THE CHALLENGES OF HOSPITAL REFORM IN MOROCCO

Morocco has experienced a steady stream of reforms, including considerable changes in the health sector. Hospitals have been notably reformed, given their importance and their stakes. As a result, several deep and costly reforms have promoted the modernization of their management and organization to maximize their efficiency. Thus, the hospital reform has improved hospital management by supporting hospital planning capacities and introducing new management tools and control of management processes. However, even when a new managerial impetus is presented in the hospital environment and modernization is established, hospitals still suffer from many dysfunctions. The provision of hospital care in Morocco is even described as inefficient for a certain period. Despite all the reforms, the persistence of several dysfunctions raises questions about the importance of change management based on the construction and development of knowledge among the actors involved in hospital structures. This article adopted a collection and analysis method of several reports of the most recent national institutions available in Morocco and a selection of international literature to clarify this question. Finally, given the complexity of hospitals, a practical knowledge management approach can support hospital actors in embracing change and fostering ideas and knowledge that lead to improved practices and learning organizations.