 Digitalization and Social Protection: Towards an Accessible and Secure Health SystemDigitalisation et Protection Sociale: Vers un Système de Santé Accessible et SecuriséMouad Elanouni and
Yasmina Pr. El Fethouni
Post-Print from HAL Abstract: This theoretical article lies at the intersection of two rapidly expanding fields: digital health and social protection reform. While digitalization is frequently presented as a structural lever for modernizing health systems, the literature specific to emerging countries remains fragmented, largely descriptive, and insufficiently grounded in a critical analysis of the institutional conditions for implementation. This theoretical gap is particularly salient in the Moroccan context, where the generalization of Compulsory Health Insurance (AMO) and the deployment of the Hospital Information System (HIS) are part of an ambitious social reform, yet studies evaluating the actual efficiency of the digital transition remain scarce.The central research question is: to what extent does the integration of the Hospital Information System (HIS) and the unique patient identifier contribute to the efficiency of the care pathway in Moroccan public institutions, and what are the specific organizational barriers to this transition? To address this question, the article mobilizes an integrated analytical framework combining the neo-institutional theory of DiMaggio and Powell (1983), the Technology Acceptance Model (TAM) of Davis (1989), and systems theory, in order to examine the macro-institutional, meso-organizational, and micro-individual dimensions of digital transformation.The specific contribution of this work lies in proposing an integrated conceptual model demonstrating that the success of digital transformation depends not only on the performance of technological tools, but also on crucial institutional, organizational, and social dimensions. In particular, semantic system interoperability, data governance, and digital inclusion emerge as key success factors. The digital divide, observable in the Moroccan context, constitutes a structural barrier likely to reproduce or even exacerbate health inequalities if not specifically addressed by public policies. Keywords: Digital inclusion.; Digital governance; Interoperability; Healthcare digitalization; Unique patient identifier; Electronic Medical Record; Public-private coordination; TAM Model; Inclusion numérique.; Gouvernance numérique; Modèle TAM; Interopérabilité; Coordination public-privé; Dossier médical électronique; Identifiant unique patient; Digitalisation du système de santé; Digitalisation du système de santé Identifiant unique patient Dossier médical électronique Coordination public-privé Interopérabilité Modèle TAM Gouvernance numérique Inclusion numérique. Classification JEL : I11 I18 O33 I38 Healthcare digitalization Unique patient identifier Electronic Medical Record Public-private coordination TAM Model Interoperability Digital governance Digital inclusion. JEL Classification :I11 I18 O33 I38 Paper type : Theoretical Research (search for similar items in EconPapers) Published in International Journal of Accounting, Finance, Auditing, Management and Economics - IJAFAME, A paraître, IJAFAM, 7 (05 (2026)), pp.676-687. ⟨10.5281/zenodo.20276784⟩ Downloads: (external link) Related works: Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-05641991 Access Statistics for this paper More papers in Post-Print from HAL |
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