title: Provision of Private Care by Doctors Employed in Public Health Institutions: Ethical Considerations and Implications for Clinical Training.
abstract: This paper summarizes the difficulties that may emerge when the same care-provider attends to private and public patients within the same or different clinical settings. First, I argue that blurring the boundaries between public and private care may start a slippery slope leading to "black" under-the-table payments for preferential patient care. Second, I question whether public hospitals that allow their doctors to attend to private patients provide an appropriate learning environment for medical students and residents. Finally, I propose a way to both maintain the advantages of private care and avoid its negative consequences: complete separation between the public and the private health care systems.
authors.forename: Jochanan
authors.initials: J
authors.lastname: Benbassat
mesh_terms: D003695:Delivery of Health Care / Q000191:economics / Q000941:ethics / Q000458:organization & administration*; D004501:Education, Medical / Q000379:methods; D004992:Ethics, Medical; D006801:Humans; D007557:Israel; D010820:Physicians / Q000191:economics / Q000941:ethics / Q000458:organization & administration*; D011331:Private Practice / Q000941:ethics / Q000458:organization & administration*; D011634:Public Health / Q000379:methods*