Friday, July 12, 2024

Physician dual practice and the public health care provision: A recipe for corruption or not?

Let me first start by acknowledging that physician dual practice has a diversity of meanings in the literature. The expression dear reader is used to indicate a physician with multiple medical specialties, It is also used to describe health professionals who combine clinical practice with other health-related activities such as research, teaching, or management. Physicians engaged in it (dual-practitioners) are expected to have better income raising opportunities in the private than in the public practice.

Therefore, they are suspected to concentrate their attention and work effort on the private practice at the expense of the public. The literature on the dual practitioners state that they are also suspected to favour long public waiting times to boost the demand for the private services  or to cream-skim profitable patients from the public waiting lists to the private practice. Further, they might over-provide health care in the public sector to earn a good reputation for their private practice  or use public resources for private practice purposes without adequate payment.

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