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Home / Publications / Implications of dual practice for universal health coverage [Conséquences de la double pratique sur la couverture sanitaire universelle]

Implications of dual practice for universal health coverage [Conséquences de la double pratique sur la couverture sanitaire universelle]

  • Authors: Campbell J, Hipgrave D, Horta K, McPake B, Russo G
  • Publication Year: 2016
  • Journal: Bulletin of the World Health Organization
  • Link: https://www.ncbi.nlm.nih.gov/pubmed/26908963

Making progress towards universal health coverage (UHC) requires that health workers are adequate in numbers, prepared for their jobs and motivated to perform. In establishing the best ways to develop the health workforce, relatively little attention has been paid to the trends and implications of dual practice – concurrent employment in public and private sectors. We review recent research on dual practice for its potential to guide staffing policies in relation to UHC. Many studies describe the characteristics and correlates of dual practice and speculate about impacts, but there is very little evidence that is directly relevant to policy-makers. No studies have evaluated the impact of policies on the characteristics of dual practice or implications for UHC. We address this lack and call for case studies of policy interventions on dual practice in different contexts. Such research requires investment in better data collection and greater determination on the part of researchers, research funding bodies and national research councils to overcome the difficulties of researching sensitive topics of health systems functions.

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About GHTM

GHTM is a R&D Unit that brings together researchers with a track record in Tropical Medicine and International & Global Health. It aims at strengthening Portugal's role as a leading partner in the development and implementation of a global health research agenda. Our evidence-based interventions contribute to the promotion of equity in health and to improve the health of populations.

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