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1、JournalofHealthEconomics32(2013)66–87ContentslistsavailableatSciVerseScienceDirectJournalofHealthEconomicsjournalhomepage:www.elsevier.com/locate/econbaseAtheoreticalapproachtodualpracticeregulationsinthehealthsectorPaulaa,∗bGonzález,InésMacho-StadleraDepartmentofEconomics,Un
2、iversidadPablodeOlavide,SpainbDepartmentofEconomics,UniversitatAutònomadeBarcelonaandBarcelonaGSE,SpainarticleinfoabstractArticlehistory:Internationally,thereiswidecross-countryheterogeneityingovernmentresponsestodualpracticeintheReceived11February2011healthsector.Thispaperpro
3、videsauniformtheoreticalframeworktoanalyzeandcomparesomeoftheReceivedinrevisedform13August2012mostcommonregulations.Wefocusonthreeinterventions:banningdualpractice,offeringrewardingAccepted28August2012contractsAvailableonline25September2012topublicphysicians,andlimitingdualpra
4、ctice(includingbothlimitstoprivateearningsofdualprovidersandlimitstoinvolvementinprivateactivities).AnancillaryobjectiveofthepaperistoinvestigateJELwhetherregulationsthatareoptimalfordevelopedcountriesareadequatefordevelopingclassification:countriesI11aswell.Ourresultsoffertheo
5、reticalsupportforthedesirabilityofdifferentregulationsindifferentI18economicenvironments.L51©2012ElsevierB.V.Allrightsreserved.H51Keywords:DualpracticeOptimalcontractsPhysicians’incentivesRegulations1.IntroductionInmostcountrieswithmixedhealthcaresystemsitiscommonpracticeforph
6、ysicianstoworksimultaneouslyinpublichospitalsandprivatefacilities.Despitetheneedforbetterdocumentedevidence,existingdatashowthatthisphenomenoniswidespreadinmanydevelopedanddevelopingcountries.InEurope,forinstance,physiciansworkinginthepublicsectoroftenoperateinprivatefacilitat
7、esundertheirpubliccontracts.ImportantexamplesareAustria,wherealmost100%oftheseniorspecialisthospitaldoctorsworkinbothsectors,Ireland,wheremorethan90%ofthedoctorsemployedinstatehospitalsalsohaveprivatepracticeprivileges,andtheUK,where60%ofpublicdoctorsalsoworkfortheprivatesecto
8、r.OutsideEurope,thereisavailabledataforAustraliaandNewZealand
