Olbara, Gilbert and Handayani, Krisna and Hoogland, Iris and Widjajanto, Pudjo and Njuguna, Festus Muigai and Sitaresmi, Mei and Kaspers, Gertjan and Mostert, Saskia (2023) Impact of Physician Dual Practices on a Pediatric-Oncology Outreach-Programhowever. Asian Pacific Journal of Cancer Prevention, 24 (8). pp. 2647-2651. ISSN 15137368
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Abstract
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.
Item Type: | Article |
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Additional Information: | Library Dosen |
Uncontrolled Keywords: | Physician dual practices- childhood cancer- outreach-program |
Subjects: | R Medicine > RC Internal medicine > RC0254 Neoplasms. Tumors. Oncology (including Cancer) R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services |
Divisions: | Faculty of Medicine, Public Health and Nursing > Public Health and Nutrition |
Depositing User: | Ngesti Gandini |
Date Deposited: | 04 Jul 2024 08:52 |
Last Modified: | 04 Jul 2024 08:52 |
URI: | https://ir.lib.ugm.ac.id/id/eprint/2761 |