"They are after quantity, not quality": health providers' perceptions of fee exemption policies in Morocco

Karen Van der Veken; Fahdi Dkhimi; Bruno Marchal; Peter Decat

doi:10.15171/ijhpm.2018.76

"They are after quantity, not quality": health providers' perceptions of fee exemption policies in Morocco

Karen Van der Veken, Fahdi Dkhimi, Bruno Marchal, Peter Decat

Research output: Contribution to journal › A1: Web of Science-article › peer-review

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Abstract

Background: A free obstetric care policy (FOCP) has been implemented in Morocco in 2008 in order to further decrease maternal mortality.

Methods: Through in-depth interviews we explored the perceptions of health professionals in public Moroccan hospitals with regard to fee exemption policies. We tried to understand what drives health professionals to ignore, modify or apply a health policy as formulated.

Results: Respondents express significant influences of such policies on their work environment (higher workload and scarcity of resources) and on the patient/provider relationship, both of which may cause a negative effect on health workers' motivation. A mix of motivational determinants incites health workers in their turn to influence policy implementation.

Conclusion: Understanding the motivational determinants of health workers may optimize policy implementation at the point of service delivery.

Original language	English
Journal	International Journal of Health Policy and Management
Volume	7
Issue number	12
Pages (from-to)	1110-1119
Number of pages	10
ISSN	2322-5939
DOIs	https://doi.org/10.15171/ijhpm.2018.76
Publication status	Published - 2018

Keywords

Health Workers' Motivation
Morocco
Exemption Mechanisms
Healthcare Reform
Policy Implementation
WORKER MOTIVATION
IMPLEMENTATION
HOSPITALS
DISTRICT
AFRICAN
CARE

Access to Document

10.15171/ijhpm.2018.76

2018ijhp1110

Cite this

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title = "{"}They are after quantity, not quality{"}: health providers' perceptions of fee exemption policies in Morocco",

abstract = "Background: A free obstetric care policy (FOCP) has been implemented in Morocco in 2008 in order to further decrease maternal mortality.Methods: Through in-depth interviews we explored the perceptions of health professionals in public Moroccan hospitals with regard to fee exemption policies. We tried to understand what drives health professionals to ignore, modify or apply a health policy as formulated.Results: Respondents express significant influences of such policies on their work environment (higher workload and scarcity of resources) and on the patient/provider relationship, both of which may cause a negative effect on health workers' motivation. A mix of motivational determinants incites health workers in their turn to influence policy implementation.Conclusion: Understanding the motivational determinants of health workers may optimize policy implementation at the point of service delivery.",

keywords = "Health Workers' Motivation, Morocco, Exemption Mechanisms, Healthcare Reform, Policy Implementation, WORKER MOTIVATION, IMPLEMENTATION, HOSPITALS, DISTRICT, AFRICAN, CARE",

author = "{Van der Veken}, Karen and Fahdi Dkhimi and Bruno Marchal and Peter Decat",

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language = "English",

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publisher = "Kerman University of Medical Sciences",

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T1 - "They are after quantity, not quality": health providers' perceptions of fee exemption policies in Morocco

AU - Van der Veken, Karen

AU - Dkhimi, Fahdi

AU - Marchal, Bruno

AU - Decat, Peter

N1 - FTX

PY - 2018

Y1 - 2018

N2 - Background: A free obstetric care policy (FOCP) has been implemented in Morocco in 2008 in order to further decrease maternal mortality.Methods: Through in-depth interviews we explored the perceptions of health professionals in public Moroccan hospitals with regard to fee exemption policies. We tried to understand what drives health professionals to ignore, modify or apply a health policy as formulated.Results: Respondents express significant influences of such policies on their work environment (higher workload and scarcity of resources) and on the patient/provider relationship, both of which may cause a negative effect on health workers' motivation. A mix of motivational determinants incites health workers in their turn to influence policy implementation.Conclusion: Understanding the motivational determinants of health workers may optimize policy implementation at the point of service delivery.

AB - Background: A free obstetric care policy (FOCP) has been implemented in Morocco in 2008 in order to further decrease maternal mortality.Methods: Through in-depth interviews we explored the perceptions of health professionals in public Moroccan hospitals with regard to fee exemption policies. We tried to understand what drives health professionals to ignore, modify or apply a health policy as formulated.Results: Respondents express significant influences of such policies on their work environment (higher workload and scarcity of resources) and on the patient/provider relationship, both of which may cause a negative effect on health workers' motivation. A mix of motivational determinants incites health workers in their turn to influence policy implementation.Conclusion: Understanding the motivational determinants of health workers may optimize policy implementation at the point of service delivery.

KW - Health Workers' Motivation

KW - Morocco

KW - Exemption Mechanisms

KW - Healthcare Reform

KW - Policy Implementation

KW - WORKER MOTIVATION

KW - IMPLEMENTATION

KW - HOSPITALS

KW - DISTRICT

KW - AFRICAN

KW - CARE

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DO - 10.15171/ijhpm.2018.76

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