文章基本信息

标题：Factors influencing medical specialists’ dual practice in the Islamic Republic of Iran
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作者：Mahboubeh Bayat ; Azad Shokri ; Mahmoud Khodadost 等
期刊名称：Eastern Mediterranean Health Journal
印刷版ISSN：1020-3397
出版年度：2018
卷号：24
期号：9
页码：877-887
DOI：10.26719/2018.24.9.877
出版社：World Health Organization
摘要：Background : Dual practice (DP) is performing several different jobs at the same time and has effects on healthcare services delivery. Aims : To identify the causes of medical specialists’ tendency towards DP in the Islamic Republic of Iran. Methods : We used a qualitative approach to identify the factors affecting DP in medical specialists in 2016. We used a purposive and outlier sampling method to conduct semistructured deep interviews with 14 key informants. The data analysis was performed simultaneously with data collection using thematic content analysis by MAXQDA (version 10.0). Interviews continued up to data saturation. The quality of the study was ensured by addressing the criteria of Guba and Lincoln. Results : The results of the interviews showed six themes and 16 subthemes for specialists’ propensity to DP. Major themes included financial incentives, cultural attitudes about professional identity of physicians, experience and academic level of specialists, controlling approaches in the public sector, available infrastructure for responding to the population needs in the public sector, and regional characteristics of health service locations. Conclusions : Medical specialists’ DP is a multidimensional issue, influenced by different factors such as financial incentives, cultural attitudes and available infrastructure. Considering the capacities and conditions of each country, control and management of this phenomenon require regulatory and incentive mechanisms, which in the long term can modify private and public sector differences and increase the willingness of doctors to work in the public sector.
关键词：dual practice; medical specialist; private practice; public sector; Islamic Republic of Iran