An empirical analysis of public and private medical practice in Australia
AuthorCheng, Terence C.; Joyce, Catherine M.; Scott, Anthony
Source TitleHealth Policy
AffiliationMelbourne Institute of Applied Economic and Social Research
Melbourne Institute of Applied Economic and Social Research
Document TypeJournal Article
CitationsCheng, T. C., Joyce, C. M. & Scott, A. (2013). An empirical analysis of public and private medical practice in Australia. Health Policy, 111(1), 43-51.
Access StatusThis item is currently not available from this repository
© 2013 Published by Elsevier Ireland Ltd.
The research outputs in this collection have been funded in whole or in part by the National Health and Medical Research Council (NHMRC).
The combination of public and private medical practice is widespread in many health systems and has important consequences for health care cost and quality. However, its forms and prevalence vary widely and are poorly understood. This paper examines factors associated with public and private sector work by medical specialists using a nationally representative sample of Australian doctors. We find considerable variations in the practice patterns, remuneration contracts and professional arrangements across doctors in different work sectors. Both specialists in mixed practice and private practice differ from public sector specialists with regard to their annual earnings, sources of income, maternity and other leave taken and number of practice locations. Public sector specialists are likely to be younger, to be international medical graduates, devote a higher percentage of time to education and research, and are more likely to do after hours and on-call work compared with private sector specialists. Gender and total hours worked do not differ between doctors across the different practice types.
Keywordspublic-private mix; specialists; medical workforce; Australia
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