ERP, Information Quality and Decision-Making in a Moroccan Public Hospital: An Empirical Study at the Hassan II University Hospital of Fez

Abstract

Enterprise resource planning (ERP) systems play a growing role in the modernisation of public hospitals, yet their association with perceived information quality and decision-making remains understudied in developing countries, particularly in Morocco, where framework law No. 06-22 makes the digitalisation of the health system a priority. This study examines the extent to which perceptions of the ERP’s contribution to information quality, data quality and interdepartmental communication are associated with perceptions of better-informed decisions. It draws on DeLone and McLean’s information systems success model and on Wang and Strong’s data quality framework. A cross-sectional online questionnaire survey was conducted in 2025 among 131 professionals of the Hassan II University Hospital of Fez, using non-probability convenience sampling. Responses, grouped into two categories, were analysed using Pearson’s chi-square test, complemented by Fisher’s exact test, the phi coefficient and odds ratios. Five of the six associations tested are significant at the 5% level (phi from 0.20 to 0.55); the strongest concerns data quality, whereas communication is not significantly associated with data-based decisions (p = 0.082). Based on cross-sectional perceptions, these results allow no causal inference, and the over-representation of administrative managers limits their scope. The study suggests placing data quality governance at the core of hospital ERP projects.

Classification JEL : O33, M15, I11

Paper type : Empirical research