文章基本信息

标题：“They Are After Quantity, Not Quality”: Health Providers’ Perceptions of Fee Exemption Policies in Morocco
本地全文：下载
作者：Karen Van der Veken ; Fahdi Dkhimi ; Bruno Marchal 等
期刊名称：International Journal of Health Policy and Management
电子版ISSN：2322-5939
出版年度：2018
卷号：7
期号：12
页码：1110-1119
语种：English
出版社：Kerman University of Medical Sciences
其他摘要：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.
其他关键词：Health Workers’ Motivation ; Morocco ; Exemption Mechanisms ; Healthcare Reform ; Policy Implementation