MANAGEMENT MODEL TO MEASURE AND EVALUATE PHYSICIANS DUAL PRACTICE (DP)

Authors

  • Kirathimo Muruga RISEBA University of Applied Sciences

DOI:

https://doi.org/10.47604/ejbsm.1711
Abstract views: 78
PDF downloads: 96

Keywords:

Management Model, Physicians, Dual Practice

Abstract

Purpose: The aim of this study was to develop a Management model that can measure and evaluate physicians Dual Practice in the Kenyan health sector.

Methodology: The paper adopted a desk top research design. The design involves a review of existing studies relating to the research topic. Desk top research is usually considered as a low cost technique compared to other research designs (Beal et al., 2012). In this case, the researcher collected information relating to physicians Dual Practice.

Results: Based on past literature, the study concluded that several factors are vital in influencing physicians having Dual Practice. These factors included; infrastructure, working environment, doctor’s promotion and income level. The cost/value of DP was also highlighted as an important determinant. Further, the study concluded that legal framework has a significant moderating influence on physicians having Dual Practice. In addition, the study concluded that the level of physicians’ satisfaction determined their tendency to engage in Dual Practice.

Unique Contribution to Theory, Practice and Policy: Based on the findings, the study recommended the need for stakeholders in the health sector to understand the concept of Dual Practice. In particular, there is need to understand the causes and implications of Dual Practice. The study also recommended the need to develop a management model that can measure and evaluate physicians Dual Practice. It is not advisable to completely ban Dual Practice since it has some positive impact. At the same time, excessive Dual Practice can be counterproductive and could be a threat to the efficiency, quality and equity of health services, especially in the public sector. Hence, the need to develop a management approach and management model that can ensure improved cost-benefit of physicians having Dual Practice.

Downloads

Download data is not yet available.

References

Abera, G. G., Alemayehu, Y. K., & Herrin, J. (2017). Public-on-private dual practice among physicians in public hospitals of Tigray National Regional State, North Ethiopia: perspectives of physicians, patients and managers. BMC health services research, 17(1), 713. https://bmchealthservres.biomedcentral.com/track/pdf/10.1186/s12913-017-2701-6

Alaref, J., Awwad, J., Araujo, E., Lemiere, C., Hillis, S. A., & Özaltin, E. (2017). To Ban or Not to Ban? Regulating Dual Practice in Palestine. Health Systems & Reform, 3(1), 42-55. https://www.tandfonline.com/doi/full/10.1080/23288604.2016.1272980

Bazyar, M., Rashidian, A., Jahanmehr, N., Behzadi, F., Moghri, J., & Doshmangir, L. (2018). Prohibiting physicians' dual practice in Iran: Policy options for implementation. The International journal of health planning and management. https://onlinelibrary.wiley.com/doi/abs/10.1002/hpm.2524

Bloom, G., & Standing, H. (2008). Future health systems: Why future? Why now?. Social science & medicine, 66(10), 2067-2075.

Chen, H., Li, M., Dai, Z., Deng, Q., & Zhang, L. (2016). Factors influencing the perception of medical staff and outpatients of dual practice in Shanghai, People’s republic of china. Patient preference and adherence, 10, 1667.

Chue, P. (2007). Incentives to Dual Practice New Institutional Economic analysis of Canada’s mixed public-private health sector. https://soundideas.pugetsound.edu/economics_theses/44/

Eggleston, K., & Bir, A. (2006). Physician dual practice. Health policy, 78(2-3), 157-166. https://www.ncbi.nlm.nih.gov/pubmed/16253383

El Koussa, M., Atun, R., Bowser, D., & Kruk, M. E. (2016). Factors influencing physicians’ choice of workplace: systematic review of drivers of attrition and policy interventions to address them. Journal of global health, 6(2).

Ferrinho, P., Van Lerberghe, W., Fronteira, I., Hipólito, F., & Biscaia, A. (2004). Dual practice in the health sector: review of the evidence. Human resources for health, 2(1), 14. https://human-resources-health.biomedcentral.com/articles/10.1186/1478-4491-2-14

Ferrinho, P., Van Lerberghe, W., Fronteira, I., Hipólito, F., & Biscaia, A. (2004). Dual practice in the health sector: review of the evidence. Human resources for health, 2(1), 14.

García-Prado, A., & González, P. (2011). Whom do physicians work for? An analysis of dual practice in the health sector. Journal of health politics, policy and law, 36(2), 265-294. https://www.ncbi.nlm.nih.gov/pubmed/21543706

Hipgrave, D. B., & Hort, K. (2013). Dual practice by doctors working in South and East Asia: a review of its origins, scope and impact, and the options for regulation. Health policy and planning, 29(6), 703-716. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5010167/

Kiwanuka SN, Rutebemberwa E, Nalwadda C et al. (2011). Interventions to manage dual practice among health workers. The Cochrane Database of Systematic Reviews 7: CD008405, doi: 10.1002/ 14651858.CD008405.pub2. https://www.ncbi.nlm.nih.gov/pubmed/21735429

Kiwanuka, S. N. (2011). Dual practice regulatory mechanisms in the health sector: a systematic review of approaches and implementation. http://www.who.int/alliance-hpsr/projects/alliancehpsr_ugandasystematicreviewdualpractice.pdf

Moghri, J., Mohammad, A. R. A. B., Rashidian, A., & Sari, A. A. (2016). Physician dual practice: a descriptive mapping review of literature. Iranian journal of public health, 45(3), 278. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4851741/

Muhudhia, S. O. (2017). Ethico-legal inquiry into strike action by doctors in Kenya (Doctoral dissertation).

Ojakaa, D., Olango, S., & Jarvis, J. (2014). Factors affecting motivation and retention of primary health care workers in three disparate regions in Kenya. Human resources for health, 12(1), 33.

Ranson MK, Chopra M, Atkins S, Dal Poz MR, Bennett S. (2010). Priorities for research into human resources for health in low- and middleincome countries. Bulletin of World Health Organization 88: 435–43.

Ravishankar N, Gubbins P, Cooley RJ et al. (2009). Financing of global health: tracking development assistance for health from 1990 to 2007. Lancet 373: 2113–24.

Russo, G., McPake, B., Fronteira, I., & Ferrinho, P. (2013). Negotiating markets for health: an exploration of physicians’ engagement in dual practice in three African capital cities. Health policy and planning, 29(6), 774-783.

Socha, K. (2010). Physician dual practice and the public health care provision. Health Economics Papers, 4.

Socha, K. (2010). Physician dual practice and the public health care provision. Review of the literature (No. 2010: 4). University of Southern Denmark, COHERE-Centre of Health Economics Research.

World Health Organization. (2000). The effects of economic and policy incentives on provider practice.

Downloads

Published

2022-11-30

How to Cite

Muruga, K. (2022). MANAGEMENT MODEL TO MEASURE AND EVALUATE PHYSICIANS DUAL PRACTICE (DP). European Journal of Business and Strategic Management, 4(1), 19–28. https://doi.org/10.47604/ejbsm.1711

Issue

Section

Articles