000			02133cam a2200169 4500500
005			20250615082617.0
041			_afre
042			_adc
100	1	0	_aBoughaleb, Aazelarab _eauthor
700	1	0	_a Jerry, Mounir _eauthor
245	0	0	_aTechnical and political financing practices for health coverage in Morocco: A comparative analysis
260			_c2025.
500			_a71
520			_aIntroduction: 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.
786	0		_nSanté Publique | 37 | 2 | 2025-05-26 | p. 245-262 | 0995-3914
856	4	1	_uhttps://shs.cairn.info/journal-sante-publique-2025-2-page-245?lang=en&redirect-ssocas=7080
999			_c1369160 _d1369160