Health: The new territorial governance is taking shape
Before going on holidays, head of government Aziz Akhannouch chaired a Government Council meeting that adopted several draft laws relating to the reform of the health system. This is the case with the creation of Territorial Health Groups (GST).
Indeed, minister of Health Khalid Ait Taleb has come to the conclusion that the efforts in terms of investments in the sector and the improvement of the care offering to meet the needs of citizens have not so far changed the situation on the ground, since several shortcomings hinder the achievement of the goals that had been set. The Ministry of Health and Social Protection underlined in particular the dysfunction of the provision of care at the territorial level, marked by the weakness of care provision and the lack of supervision among professionals, due to the lack of synergy in terms of human resources between the institutions concerned. The other weakness lies in the lack of coordination between health institutions at the level of university hospitals, regional and provincial hospitals, and local health centers. Thus, to overcome the constraints and obstacles that characterize the current situation, the Minister wants to tackle the issue of governance and implement the levers of the health system reform. It is in this spirit that Khalid Ait Taleb prepared the draft law on the creation of Territorial Health Groups (GSTs), set up as public institutions with legal personality and administrative and financial autonomy. Tomorrow, these GSTs will have to oversee all healthcare entities in a territory. In this operation, this draft law takes account of the strategic choices contained in the report on the New Development Model, in particular the proposal relating to the merger of the university hospitals and of all the regional hospital units, within a single autonomous government entity. The latter will be responsible for hospital care, training, and research with a view to optimal coordination of the public provision of care at the regional level, in accordance with the provisions of Article 32 of the Framework Law on the Reform of the National Health System. Thus, the piece of legislation provides for the creation of a GST in each region, on the basis of legislation aimed at determining the headquarters of each group and of the healthcare institutions that constitute it. The definition of the missions of these groups is limited to the territory they cover, particularly in terms of the implementation of the Government policy in the field of health. Each group includes all institutions on its territory except those subject to special regulations, military hospitals, and municipal health services.
Mohamed CHAOUI
