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The purpose of this paper is to examine perceptions of need dissatisfaction and need importance in the two groups of orthodox medical doctors in Nigeria, relating these motivational variables to quality in‐patient care.

The paper draws on Maslow's theory, and the question format in Heller and Porter's study; 33 government‐employed doctors, and 29 private practitioners were surveyed. The “t‐test” and Mann‐Whitney test were employed in statistical analysis.

The paper finds that the two groups differed significantly in perceptions of need dissatisfaction with respect to 13 of 26 need items; and in the importance attached to “opportunity to belong to social groups” and pay. When absolute values are considered, the overall picture suggests that the two groups are most dissatisfied with pay, physiological, security, self‐actualization, and transcendence needs.

If doctors as a microcosm of Nigerian workers are to replace poor work habits with quality concepts, their needs for better pay must be satisfied to enable them to meet their physiological needs, and better facilities provided in hospitals to support skill utilization. An economy functions as a system. Doctors consume and render services. If they do not have to procure personal power‐generating sets, self‐protection, and other services that ought to be accessed as public utilities, they will be more emotionally engaged with their tasks.

The main contribution in this paper lies in the evaluation of the motivational needs of Nigerian doctors, healthcare being fundamental to life, and the emphasis on centrality of employee motivation in any planned service improvement efforts.