Evaluating Hospital Performance: international experience and possible adaptations for Morocco

Abstract

This article presents an in-depth comparative analysis of international hospital performance evaluation systems, with a particular focus on the Moroccan context. Based on an extensive narrative literature review drawing from a wide range of academic and institutional sources, it identifies key practices, tools, and indicators implemented in reference countries such as France, Germany, the United States, and the United Kingdom. These systems aim to monitor quality of care, hospital efficiency, and patient satisfaction through diverse regulatory and institutional mechanisms, while reflecting each country’s specific healthcare priorities. The study highlights the diversity of governance models and the influence of historical, political, and cultural factors in shaping national strategies. Special attention is given to evaluation frameworks, measurement indicators (mortality rates, average length of stay, patient satisfaction, resource utilization), and accountability mechanisms. The Moroccan case is examined in light of these international experiences, with the aim of identifying improvement opportunities and strategic levers to strengthen the national hospital performance evaluation system. The analysis emphasizes the importance of harmonizing practices and establishing a coherent methodological framework adapted to the local context, in order to support the efficiency and quality of healthcare services. Drawing on international best practices, the article proposes actionable recommendations to enhance institutional governance, invest in human capital, and adopt advanced digital tools for data collection and analysis. By promoting an inclusive and context-sensitive approach, the study seeks to balance global efficiency standards with local realities and contribute to the creation of a structured, transparent, and sustainable national framework for evaluating hospital performance.

Classification JEL: I18, H75, P46.

Paper type: Theoretical Research