Table 1 Summary table of results
Experiences with dual practice | Individual motivations | Underlying external pressures | Policy/regulatory levers |
|---|---|---|---|
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 | |||
Emergence of quasi-private clinics within public hospitals |