Impact of Physician Dual Practices on a Pediatric-Oncology Outreach-Programhowever

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
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

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