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Physician dual practice: A review of literature

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  • Socha, Karolina Z.
  • Bech, Mickael

Abstract

Objectives A 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.Methods A systematic literature review identified 23 positions on the subject consisting of journal articles, academic working papers, book chapter, and publications of the WHO.Results The 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.Conclusions Further 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.

Suggested Citation

  • Socha, Karolina Z. & Bech, Mickael, 2011. "Physician dual practice: A review of literature," Health Policy, Elsevier, vol. 102(1), pages 1-7, September.
  • Handle: RePEc:eee:hepoli:v:102:y:2011:i:1:p:1-7
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    Cited by:

    1. Cheng, Terence C. & Joyce, Catherine M. & Scott, Anthony, 2013. "An empirical analysis of public and private medical practice in Australia," Health Policy, Elsevier, vol. 111(1), pages 43-51.
    2. González, Paula & Macho-Stadler, Inés, 2013. "A theoretical approach to dual practice regulations in the health sector," Journal of Health Economics, Elsevier, vol. 32(1), pages 66-87.
    3. Paula González & Gabriel Montes-Rojas & Sarmistha Pal, 2017. "Dual Practice by Health Workers: Theory and Evidence from Indonesia," Working Papers 17.12, Universidad Pablo de Olavide, Department of Economics.
    4. Kuhn, Michael & Nuscheler, Robert, 2013. "Saving the public from the private? Incentives and outcomes in dual practice," ECON WPS - Vienna University of Technology Working Papers in Economic Theory and Policy 02/2013, Vienna University of Technology, Institute for Mathematical Methods in Economics, Research Group Economics (ECON).
    5. Cheng, Terence Chai & Kalb, Guyonne & Scott, Anthony, 2013. "Public, Private or Both? Analysing Factors Influencing the Labour Supply of Medical Specialists," IZA Discussion Papers 7766, Institute for the Study of Labor (IZA).

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