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Instituto de Higiene e Medicina Tropical

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McPake B

Two-tier charging in Maputo Central Hospital: costs, revenues and effects on equity of access to hospital services.

BACKGROUND:
Special services within public hospitals are becoming increasingly common in low and middle income countries with the stated objective of providing higher comfort services to affluent customers and generating resources for under funded hospitals.
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Negotiating Markets for Health: An Exploration of Physicians’ Engagement in Dual Practice in Three African Capital Cities

Scarce evidence exists on the features, determinants and implications of physicians’ dual practice, especially in resource-poor settings. 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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