Frontline Workers’ Use of Discretion in the Implementation of National Health Insurance Scheme in Ghana

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dc.contributor.authorKipo-Sunyehzi, D.D.
dc.contributor.authorBrenya, E.
dc.contributor.authorFusheini, A.
dc.date.accessioned2023-04-28T20:09:33Z
dc.date.available2023-04-28T20:09:33Z
dc.date.issued2023
dc.descriptionResearch Articleen_US
dc.description.abstractThe article examines frontline workers’ use of discretion in the implementation of the National Health Insurance Scheme in Ghana. It answers two questions: 1) how does discretion affect service delivery? 2) Whose interest does discretion serve in service delivery? The article provides three contributions. First, it brings a new direction in the use of discretion in organisations in a developing world context. Second, it adds to ‘how’ and ‘why’ frontline workers use discretion. Finally, it reveals whose interest the use of discretion serves. It utilises qualitative methods to reveal both positively motivated and negatively motivated discretion relationships that exist between frontline workers and clients. Most of the negatively inclined discretion is exercised largely by frontline workers in public organisations. It concludes that most of the frontline workers’ discretion serves the interest of their clients rather than service providers’ self-interest or the interest of their organisations.en_US
dc.identifier.citationTo cite this article: Daniel Dramani Kipo-Sunyehzi, Edward Brenya & Adam Fusheini (2023): Frontline Workers’ Use of Discretion in the Implementation of National Health Insurance Scheme in Ghana, International Journal of Public Administration, DOI: 10.1080/01900692.2022.214530en_US
dc.identifier.otherhttps://doi.org/10.1080/01900692.2022.2145307
dc.identifier.urihttp://ugspace.ug.edu.gh:8080/handle/123456789/38925
dc.language.isoenen_US
dc.publisherInternational Journal of Public Administrationen_US
dc.subjectFrontline workersen_US
dc.subjectdiscretionen_US
dc.subjectnational health insurance schemeen_US
dc.subjectGhanaen_US
dc.titleFrontline Workers’ Use of Discretion in the Implementation of National Health Insurance Scheme in Ghanaen_US
dc.typeArticleen_US

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