Dual Practice by Health Workers: Theory and Evidence from Indonesia

González, Paula; Rojas, Gabriel Montes; Pal, Sarmistha

doi:10.2139/ssrn.3045734

Cited by 4 publications

(3 citation statements)

References 14 publications

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“…In this section we study a benchmark case where dual practice is not allowed and the talented physician can only work in the public hospital. It is commonly observed in developing countries that talented physicians trained in public medical schools are obligated to serve in the affiliated public hospitals after their training (Burns & Liu, 2017; González et al., 2017). Of course, patients can still receive general medical care in private hospitals from general physicians.…”

Section: Talented Physician and Hospital Competitionmentioning

confidence: 99%

Should developing countries ban dual practice by physicians? Analysis under mixed hospital competition

2022

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This paper examines a widely observed phenomenon of dual practice by physicians in many countries, where physicians employed in the public sector also work in the private sector, which is often in competition with the public provider that employs them. 1 Dual practice by physicians impacts the quality of healthcare that patients receive and has implications on the competition between the public and private hospitals and, ultimately, affects the overall welfare of a society. In the context of developing countries, physician dual practice, perhaps driven by a burgeoning private healthcare market arising from poor provision of public healthcare along with limited monitoring power of health authorities can be a significant issue. 2 At the heart of the matter are serious policy questions on whether dual practice by physicians under mixed competition is beneficial to society? Does it have negative impact on public health services? Should developing countries with limited regulatory and monitoring power be better off by restricting dual practice?To address these questions we develop a multi-stage game, where both public and private hospitals strategically compete for patients and talented physicians. Talented physicians have skills such as highly specialized training and expertise, significant experience and reputation, which leads to direct and substantial improvement in patient welfare. 3 This is relevant in the context of developing countries where quality of medical care vary across different hospitals and can often fall short. 4 Therefore talented physicians, with skills that improve patient outcomes, are in demand by both public and private sector hospitals. 5 We treat aggregate hospital quality as comprising of care provided by the talented physicians and general medical care (which includes hospital facilities, service of general physicians, waiting times, diagnostic tests, auxiliary medical care, among others). 6 Talented physicians choose the amount of service they provide in the public and private hospitals depending on the

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Section: Talented Physician and Hospital Competitionmentioning

confidence: 99%

Should developing countries ban dual practice by physicians? Analysis under mixed hospital competition

2022

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“… 9 It was found that non-productive health professionals have been known to leave their jobs, either by leaving regional and underserved areas for work in larger cities or by migrating to other countries in search of more attractive job opportunities. 10 …”

Section: Introductionmentioning

confidence: 99%

The Impact of Leadership Styles of Nurse Managers on Nurses’ Motivation and Turnover Intention Among Jordanian Nurses

Smama'h

Eshah

Al-Oweidat

et al. 2023

JHL

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Aim The purpose of this study is to examine the relationship between leadership styles of nurse managers, nurses’ motivation, and turnover intentions among Jordanian nurses. Design A descriptive correlational cross-sectional study using a self-administered questionnaire was conducted. Methods A convenience sampling technique was utilized to select the required .sample A sample of 170 registered nurses working at private hospitals in Jordan was surveyed. Moreover, a questionnaire of Path–Goal Leadership, Multidimensional Work Motivation Scale, and Turnover Intention Scale was used to assess leadership styles of nurse managers, nurses’ motivation and turnover intention among the participants. Descriptive and inferential tests were used to ask the research questions. Results The participants perceived the supportive leadership style as the highest (M = 24.4, SD = 4.66). The mean work motivation among participants was 87.12, and the mean turnover intention was 22.01. Nurses’ motivation has a positive correlation with all leadership styles. Years of experience predict the nurses’ work motivation. Among the leadership styles; two of them significantly predict nurses’ work motivation (supportive style) p < 0.001, and (achievement-oriented style) p < 0.001. Finally, the highest correlation coefficient was noticed between work motivation and achievement-oriented style (r = 0.46, p < 0.001) by moderate positive correlation, and the lowest correlation coefficient was between work motivation and directive style (r = 0.29, p < 0.001), whereas the results revealed that turnover intention was not significantly correlated with any of the leadership styles. Conclusion The results present a unique theoretical underpinning that highlights the factors that affect nurses’ turnover intention. So, these findings could be used as guide for policy makers to establish organizational policies toward satisfying nurses’ motivation and quality of life to enhance their retention. Besides, enriching the factors that may enhance nurses’ motivation and reduce their turnover intention.

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“…Conversely, DP in the medical field piques the most attention since it addresses a global issue that may be exceedingly expensive, is fundamentally unexpected, and implies the availability of expert care. According to studies, permitting physicians to practice simultaneously is expensive and has a detrimental influence on the efficiency of government medical services (Gonzalez et al, 2018;Vejdani, et al, 2020). The growing DP and departure of medical personnel endangers the medical program's efficacy (Gacevic et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

A Traditional Literature Review on Physicians’ Dual Practice – Literature Review

MURUGA¹,

VASILJEVA²

2023

JEHM

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Dual Practice by Health Workers: Theory and Evidence from Indonesia

Cited by 4 publications

References 14 publications

Should developing countries ban dual practice by physicians? Analysis under mixed hospital competition

Should developing countries ban dual practice by physicians? Analysis under mixed hospital competition

The Impact of Leadership Styles of Nurse Managers on Nurses’ Motivation and Turnover Intention Among Jordanian Nurses

A Traditional Literature Review on Physicians’ Dual Practice – Literature Review

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