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The Mixed-Method 5W2D Approach for Health System Stakeholders Analysis in Quality of Care: An Application to the Moroccan Context

Author

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  • Youness Frichi

    (Laboratory of Manufacturing, Energy and Sustainable Development, High School of Technology, Sidi Mohamed Ben Abdellah University, Fez 30000, Morocco)

  • Fouad Jawab

    (Laboratory of Manufacturing, Energy and Sustainable Development, High School of Technology, Sidi Mohamed Ben Abdellah University, Fez 30000, Morocco
    Laboratory of International Management, Decision Making and Logistics (MIDLOG), Sidi Mohamed Ben Abdellah University, Fez 30000, Morocco)

  • Said Boutahari

    (Laboratory of Manufacturing, Energy and Sustainable Development, High School of Technology, Sidi Mohamed Ben Abdellah University, Fez 30000, Morocco)

Abstract

(1) Background: Quality of care (QC) is not only about satisfying patients, but also about satisfying the various health system stakeholders (HSS). This makes it a complex and difficult objective to achieve. This study aims at proposing a methodological framework for identifying HSS, prioritizing them in QC, and analyzing their interrelationships. (2) Methods: The proposed framework is the mixed-method 5W2D approach, which uses a combination of three basic methods: the 5W questioning technique (What, Who, Why, Where, and When), the Delphi method, and the Decision making trial and evaluation laboratory (DEMATEL) technique. It consists of three interdependent phases. First of all, a preliminary list of HSS is established based on a systematic literature review, which is then projected and adapted to the national context using the 5W questioning technique. Secondly, the identified HSS are classified in order according to their influence and impact on QC by employing Delphi method. Thirdly, the interrelationships between HSS are determined and analyzed by applying DEMATEL technique. An application of 5W2D is conducted in the Moroccan context as its health system involves a wide range of stakeholders. (3) Results: Results defined 17 groups of HSS, whose prioritization led to three groups that are at the core of the health system: patients and their families, health personnel, and government. Roles and expectations of these groups regarding QC are divergent and contradictory, which require making trade-offs. The findings of this study intend to guide the development of inclusive strategies and policies that involve key stakeholders for QC assessment and improvement.

Suggested Citation

  • Youness Frichi & Fouad Jawab & Said Boutahari, 2019. "The Mixed-Method 5W2D Approach for Health System Stakeholders Analysis in Quality of Care: An Application to the Moroccan Context," IJERPH, MDPI, vol. 16(16), pages 1-25, August.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:16:p:2899-:d:257300
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    References listed on IDEAS

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    1. Soeren Mattke & Edward Kelley & Peter Scherer & Jeremy Hurst & Maria Luisa Gil Lapetra & HCQI Expert Group Members, 2006. "Health Care Quality Indicators Project: Initial Indicators Report," OECD Health Working Papers 22, OECD Publishing.
    2. Govindan, Kannan & Chaudhuri, Atanu, 2016. "Interrelationships of risks faced by third party logistics service providers: A DEMATEL based approach," Transportation Research Part E: Logistics and Transportation Review, Elsevier, vol. 90(C), pages 177-195.
    3. Carine Girard & André Sobczak, 2010. "Pour une cartographie des parties prenantes fondée sur leur engagement : une application aux sociétaires d'une banque mutualiste française," Post-Print hal-00771148, HAL.
    4. Sheng-Li Si & Xiao-Yue You & Hu-Chen Liu & Ping Zhang, 2018. "DEMATEL Technique: A Systematic Review of the State-of-the-Art Literature on Methodologies and Applications," Mathematical Problems in Engineering, Hindawi, vol. 2018, pages 1-33, January.
    5. Tullberg, Jan, 2013. "Stakeholder theory: Some revisionist suggestions," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 42(C), pages 127-135.
    6. Claudia Symmank & Jana Krause & Sebastian Gurtner, 2015. "Stakeholder Variety in Healthcare and Their Integration in the Medical Device Development Process," Springer Books, in: Sebastian Gurtner & Katja Soyez (ed.), Challenges and Opportunities in Health Care Management, edition 127, pages 247-258, Springer.
    7. Helena, Ricardo, 2016. "Cross-border healthcare directive: Assessing stakeholders’ perspectives in Poland and Portugal," Health Policy, Elsevier, vol. 120(4), pages 369-376.
    8. Foley, Conor & Droog, Elsa & Healy, Orla & McHugh, Sheena & Buckley, Claire & Browne, John Patrick, 2017. "Understanding perspectives on major system change: A comparative case study of public engagement and the implementation of urgent and emergency care system reconfiguration," Health Policy, Elsevier, vol. 121(7), pages 800-808.
    9. Edward Kelley & Jeremy Hurst, 2006. "Health Care Quality Indicators Project: Conceptual Framework Paper," OECD Health Working Papers 23, OECD Publishing.
    10. Morgane M.C. Fritz & Romana Rauter & Rupert Baumgartner & Nikolay Dentchev, 2018. "A supply chain perspective of stakeholder identification as a tool for responsible policy and decision-making," Post-Print hal-02547267, HAL.
    11. Ong, Suan Ee & Tyagi, Shilpa & Lim, Jane Mingjie & Chia, Kee Seng & Legido-Quigley, Helena, 2018. "Health systems reforms in Singapore: A qualitative study of key stakeholders," Health Policy, Elsevier, vol. 122(4), pages 431-443.
    12. Thomas A. Kochan & Saul A. Rubinstein, 2000. "Toward a Stakeholder Theory of the Firm: The Saturn Partnership," Organization Science, INFORMS, vol. 11(4), pages 367-386, August.
    13. John M Bryson, 2004. "What to do when Stakeholders matter," Public Management Review, Taylor & Francis Journals, vol. 6(1), pages 21-53, March.
    14. Ovseiko, Pavel V. & Buchan, Alastair M., 2015. "Medical workforce education and training: A failed decentralisation attempt to reform organisation, financing, and planning in England," Health Policy, Elsevier, vol. 119(12), pages 1545-1549.
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    3. Imane Tronnebati & Manal El Yadari & Fouad Jawab, 2022. "A Review of Green Supplier Evaluation and Selection Issues Using MCDM, MP and AI Models," Sustainability, MDPI, vol. 14(24), pages 1-22, December.

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