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    Demotivating the Doctors: The Double Demotivation Hypothesis in the Health Services of Less-developed Countries

    MacLachlan, Malcolm and Carr, Stuart C. (1993) Demotivating the Doctors: The Double Demotivation Hypothesis in the Health Services of Less-developed Countries. Journal of Management in Medicine. ISSN 0268-9235

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    The health services of many less‐developed countries continue to struggle. Donors also continue to contribute money, equipment and personnel in the hope of producing sustainable improvements in these health services. Despite this cumulative effort over many years, some health services in Africa have failed to make significant gains. Suggests that the giving of aid, through the provision of medical and other personnel, produces a potentially damaging double standard. In particular, the dramatic dichotomy in the renumerations of local and foreign doctors may have the unintended, but damaging, effect of demotivating local staff. In addition, reviews research which supports the notion that the higher‐paid foreign doctors may also experience a demotivation, through being focused on extrinsic rather than intrinsic aspects of their work. Discusses implications of this double demotivation – in local as well as foreign doctors – for the provision of medical personnel in less‐developed countries.

    Item Type: Article
    Keywords: developing countries; doctors; motivation; remuneration;
    Academic Unit: Assisting Living & Learning,ALL institute
    Faculty of Science and Engineering > Psychology
    Item ID: 16596
    Depositing User: Malcolm MacLachlan
    Date Deposited: 04 Oct 2022 16:21
    Journal or Publication Title: Journal of Management in Medicine
    Publisher: MCB University Press
    Refereed: Yes
      Use Licence: This item is available under a Creative Commons Attribution Non Commercial Share Alike Licence (CC BY-NC-SA). Details of this licence are available here

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