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How do dual practitioners divide their time? The cases of three African capital cities

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  • McPake, Barbara
  • Russo, Giuliano
  • Tseng, Fu-Min

Abstract

Health professionals dual practice has received increasing attention, particularly in the context of the universal health coverage movement. This paper explores the determinants of doctors' choices to become a dual practitioner and of dual practitioners' choices to allocate time to the private sector in the capital cities of Mozambique, Guinea Bissau and Cape Verde. The data are drawn from a survey conducted in 2012 among 329 physicians. We use a two-part model to analyse the decision of both public and private practitioners to become dual practitioners, and to allocate time between public and private sectors. We impute potential earnings in public and private practice by using nearest-neighbour propensity score matching.

Suggested Citation

  • McPake, Barbara & Russo, Giuliano & Tseng, Fu-Min, 2014. "How do dual practitioners divide their time? The cases of three African capital cities," Social Science & Medicine, Elsevier, vol. 122(C), pages 113-121.
  • Handle: RePEc:eee:socmed:v:122:y:2014:i:c:p:113-121
    DOI: 10.1016/j.socscimed.2014.10.040
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    2. Barış Alpaslan & King Yoong Lim & Yan Song, 2021. "Growth and welfare in mixed health system financing with physician dual practice in a developing economy: a case of Indonesia," International Journal of Health Economics and Management, Springer, vol. 21(1), pages 51-80, March.
    3. Mohsen Bayati & Arash Rashidian & Hamed Zandian & Somayeh Alipoori, 2020. "Dual practice and multiple job holding among Iranian general practitioners: Rate and effective factors," International Journal of Health Planning and Management, Wiley Blackwell, vol. 35(3), pages 799-807, May.
    4. Richard A. Iles, 2019. "Government doctor absenteeism and its effects on consumer demand in rural north India," Health Economics, John Wiley & Sons, Ltd., vol. 28(4), pages 475-491, April.
    5. Gaston Brice Nkoumou Ngoa & Roger Tsafack Nanfosso & Benjamin Fomba Kamga, 2021. "Le recours des professionnels de santé à la pluriactivité dans un pays en développement: Le cas des métropoles du Cameroun," African Development Review, African Development Bank, vol. 33(2), pages 249-262, June.
    6. Gacevic, Marijana & Santric Milicevic, Milena & Vasic, Milena & Horozovic, Vesna & Milicevic, Marko & Milic, Natasa, 2018. "The relationship between dual practice, intention to work abroad and job satisfaction: A population-based study in the Serbian public healthcare sector," Health Policy, Elsevier, vol. 122(10), pages 1132-1139.
    7. Russo, Giuliano & Rego, Inês & Perelman, Julian & Barros, Pedro Pita, 2016. "A tale of loss of privilege, resilience and change: the impact of the economic crisis on physicians and medical services in Portugal," Health Policy, Elsevier, vol. 120(9), pages 1079-1086.
    8. Xiaoling Bai & Anni Wang & Virginia Plummer & Louisa Lam & Wendy Cross & Ziyao Guan & Xin Hu & Mei Sun & Siyuan Tang, 2019. "Using the theory of planned behaviour to predict nurse's intention to undertake dual practice in China: A multicentre survey," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(11-12), pages 2101-2110, June.
    9. ILes, Richard, 2017. "Government Doctor Absenteeism And Its Effects On Consumer Demand In Rural North India," Working Papers 2018-9, School of Economic Sciences, Washington State University, revised 12 2018.

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