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Sakhr Ahizoune^1,2, Abdelali Bitar², Rajaa Khramez³

¹Health Sciences, Education and Management research team, Health Care and Sustainable Development laboratory, Higher Institute of Nursing Professions and Health Technologies (ISPITS), 20250, Casablanca.

La Tunisie Medicale

|March 17, 2025

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Morocco

Area of Science:

Public Health
Healthcare Management
Health Systems Research

Context:

Healthcare systems in low- and middle-income countries face persistent challenges in quality, responsiveness, equity, and resilience.
The COVID-19 pandemic highlighted system vulnerabilities, prompting many nations to consider significant healthcare reforms.
Morocco is undertaking an ambitious healthcare system overhaul, emphasizing the human factor and public establishment perceptions.

Purpose:

To describe healthcare professionals' perceptions of the Moroccan healthcare system overhaul.
To identify barriers and facilitators for successful healthcare system reform in Morocco.

Summary:

A mixed-methods study involving 15 interviews with managers and 71 questionnaires with healthcare professionals revealed that while progress has been made, the Moroccan healthcare system requires overhaul.

Keywords:

healthcare professionals healthcare system overhaul perception

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Key recommendations for successful reform include allocating resources, transparent communication, continuous training, stakeholder integration, and supportive leadership.

Managers generally held positive views on the reform as a natural evolution towards social protection generalization, focusing on participation and communication, whereas healthcare professionals expressed more reservations, emphasizing human resource value (financial and career advancement).

Impact:

The findings underscore the need for a collective, gradual approach to healthcare reform implementation, prioritizing clear communication, professional involvement, training, and support to mitigate reluctance.
Valuing human resources financially and through career advancement is crucial for enhancing the positive impact of the healthcare system redesign.
This study provides insights for policymakers and healthcare leaders in Morocco and similar contexts on effectively managing healthcare system transformations.