Extent and nature of dual practice engagement among Iran medical specialists

Autor: Mahboubeh Bayat, Gholamhossein Salehi Zalani, Iraj Harirchi, Azad Shokri, Elmira Mirbahaeddin, Roghayeh Khalilnezhad, Mahmoud Khodadost, Mehdi Yaseri, Ebrahim Jaafaripooyan, Ali Akbari-Sari
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Human Resources for Health, Vol 16, Iss 1, Pp 1-10 (2018)
Druh dokumentu: article
ISSN: 1478-4491
DOI: 10.1186/s12960-018-0326-4
Popis: Abstract Background Dual practice (DP) by medical specialists is a widespread issue across health systems. This study aims to determine the level of DP engagement among Iran’s specialists. Methods A pre-structured form was developed to collect the data about medical specialists worked in all 925 Iran hospitals in 2016. The forms were sent to the hospitals via medical universities in each province. The data were merged at the national level and matched using medical council ID codes, national ID codes, and eventually a combination of the first name, surname, and father’s name. Results A total of 48 345 records were collected for 30 273 specialists from 858 (93%) hospitals out of total 925 hospitals. Sixteen thousand eight hundred forty-nine (69% of) specialists were non-faculty members and 6317 (26% of) specialists were employed on a contract basis. Eleven thousand six hundred and thirty-eight (47.7% of) specialists were engaged in DP on total. Female specialists had 0.78 times less DP chance; faculties compared to non-faculties had 0.65 times more DP chance and full-time geographic specialists compared to non-full-time specialists had 0.15 times more DP chance. DP was more frequent in specialists with higher age and more job experience and in provinces with more population, deprivation, and higher number of specialists per facility (P
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