Physicians in private practice: reasons for being a social franchise member

Dale Huntington, Gary Mundy, Nang M. Hom, Qingfeng Li, Tin Aung

Research output: Contribution to journalArticle

Abstract

Background: Evidence is emerging on the cost-effectiveness, quality and health coverage of social franchises. But little is known about the motivations of providers to join or remain within a social franchise network, or the impact that franchise membership has on client volumes or revenue earnings.Methods: (i) Uncontrolled facility based of a random sample of 230 franchise members to assess self-reported motivations; (ii) A 24 month prospective cohort study of 3 cohorts of physicians who had been in the franchise for 4 years, 2 years and new members to track monthly case load and revenue generated.Results: The most common reasons for joining the franchise were access to high quality and cheap drugs (96.1%) and feelings of social responsibility, (95.2%). The effects of joining the franchise on the volume of family planning services is shown in the 2009 cohort where the average monthly service volume increased from 18.5 per physician to 70.6 per physician during their first 2 years in the franchise, (prd and 4th year of franchise membership, as the 2007 cohort reported increases of monthly average family planning service volume from 71.2 per physician to 102.8 per physician (p

Original languageEnglish (US)
Article number25
JournalHealth Research Policy and Systems
Volume10
DOIs
Publication statusPublished - Aug 1 2012
Externally publishedYes

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Keywords

  • Myanmar
  • Reproductive health
  • Social franchising

ASJC Scopus subject areas

  • Health Policy

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