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This dual practice was to remain a feature of all subsequent Daoist sects.
Despite this, dual practice has also been shown to have positive aspects.
This dual practice is often a means by which health workers try to meet their survival needs, reflecting the inability of health ministries to ensure adequate salaries and working conditions.
Unfortunately, there is no mechanism to enforce how much public time people are going to take because a lot of things that have gone wrong, including this dual practice, have gone wrong because of poor regulatory systems".
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This article, however, along with others in the dual practice literature [ 4, 5], focuses only on dual practice in the form of public-based health workers working part-time in the private, for-profit sector, either within the same facility or outside of it (termed 'public on private' dual practice by Ferrinho and colleagues [ 2]).
All this implies dual practice may exacerbate inequities in health worker distribution, internationally and within LMICs.
In this context, dual practice was generally tolerated within government facilities.
In this paper, dual practice will be used to describe multiple health-related practices in the same or different sites.
I was fulfilling my … commitments to service delivery and then trying to have an academic career … and that just wasn't possible … (P1 DP3, Interview 1) In this regard, dual practice appeared capable of expediting a decision on whether to stay in the public sector or not, bringing some respondents to a point where they felt 'forced to choose' between their public and private jobs.
As the specialists' work is divided into two sectors, this kind of dual practice may lead to a wasteful use of health care resources.
This study considered dual practice patterns in three African cities and the respective markets for physician services, with the objective of understanding the influence of local determinants on the practice.
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