scholarly journals Effect of dual practice on service delivery time by surgeons in the Islamic Republic of Iran: multi-level analysis of a national survey, 2016

2018 ◽  
Vol 24 (09) ◽  
pp. 866-876
Author(s):  
Mahboubeh Bayat ◽  
Azad Shokri ◽  
Roghayeh Khalilnezhad ◽  
Elmira Mirbahaeddin ◽  
Mahmoud Khodadost ◽  
...  
Keyword(s):  
Service Delivery ◽  
National Survey ◽  
Delivery Time ◽  
Islamic Republic ◽  
Dual Practice ◽  
Islamic Republic Of Iran ◽  
Multi Level ◽  
Level Analysis

Factors Associated with Dual Practice in Surgery Specialists: Application of Multi-Level Analysis on National Registry Data

2019 ◽  
Author(s):  
Mahboubeh BAYAT ◽  
Roghaye KHALILNEJAD ◽  
Ali AKBARI-SARI ◽  
Iraj HARIRCHI ◽  
Gholamhossein SALEHI ZALANI ◽  
...  
Keyword(s):  
National Level ◽  
National Registry ◽  
Medical Council ◽  
Full Time ◽  
Dual Practice ◽  
Related Factors ◽  
Private Hospitals ◽  
Multi Level ◽  
National Registry Data ◽  
Level Analysis

Background: Dual practice by surgery specialists is a widespread issue across health systems. This study aimed to determine the level of dual practice engagement and its related factors among Iran’s surgery specialists. Methods: A pre-structured form was developed to collect the data about surgery 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. Multilevel logistic regression was used to assessing the association between dual practice with study variables. Results: Overall, 14931 surgeons were participated (93% response rate) and 6405 (57% of) engaged in DP on total. Urinary tract & genital and neurosurgery specialties had the highest rank with 69%. DP was more frequent in specialists with higher age and experience, populated provinces, higher deprivation, and share of private hospitals. Faculty physicians (OR=0.69), full-time geographic physicians (OR=0.17), specialists with more than 25 years’ experience (OR=2.59) and age more than 40 yr (OR=1.3) had significant association with dual practice. Conclusion: Multi-approach strategy is needed to control dual practice through tax regulations, income cap, and limitations in work hours and number of visits in private sector.

scholarly journals Factors influencing medical specialists’ dual practice in the Islamic Republic of Iran

2018 ◽  
Vol 24 (09) ◽  
pp. 877-887 ◽  
Author(s):  
Mahboubeh Bayat ◽  
Azad Shokri ◽  
Mahmoud Khodadost ◽  
Hamed Fattahi ◽  
Elmira Mirbahaeddin ◽  
...  
Keyword(s):  
Islamic Republic ◽  
Dual Practice ◽  
Medical Specialists ◽  
Factors Influencing ◽  
Islamic Republic Of Iran
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