TY  - JOUR
AB  - 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.
VL  - 7
IS  - 6
SN  - 0268-9235
DO  - 10.1108/02689239310047817
UR  - https://doi.org/10.1108/02689239310047817
AU  - MacLachlan Malcolm
AU  - Carr Stuart
PY  - 1993
Y1  - 1993/01/01
TI  - Demotivating the Doctors: The Double Demotivation Hypothesis in the Health Services of Less‐developed Countries
T2  - Journal of Management in Medicine
PB  - MCB UP Ltd
SP  - 6
EP  - 10
Y2  - 2024/04/24
ER  -