Gouvernance territoriale et performance des services de santé: perspectives pour les Groupements Sanitaires Territoriaux au Maroc

Abdeslam Baalla () and Tarik Jellouli
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Abdeslam Baalla: USMBA - Université Sidi Mohamed Ben Abdellah
Tarik Jellouli: USMBA - Université Sidi Mohamed Ben Abdellah

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Abstract: This article examines the conditions for the success of Territorial Healthcare Groups (GSTs) in Morocco, an innovative initiative aimed at decentralizing and integrating healthcare services. Drawing on public management, governance theories, and the Triple Aim framework, the study explores the levers for effective territorial governance. The methodology combines a literature review, a comparative analysis of healthcare reforms in Canada, Spain, and France, and an examination of Moroccan legislative texts (BO 7151, 7213) and institutional reports (WHO, HCP). The findings highlight key success factors: territorialization based on population needs, effective local autonomy, management tools such as dashboards and contractual agreements, and strengthened managerial capacities, despite challenges posed by historical centralization and regional disparities. The article advocates for agile, multi-level governance that promotes coordination, accountability, and experimentation. Further empirical research, particularly on the Tanger-Tetouan-Al Hoceima pilot, is essential to assess the GSTs' impact on equity and healthcare service performance.

Keywords: Groupements Sanitaires Territoriaux; Pilotage stratégique; Management public Territorial governance; Health reform; Territorial Health Groups; Strategic steering; Public management; Réforme de la santé; Gouvernance territoriale; Gouvernance territoriale Réforme de la santé Groupements Sanitaires Territoriaux Pilotage stratégique Management public Territorial governance Health reform Territorial Health Groups Strategic steering Public management (search for similar items in EconPapers)
Date: 2025-08-31
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Published in European Scientific Journal, 2025, 21, ⟨10.19044/esj.2025.v21n22p185⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-05321733

DOI: 10.19044/esj.2025.v21n22p185

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