Pratiques technico-politiques de financement de la couverture sanitaire au Maroc : analyse comparative (notice n° 1369469)
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| fixed length control field | 04907cam a2200445 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250615090253.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Boughaleb, Aazelarab |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Pratiques technico-politiques de financement de la couverture sanitaire au Maroc : analyse comparative |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2025.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 41 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Introduction: Health coverage financing is a key issue for the sustainability and equity of health care systems. In Morocco, the roll-out of compulsory health insurance (CHI) represents major progress, but poses challenges related to managing contributions, and integrating the informal sector. This article analyzes the Moroccan health financing system and compares it with international examples to identify potential improvements. Methods: The study is based on a systematic literature review and comparative analysis covering data from 2013 to 2023. The selection process followed the PRISMA framework. The main indicators examined include out-of-pocket (OOP) expenses, and the percentage of GDP allocated to health care. Results: The findings reveal a high fragmentation of resources and a strong dependence on out-of-pocket expenses, limiting equity and access to care. However, Morocco has significant levers for reform. The comparative analysis with Thailand, Turkey, and France highlights applicable solutions: diversifying funding sources (sectoral taxes, and risk pooling), digitizing processes to improve efficiency, and strengthening regulatory mechanisms to control costs. Discussion: The study emphasizes the importance of integrated governance and enhanced coordination between public and private stakeholders in improving the sustainability of the system. Conclusion: Reforms combining funding diversification, digitization, and strengthened regulation are essential to enhance the equity and resilience of Morocco’s health care system. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Introduction : Le financement de la couverture sanitaire est un enjeu clé pour la soutenabilité et l’équité des systèmes de santé. Au Maroc, la généralisation de l’Assurance Maladie Obligatoire (AMO) marque une avancée majeure, mais pose des défis liés à la maîtrise des cotisations et à l’intégration du secteur informel. Cet article analyse le système de financement marocain et le compare aux expériences internationales afin d’identifier des pistes d’amélioration. Méthode : L’étude repose sur une revue systématique de la littérature et une analyse comparative couvrant les données de 2013 à 2023. Le processus de sélection suit le schéma PRISMA. Les principaux indicateurs étudiés incluent les paiements directs des ménages (OOP) et la part du PIB dédiée à la santé. Résultats : Les résultats montrent une forte fragmentation des ressources et une dépendance élevée aux paiements directs, limitant l’équité et l’accessibilité aux soins. Toutefois, le Maroc dispose de leviers de réforme. L’analyse comparative avec la Thaïlande, la Turquie et la France met en avant des solutions applicables : diversification des sources de financement (taxes sectorielles, mutualisation des risques), digitalisation des processus pour améliorer l’efficacité et renforcement des mécanismes de régulation pour maîtriser les coûts. Discussion : L’étude souligne l’importance d’une gouvernance intégrée et d’une meilleure coordination entre acteurs publics et privés pour améliorer la soutenabilité du système. Conclusion : Des réformes combinant diversification du financement, digitalisation et régulation accrue sont essentielles pour renforcer l’équité et la résilience du système marocain. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | analyse comparative internationale |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | couverture sanitaire universelle (CSU) |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | diversification des financements |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | économie des systèmes de santé |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | financement de la santé |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | politique de santé |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | gestion des risques financiers-soutenabilité du système de santé. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | paiements directs (Out-of-Pocket |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | OOP) |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | réformes de la santé |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | système de santé marocain |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | financial risk management |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | funding diversification |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | health care reforms |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | health care system sustainability. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | health financing |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | health policy |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | health system economics |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | international comparative analysis |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Moroccan health care system |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | out-of-pocket (OOP) expenses |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | universal health coverage (UHC) |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Jerry, Mounir |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Santé Publique | 37 | 2 | 2025-05-26 | p. 245-262 | 0995-3914 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-sante-publique-2025-2-page-245?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-sante-publique-2025-2-page-245?lang=fr&redirect-ssocas=7080</a> |
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