[Moonlighting physicians: analysis of its causes and consequences.]

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[Moonlighting physicians: analysis of its causes and consequences.] Abstract Text:

Ariadna ,Paula ,

This paper reviews the most relevant literature on dual job holding among physicians. In doing this, we follow an approach based in Economic Theory. The aim of this research is two-fold: First, we investigate the causes that lead some physicians who work in the public sector to engage in private practice. Secondly, we analyse the potential adverse consequences of dual practice on efficiency in the provision of health services. We find that although doctors may be driven mainly by economic reasons, there are other factors such as job complementarities, as well as institutional, professional and personal variables that may influence physician decisions on moonlighting. We also present and analyze the most relevant negative consequences of dual practice including: absenteeism, shirking, referral of patients, cream-skimming, and corruption.

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[Moonlighting physicians: analysis of its causes and consequences.] Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Gaceta sanitaria / S.E.S.P.A.S

VOLUME: 20 Suppl 2

Page Numbers: 29-40

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ISSN: 0213-9111

DAY: 9

MONTH: Apr

YEAR: 2006

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LANGUAGE: spa

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AFFILIATION: Departamento de Desarrollo Humano, Sector Salud. Región de América Latina y el Caribe. Banco Mundial. Washington DC. Estados Unidos.

Country: Spain

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MEDLINETA: Gac Sanit

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