To Ban or Not to Ban? : Regulating Dual Practice in Palestine

Dual practice, health professionals working simultaneously in the public and private sectors, is perceived to negatively impact quality of health care. Though a range of policy options exists to regulate dual practice, little is known about the impact of different options on quality of care. Success...

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Bibliographic Details
Main Authors:	Alaref, Jumana, Awwad, Jawad, Araujo, Edson, Lemier, Christophe, Hillis, Samira Ahmed, Ozaltin, Emre
Format:	Journal Article
Language:	en_US
Published:	Taylor and Francis 2017
Subjects:	dual practice health markets monitoring and accountability Palestine private sector quality of care health care system health labor market regulation
Online Access:	http://hdl.handle.net/10986/26011

id	okr-10986-26011
recordtype	oai_dc
spelling	okr-10986-260112021-05-25T10:54:40Z To Ban or Not to Ban? : Regulating Dual Practice in Palestine Alaref, Jumana Awwad, Jawad Araujo, Edson Lemier, Christophe Hillis, Samira Ahmed Ozaltin, Emre dual practice health markets monitoring and accountability Palestine private sector quality of care health care system health labor market regulation Dual practice, health professionals working simultaneously in the public and private sectors, is perceived to negatively impact quality of health care. Though a range of policy options exists to regulate dual practice, little is known about the impact of different options on quality of care. Successful policy is dependent on a country's health care system, health labor market, monitoring of private sector activity, and enforceability of regulations. This article provides evidence on the potential impact of banning dual practice in Palestine. We apply theoretical evidence and international experience, together with context-specific primary and secondary data, to assess the policy's enforceability, implications, and sustainability in the Palestinian context. In this setting, though the risk of losing health workers to the private sector is low, banning dual practice will most likely lead to the “brain drain” of rare specialists from the public sector. Moreover, though there is some evidence that dual practice is negatively impacting quality of care, poor quality in public facilities associated with shortages in supplies and equipment, poor organizational and management practices, low motivation, and absence of monitoring and accountability systems are unlikely to change by banning dual practice. Finally, the ban, as conceptualized, is fiscally unsustainable in a strained health budget and may be challenging to enforce due to a weak monitoring system. Overall, it was found that an outright ban on dual practice would not reduce the financial burden on patients and enhance their access to quality services in the public sector. 2017-02-07T20:30:41Z 2017-02-07T20:30:41Z 2017-01-31 Journal Article Health Systems & Reform 2328-8604 http://hdl.handle.net/10986/26011 en_US CC BY-NC-ND 3.0 IGO http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank Taylor and Francis Publications & Research :: Journal Article Publications & Research Middle East and North Africa West Bank and Gaza
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	en_US
topic	dual practice health markets monitoring and accountability Palestine private sector quality of care health care system health labor market regulation
spellingShingle	dual practice health markets monitoring and accountability Palestine private sector quality of care health care system health labor market regulation Alaref, Jumana Awwad, Jawad Araujo, Edson Lemier, Christophe Hillis, Samira Ahmed Ozaltin, Emre To Ban or Not to Ban? : Regulating Dual Practice in Palestine
geographic_facet	Middle East and North Africa West Bank and Gaza
description	Dual practice, health professionals working simultaneously in the public and private sectors, is perceived to negatively impact quality of health care. Though a range of policy options exists to regulate dual practice, little is known about the impact of different options on quality of care. Successful policy is dependent on a country's health care system, health labor market, monitoring of private sector activity, and enforceability of regulations. This article provides evidence on the potential impact of banning dual practice in Palestine. We apply theoretical evidence and international experience, together with context-specific primary and secondary data, to assess the policy's enforceability, implications, and sustainability in the Palestinian context. In this setting, though the risk of losing health workers to the private sector is low, banning dual practice will most likely lead to the “brain drain” of rare specialists from the public sector. Moreover, though there is some evidence that dual practice is negatively impacting quality of care, poor quality in public facilities associated with shortages in supplies and equipment, poor organizational and management practices, low motivation, and absence of monitoring and accountability systems are unlikely to change by banning dual practice. Finally, the ban, as conceptualized, is fiscally unsustainable in a strained health budget and may be challenging to enforce due to a weak monitoring system. Overall, it was found that an outright ban on dual practice would not reduce the financial burden on patients and enhance their access to quality services in the public sector.
format	Journal Article
author	Alaref, Jumana Awwad, Jawad Araujo, Edson Lemier, Christophe Hillis, Samira Ahmed Ozaltin, Emre
author_facet	Alaref, Jumana Awwad, Jawad Araujo, Edson Lemier, Christophe Hillis, Samira Ahmed Ozaltin, Emre
author_sort	Alaref, Jumana
title	To Ban or Not to Ban? : Regulating Dual Practice in Palestine
title_short	To Ban or Not to Ban? : Regulating Dual Practice in Palestine
title_full	To Ban or Not to Ban? : Regulating Dual Practice in Palestine
title_fullStr	To Ban or Not to Ban? : Regulating Dual Practice in Palestine
title_full_unstemmed	To Ban or Not to Ban? : Regulating Dual Practice in Palestine
title_sort	to ban or not to ban? : regulating dual practice in palestine
publisher	Taylor and Francis
publishDate	2017
url	http://hdl.handle.net/10986/26011
_version_	1764460722032476160

To Ban or Not to Ban? : Regulating Dual Practice in Palestine

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