Physician’s sociodemographic profile and distribution across public and private health care: an insight into physicians’ dual practice in Brazil

• DOI: 10.1186/s12913-018-3076-z
• Publication Date: 2018-04-23T08:37:27Z
• Authors: Bruno Alonso Miotto; Aline Gil Alves G...; Alex Jones Flores...; Giulia Marcelino ...; Giuliano Russo; Mário César Scheffer
• Keywords: Private practice; Health administration; Health Services Research

The intertwined relation between public and private care in Brazil is reshaping the medical profession, possibly affecting distribution profile of country's workforce. Physicians' simultaneous engagement services a common unregulated practice Brazil, but influence played by contextual factors personal characteristics over dual are still poorly understood. This study aimed at exploring sociodemographic Brazilian physicians to shed light on links their across services. A nation-wide cross-sectional using primary data was conducted 2014. representative sample size 2400 calculated based National Council Medicine database registries; telephone interviews were explore physicians' with From included, 51.45% currently working both services, while 26.95% 21.58% exclusively sectors, respectively. Public sector found be younger (PR 0.84 [0.68–0.89]; PR 0.47 [0.38–0.56]), less experienced 0.78 [0.73–0.94]; 0.44 [0.36–0.53]) predominantly female 0.79 [0.71–0.88]; 0.68 [0.6–0.78]) when compared practitioners; income substantially lower than those for 0.58 [0.48–0.69]) mixed sectors 0.31 [0.25–0.37]). Conversely, from typically senior 1.96 [1.58–2.43]), specialized 1.29 [1.17–1.42]) male 1.35 [1.21–1.51]), often 20 h per week 2.04 [1.4–2.96]). Dual practitioners mostly middle-aged 1.3 [1.16–1.45]), specialists 10 30 years 1.23 [1.11–1.37]). shows that more half engage practice, only one fifth dedicate highlighting also substantial differences socio-demographic work-related public, dual-practitioners. These results consistent international literature suggesting can help predict forms prevalence country.