The role of contractual arrangements in improving health sector ...

Ain Seb. Hay
Moh. S. B.
Zenata
El Fida Derb
Soltan
B.S Sidi
Othmane
Morocco
Reassignment of the personnel Hospital’s budget does not allow to hire qualified
organizations, since they require prices higher than the
administration estimation
Costs control, simple procedures, adaptation to quality
norms, flexibility in reacting to unpredictable events,
advantage of advanced management techniques,
adaptation in respect to competitiveness
Financial resources unsatisfactory, weakness of the
allocated budgets does not allow the hiring of qualified
organizations
Reassignment of the personnel High costs increasing every year and consume a large
part of the budget, absence of efficient control
procedure avoiding budget misuse
Casa Anfa No comment No comment No comment
Mohammadia Disengage hospitals from missions performed badly
due to the number and the profile of the personnel,
which was recuperated. the quality of services is high
Salé Compensate the lack of personnel, due to leave,
retirement, invalidity, sickness, death, recruitment
difficulty. Search for quality of professionalism,
economy, technicality, quality, settle the problem of
lacking personnel
Skhirat
Témara
Better control of the activity, possibility to change the
contractor
Khémisset Flexibility of the process, availability of the personnel,
improvement of the services
The costs represent a large part of the budget, activities
of security agents are limited by the behaviour of the
visitors (aggressiveness), the behaviour of the
personnel of the organizations is sometimes doubtful
with the patients
Unavailability of organization limits competitiveness,
personnel not trained in gardening and cleaning, lack of
desired professionalism
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Given that there differences in the
financial resources allocated to
different hospitals, it would be better
to select the providers at the local level
Define a motivating system through
budget assistance measures
Subcontracting must be subsidized,
acquire an efficient control method
Extend subcontracting to other
services, establish supervision by
technicians (hygiene and dietician),
administration must be react firmly in
case of violation
Establish sheets on evaluation,
experience, seniority, and price
estimation. Turn to bids over 1 to 5
year period; subcontract other services
(plumbing, electricity, carpentry,
construction, etc)
The price is very excessive Extend subcontracting to catering and
to bandage services if the budget is
increased
Companies do not respect their commitments and
disturb the functioning of the institution
Establish a list of approved companies