The Hidden Lever of Performance: The Mediating Role of the Appropriation of NPM Tools in Moroccan Public Hospitals

Le Levier Caché de la Performance: Rôle Médiateur de l'Appropriation des Outils NPM dans les Hôpitaux Publics Marocains

Achraf Cherkaoui Dekkaki (), Azzouz Elhamma () and Mohamed Baajji
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Achraf Cherkaoui Dekkaki: Kénitra - Ecole nationale de commerce et gestion Ibn Tofail
Azzouz Elhamma: Kénitra - Ecole nationale de commerce et gestion Ibn Tofail
Mohamed Baajji: Université Ibn Zohr = Ibn Zohr University [Agadir]

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Abstract: For the past two decades, Morocco's public hospital sector has undergone profound changes through reforms inspired by New Public Management (NPM). This study examines the impact of adopting NPM tools on hospital performance, with a particular focus on how these tools are appropriated by local actors. Drawing on a quantitative survey of 240 hospital managers, our findings highlight the crucial mediating role of appropriation. This process, which involves the hybridization of managerial and public service logics, emerges as a key determinant of meaningful performance improvement. The study also reveals the significant influence of contingency factors such as hospital size, managerial autonomy, and organizational culture. Overall, our results demonstrate that the mere transfer of NPM tools is insufficient; their effectiveness relies on contextual appropriation that encourages organizational hybridization.

Keywords: New Public Management performance hospitalière appropriation hybridation organisationnelle Maroc gestion hospitalière New Public Management hospital performance appropriation organizational hybridization Morocco hospital management; New Public Management; performance hospitalière; appropriation; hybridation organisationnelle; Maroc; gestion hospitalière New Public Management; hospital performance; organizational hybridization; Morocco; hospital management (search for similar items in EconPapers)
Date: 2025-06-30
New Economics Papers: this item is included in nep-ara
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Published in African Scientific Journal, 2025, 03 (30 juin 2025), pp.1061. ⟨10.5281/zenodo.15835132⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-05158968

DOI: 10.5281/zenodo.15835132

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