title: Dual practitioners are as engaged in their primary job as their senior colleagues.
abstract: BACKGROUND
  Dual practice--the combination of a public hospital job with a job held in private health care--is often a source of controversy. Physicians involved in dual practice (dual practitioners) are believed to provide less work input in their public employment than physicians who are not involved in dual practice (single practitioners). This paper compares work behaviour of dual and single practitioners in the public hospitals. We focus on senior physicians in anaesthesiology and surgery.
  
  
  METHODS
  Data were collected in a survey of public hospital physicians in Denmark. Bivariate analyses--two-sample Kolmogorov-Smirnov and Fisher's exact tests--were used to test for differences between dual and single practitioners.
  
  
  RESULTS
  The sample represents 45% of senior public hospital physicians in 2008. Dual and single practitioners did not differ significantly in terms of the average length of work week, participation in non-mandatory activities or duties outside normal working hours, including duties accepted with short notice. Furthermore, no significant differences were ascertained in their preferences for working hours or turnover intention (i.e. their intention to leave the current workplace) for their public hospital positions. The two groups also did not differ significantly in terms of scholarly activity, viz. the number of research projects in which they participated or the number of publications issued.
  
  
  CONCLUSIONS
  The revealed profile of a dual practitioner is significantly different from that suggested in the current debate. The findings suggest that the dual practice implications for the functioning of the public health-care system are less problematic than expected.
  
  
  BACKGROUND
  Not relevant.
  
  
  BACKGROUND
  Not relevant.
authors.affiliation: Institut for Sundhedstjenesteforskning, Syddansk Universitet, J.B. Winsloews Vej 9B, 5000 Odense, Denmark. kso@sam.sdu.dk
authors.forename: Karolina
authors.initials: K
authors.lastname: Socha
authors.forename: Mickael
authors.initials: M
authors.lastname: Bech
mesh_terms: D000776:Anesthesiology; D003718:Denmark; D004651:Employment; D013502:General Surgery; D006779:Hospitals, Public; D006801:Humans; D008505:Medical Staff, Hospital; D011331:Private Practice; D011795:Surveys and Questionnaires; D016526:Workload