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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...

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Autores principales: Olbara, Gilbert, Handayani, Krisna, Hoogland, Iris, Widjajanto, Pudjo, Njuguna, Festus Muigai, Sitaresmi, Mei, Kaspers, Gertjan, Mostert, Saskia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: West Asia Organization for Cancer Prevention 2023
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.
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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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