Implementation of Regional Health Groups: Anticipated perceptions of healthcare professionals in the Marrakech–Safi region, challenges, issues, and key success factors

Implémentation des Groupements Sanitaires Territoriaux: Perceptions anticipées des professionnels de santé de la région Marrakech-Safi, défis, enjeux et facteurs clés de réussite Implementation of Regional Health Groups: Anticipated perceptions of healthcare professionals in

Abdenabi Sbai () and Younes Khaidar ()
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Abdenabi Sbai: USMBA - Université Sidi Mohamed Ben Abdellah, ENCGF - Ecole Nationale de Commerce et de Gestion De Fès - USMBA - Université Sidi Mohamed Ben Abdellah
Younes Khaidar: USMBA - Université Sidi Mohamed Ben Abdellah, ENCGF - Ecole Nationale de Commerce et de Gestion De Fès - USMBA - Université Sidi Mohamed Ben Abdellah

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Abstract: Abstract This article analyzes healthcare professionals' perceptions of the implementation of Territorial Health Groups (GST) in Morocco, focusing on the conditions considered crucial to the success of this organizational transformation. Using a qualitative interpretative approach, the study is based on semi-structured interviews conducted with stakeholders at different levels of the healthcare system. The results show that professionals perceive GSTs as a potentially transformative reform, but one whose scope remains conditioned by its territorial anchoring and the concrete modalities of its implementation. The analysis highlights several organizational and institutional obstacles, including a lack of governance, insufficient communication, and persistent centralization. At the same time, stakeholders identify levers for success such as participatory governance, inter-institutional coordination, and managerial modernization. The results also highlight the importance of professional ownership and resource availabilityin ensuring the effectiveness of the reform.Ultimately, the study suggests that the success of Territorial Health Groups does not rely solely on their institutional framework but primarily depends on the establishment of effective, participatory, and operationally supported territorial governance, which is essential to translating the reform's ambition into tangible organizational outcomes. Drawing on a comparative analysis of experiences in France, Quebec, and Rwanda, the article highlights the specificities of the Moroccan context. It thus contributes to the literature on territorial governance of health systems and offers food for thought for public decision-makers.

Keywords: Health system reform; Territorial governance; Integration of services and care; Organizational change; Perceptions of health professionals; Réforme des systèmes de santé; Gouvernance territoriale; Intégration des services et des soins; Changement organisationnel; Perceptions des professionnels de santé (search for similar items in EconPapers)
Date: 2026-02-19
New Economics Papers: this item is included in nep-ara
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Published in African Scientific Journal, 2026, 3 (34), ⟨10.5281/zenodo.18695904⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-05531940

DOI: 10.5281/zenodo.18695904

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