The place of learning in a universal health coverage health policy process: the case of the RAMED policy in Morocco

Health Research Policy and Systems
E AkhnifB Meessen

Abstract

To progress towards universal health coverage (UHC), each country will have to develop its systemic learning capacity. This study aims at documenting how, across time, learning can feed into a UHC policy process, and how the latter can itself strengthen (or not) the learning capacity of the health system. It specifically focuses on the development of a major health financing policy aligned with the UHC goal in Morocco, the RAMED, a health financing scheme covering hospital costs for the poorest segment of the population. We conducted a retrospective analysis of the RAMED policy for the period between 1997 and 2018, along with a case study design. For the data collection and analysis, we developed a framework combining Garvin's learning organisation framework and the heuristic health policy analysis framework. We gathered data from key informants and document reviews. The study confirmed the importance of learning during the different stages of the RAMED policy process. There is evidence of a leadership encouraging learning, the introduction and adoption of knowledge management processes, and the start of a transformation of the administrative culture. Yet, our study also showed some major shortcomings, especially the lack of st...Continue Reading

References

Mar 11, 2000·Health Care Management Review·J C Peirce
Sep 15, 2001·BMJ : British Medical Journal·P E Plsek, T Greenhalgh
Jun 25, 2002·Quality & Safety in Health Care·J S Carroll, A C Edmondson
Sep 23, 2003·Social Science & Medicine·Marguerite PappaioanouStephen B Thacker
Nov 25, 2003·Lancet·Julio FrenkFelicia Knaul
Feb 25, 2006·Gynécologie, obstétrique & fertilité·UNKNOWN Haute Autorité de Santé
Aug 15, 2008·Health Policy and Planning·Gill WaltLucy Gilson
Jun 12, 2010·Bulletin of the World Health Organization·David B Evans, Carissa Etienne
May 14, 2011·Tropical Medicine & International Health : TM & IH·Bruno MeessenAgnès Soucat
Oct 4, 2012·Health Policy and Planning·Taghreed Adam, Don de Savigny
Dec 12, 2012·Bulletin of the World Health Organization·Joseph Kutzin
Jan 18, 2013·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Martin McKeeDavid Stuckler
Jul 6, 2014·The British Journal of Ophthalmology·Karl BlanchetDon de Savigny
Mar 3, 2017·Health Research Policy and Systems·E AkhnifB Meessen
Jul 4, 2017·Bulletin of the World Health Organization·Marie Paule KienyPhyllida Travis

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Citations

May 11, 2018·International Journal of Health Services : Planning, Administration, Evaluation·Saliyou SanniCharles Hongoro
Aug 30, 2018·The International Journal of Health Planning and Management·Mohammad BazyarAlireza Olyaeemanesh
Oct 28, 2019·BMJ Global Health·Joël Arthur Kiendrébéogo, Bruno Meessen
Oct 24, 2019·International Journal for Equity in Health·Zakaria BelrhitiBruno Marchal
Oct 1, 2020·Health Research Policy and Systems·El Houcine AkhnifMaryam Bigdeli
Jul 23, 2020·Health Research Policy and Systems·Joël Arthur KiendrébéogoBruno Meessen
Jul 21, 2021·Health Research Policy and Systems·Diana SarakbiShams B Syed

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Software Mentioned

NVivo
RAMED

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