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Impact of Physician Dual Practices on a Pediatric-Oncology Outreach-Program
OBJECTIVE: Physician dual practices (PDP) can be defined as ‘doctors combining clinical work in public and private health-sector.’ This study explores the impact of PDP on a long-term pediatric-oncology outreach-program between large referral hospitals in the Netherlands, Indonesia and Kenya. METHOD...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
West Asia Organization for Cancer Prevention
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10685246/ https://www.ncbi.nlm.nih.gov/pubmed/37642050 http://dx.doi.org/10.31557/APJCP.2023.24.8.2647 |
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author | Olbara, Gilbert Handayani, Krisna Hoogland, Iris Widjajanto, Pudjo Njuguna, Festus Muigai Sitaresmi, Mei Kaspers, Gertjan Mostert, Saskia |
author_facet | Olbara, Gilbert Handayani, Krisna Hoogland, Iris Widjajanto, Pudjo Njuguna, Festus Muigai Sitaresmi, Mei Kaspers, Gertjan Mostert, Saskia |
author_sort | Olbara, Gilbert |
collection | PubMed |
description | OBJECTIVE: Physician dual practices (PDP) can be defined as ‘doctors combining clinical work in public and private health-sector.’ This study explores the impact of PDP on a long-term pediatric-oncology outreach-program between large referral hospitals in the Netherlands, Indonesia and Kenya. METHODS: This cross-sectional descriptive study used a self-administered semi-structured survey. The most senior doctor from each partner site was interviewed in June 2022. The survey contained 70 closed-ended and 7 open-ended questions and took 30-45 minutes to complete. Closed-ended questions were evaluated on 2-5 point rating scales. Informed consent was acquired and respondents endorsed the final report. RESULTS: In the Netherlands an estimated 0-20% of senior doctors combine work in public and private-sector, while 60-80% do so in Indonesia and Kenya according to the respondents. In Indonesia and Kenya, most of doctors are involved in PDP to augment low government salaries. Impact of PDP on pediatric-oncology care is minimal in the Netherlands, but detrimental in Indonesia and Kenya: shortage of experienced doctors, limited supervision of junior staff, slow diagnostics and delays in chemotherapy administration ultimately lead to undermining of the quality of care and adverse patient outcomes. CONCLUSIONS: PDP adversely impact patient care at the Indonesian and Kenyan partner sites of a pediatric-oncology outreach-program. Strategies addressing PDP in resource-poor settings are required to improve treatment outcomes and survival of children with cancer. |
format | Online Article Text |
id | pubmed-10685246 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | West Asia Organization for Cancer Prevention |
record_format | MEDLINE/PubMed |
spelling | pubmed-106852462023-11-30 Impact of Physician Dual Practices on a Pediatric-Oncology Outreach-Program Olbara, Gilbert Handayani, Krisna Hoogland, Iris Widjajanto, Pudjo Njuguna, Festus Muigai Sitaresmi, Mei Kaspers, Gertjan Mostert, Saskia Asian Pac J Cancer Prev Research Article OBJECTIVE: Physician dual practices (PDP) can be defined as ‘doctors combining clinical work in public and private health-sector.’ This study explores the impact of PDP on a long-term pediatric-oncology outreach-program between large referral hospitals in the Netherlands, Indonesia and Kenya. METHODS: This cross-sectional descriptive study used a self-administered semi-structured survey. The most senior doctor from each partner site was interviewed in June 2022. The survey contained 70 closed-ended and 7 open-ended questions and took 30-45 minutes to complete. Closed-ended questions were evaluated on 2-5 point rating scales. Informed consent was acquired and respondents endorsed the final report. RESULTS: In the Netherlands an estimated 0-20% of senior doctors combine work in public and private-sector, while 60-80% do so in Indonesia and Kenya according to the respondents. In Indonesia and Kenya, most of doctors are involved in PDP to augment low government salaries. Impact of PDP on pediatric-oncology care is minimal in the Netherlands, but detrimental in Indonesia and Kenya: shortage of experienced doctors, limited supervision of junior staff, slow diagnostics and delays in chemotherapy administration ultimately lead to undermining of the quality of care and adverse patient outcomes. CONCLUSIONS: PDP adversely impact patient care at the Indonesian and Kenyan partner sites of a pediatric-oncology outreach-program. Strategies addressing PDP in resource-poor settings are required to improve treatment outcomes and survival of children with cancer. West Asia Organization for Cancer Prevention 2023 /pmc/articles/PMC10685246/ /pubmed/37642050 http://dx.doi.org/10.31557/APJCP.2023.24.8.2647 Text en https://creativecommons.org/licenses/by-nc/4.0/This work is licensed under a Creative Commons Attribution-Non Commercial 4.0 International License. (https://creativecommons.org/licenses/by-nc/4.0/) |
spellingShingle | Research Article Olbara, Gilbert Handayani, Krisna Hoogland, Iris Widjajanto, Pudjo Njuguna, Festus Muigai Sitaresmi, Mei Kaspers, Gertjan Mostert, Saskia Impact of Physician Dual Practices on a Pediatric-Oncology Outreach-Program |
title | Impact of Physician Dual Practices on a Pediatric-Oncology Outreach-Program |
title_full | Impact of Physician Dual Practices on a Pediatric-Oncology Outreach-Program |
title_fullStr | Impact of Physician Dual Practices on a Pediatric-Oncology Outreach-Program |
title_full_unstemmed | Impact of Physician Dual Practices on a Pediatric-Oncology Outreach-Program |
title_short | Impact of Physician Dual Practices on a Pediatric-Oncology Outreach-Program |
title_sort | impact of physician dual practices on a pediatric-oncology outreach-program |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10685246/ https://www.ncbi.nlm.nih.gov/pubmed/37642050 http://dx.doi.org/10.31557/APJCP.2023.24.8.2647 |
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