Table 1 |
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Summary table of results |
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| Experiences with dual practice |
Individual motivations |
Underlying external pressures |
Policy/regulatory levers |
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|
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| Very prevalent |
Income |
Highly competitive market |
Some in favour of banning |
| Popular with younger doctors who tend to be more aggressive |
Skills development |
Macroeconomic crisis and income pressures |
Tighter workforce planning called for |
| Legitimacy based on historical acceptance of DP |
Clinical autonomy and access to facilities |
Deregulation of medical education |
Adequate public sector income seen as important in reining in uncontrolled dual practice |
| Evidence of misuse of public sector resources |
Lack of career path and income progression in public sector |
Lowering work and pay conditions associated with competition |
Tighter regulation in terms of quality of care |
| Favourable outcomes in terms of skills development |
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| Emergence of quasi-private clinics within public hospitals |
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Jumpa et al. Human Resources for Health 2007 5:5 doi:10.1186/1478-4491-5-5 |
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