HRH Global Resource Center - Multiple Job Holding

Negotiating Markets for Health: An Exploration of Physicians' Engagement in Dual Practice in Three African Capital Cities

Thu, 10 Oct 2013 18:21:58 +0000

This study considered dual practice patterns in three African cities and the respective markets for physician services, with the objective of understanding the influence of local determinants on the practice. [from abstract]

Are You Moonlighting? Using an Item Count Technique to Measure the Prevalence of Dual Job Practice in the Health Sector: A Case Study from Benin

Fri, 09 Mar 2012 14:11:55 +0000

This presentation on moonlighting in the health sector in Benin presents the results of a study which measured the extent of dual job practice in the health sector. [adapted from author]

Public Sector Doctors with Second Jobs

Mon, 06 Aug 2007 17:20:12 +0000

It is common for doctors working in the public sector to hold second jobs in private practice. Dual medical practice occurs in virtually all countries regardless of income. [author’s description]

Role of Regulation in Influencing Income-Generating Activities Among Public Sector Doctors in Peru

Mon, 05 Mar 2007 20:39:43 +0000

The objective of this article is to examine in Peru the nature of dual practice (doctors holding two jobs at once - usually public sector doctors with private practices), the factors that influence individuals decisions to undertake dual practice, the conditions faced when doing so and the potential role of regulatory intervention in this area. [from abstract]

How and Why Public Sector Doctors Engage in Private Practice in Potuguese-Speaking African Countries

Tue, 26 Sep 2006 19:06:37 +0000

The objective of this article is to explore the type of private practice supplementary income-generating activities of public sector doctors in the Portuguese-speaking African countries, and also to discover the motivations and the reasons why doctors have not made a complete move out of public services. [objective]

Dual Practice of Public Sector Health Care Providers in Peru

Thu, 27 Apr 2006 13:51:59 +0000

To explore the extent, characteristics, incentives, effects and possible regulation of private medical practice in public facilities this study undertook a cross sectional quantitative

Dual Practice by Public Health Providers in Shandong and Sichuan Provinces, China

Thu, 27 Apr 2006 13:18:12 +0000

There are four types of health providers at present in China. These are defined in terms of differences in ownership. Private practice in the health sector was reintroduced from 1980, when China began its economic reform from a planned economy to a market economy. Dual practice (DP) is quite common and a major concern from the point of view of health policy-making as little is known about it. The aim of this study was to describe policies and regulations of DP, the current situation, its impact on access to services and physician behaviour, and to provide evidence for future policy decisions.

Dual Job Holding by Public Sector Health Professionals in Highly Resource-Constrained Settings: Problem or Solution?

Thu, 20 Apr 2006 14:21:24 +0000

This paper examines the policy options for the regulation of dual job holding by medical professionals in highly resource-constrained settings. It draws on the limited evidence available on this topic to assess a number of regulatory options in relation to the objectives of quality of care and access to services, as well as some of the policy constraints that can undermine implementation in resource-poor settings. [from abstract]

Should Physicians' Dual Practice Be Limited? An Incentive Approach

Wed, 05 Apr 2006 18:15:00 +0000

We develop a principal-agent model to analyze how the behavior of a physician in the
public sector is affected by his activities in the private sector. We show that the physician will have incentives to over-provide medical services when he uses his public activity as a way of increasing his prestige as a private doctor. The health authority only benefits from the physician’s dual practice when it is interested in ensuring a very accurate treatment for the patient. Our analysis provides a theoretical framework in which some actual policies implemented to regulate physicians’ dual practice can be addressed.

Dual Practice in the Health Sector: Review of the Evidence

Wed, 05 Apr 2006 18:15:00 +0000

This paper reports on income generation practices among civil servants in the health sector, with a particular emphasis on dual practice. It first approaches the subject of public-private overlap. Thereafter it focuses on coping strategies in general and then on dual practice in particular. In this paper dual practice is approached from six different perspectives: what is meant by dual practice; typology of dual practices; prevalence; impact on personal income, the health care system and health status; reasons; and possible interventions. [adapted from author]