReviewForskningpeer review

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Socha, Karolina ; Bech, Mickael. / Physician dual practice: A review of literature. I: Health Policy. 2010.

Bibtex

@article{1ebf33ffc3b54548beef289e5865a0e7,
title = "Physician dual practice: A review of literature",
abstract = "ObjectivesA combination of public and private practice by physicians, referred to as physician dual practice, has been receiving attention in connection with arguments about its negative impact for the public health care. This paper aims to review and critically discuss findings on the subject of dual practice effects for the public health care.MethodsA systematic literature review identified 23 positions on the subject consisting of journal articles, academic working papers, book chapter, and publications of the WHO.ResultsThe subject is short on evidence. Theoretical analyses indicate both positive and negative effects of dual practice. Some of the effects depend, however, on assumptions that are undermined in the broader literature. The analyses assume that the dual practitioners{\textquoteright} objective is to maximise income. Yet, while physicians seem to engage in a private practice on top of the public one mainly to increase income, it remains uncertain whether dual practice is an income-maximising combination of jobs. Moreover, costs of enforcing restrictions on dual practice are rarely considered.ConclusionsFurther research is needed that compares dual practitioners and other physicians in uniform settings, investigates how the dual practitioners divide labour between the two jobs, and analyses the costs of enforcing restrictions on dual practice.",
keywords = "dual jobs, moonlighting, public-private",
author = "Karolina Socha and Mickael Bech",
year = "2010",
doi = "10.1016/j.healthpol.2010.10.017",
language = "English",
journal = "Health Policy",
issn = "0168-8510",
publisher = "Elsevier Ireland Ltd.",

}

RIS

TY - JOUR

T1 - Physician dual practice: A review of literature

AU - Socha, Karolina

AU - Bech, Mickael

PY - 2010

Y1 - 2010

N2 - ObjectivesA combination of public and private practice by physicians, referred to as physician dual practice, has been receiving attention in connection with arguments about its negative impact for the public health care. This paper aims to review and critically discuss findings on the subject of dual practice effects for the public health care.MethodsA systematic literature review identified 23 positions on the subject consisting of journal articles, academic working papers, book chapter, and publications of the WHO.ResultsThe subject is short on evidence. Theoretical analyses indicate both positive and negative effects of dual practice. Some of the effects depend, however, on assumptions that are undermined in the broader literature. The analyses assume that the dual practitioners’ objective is to maximise income. Yet, while physicians seem to engage in a private practice on top of the public one mainly to increase income, it remains uncertain whether dual practice is an income-maximising combination of jobs. Moreover, costs of enforcing restrictions on dual practice are rarely considered.ConclusionsFurther research is needed that compares dual practitioners and other physicians in uniform settings, investigates how the dual practitioners divide labour between the two jobs, and analyses the costs of enforcing restrictions on dual practice.

AB - ObjectivesA combination of public and private practice by physicians, referred to as physician dual practice, has been receiving attention in connection with arguments about its negative impact for the public health care. This paper aims to review and critically discuss findings on the subject of dual practice effects for the public health care.MethodsA systematic literature review identified 23 positions on the subject consisting of journal articles, academic working papers, book chapter, and publications of the WHO.ResultsThe subject is short on evidence. Theoretical analyses indicate both positive and negative effects of dual practice. Some of the effects depend, however, on assumptions that are undermined in the broader literature. The analyses assume that the dual practitioners’ objective is to maximise income. Yet, while physicians seem to engage in a private practice on top of the public one mainly to increase income, it remains uncertain whether dual practice is an income-maximising combination of jobs. Moreover, costs of enforcing restrictions on dual practice are rarely considered.ConclusionsFurther research is needed that compares dual practitioners and other physicians in uniform settings, investigates how the dual practitioners divide labour between the two jobs, and analyses the costs of enforcing restrictions on dual practice.

KW - dual jobs, moonlighting, public-private

U2 - 10.1016/j.healthpol.2010.10.017

DO - 10.1016/j.healthpol.2010.10.017

M3 - Review

C2 - 21094557

JO - Health Policy

JF - Health Policy

SN - 0168-8510

ER -