The Economic, Social and Environmental Council (CESE) has called for the removal of financial barriers to access to care.
During a restitution workshop dedicated to the presentation of the conclusions of its opinion “How to remedy the worrying situation of the medical emergency care sector in Morocco? », the ESEC underlined the importance of carrying out a multi-party reflection on the advisability of creating a guarantee fund dedicated to urgent medical care in the private for-profit and non-profit sectors, to broaden the “third-party payment” mode for outpatient care so as to avoid the insured having to advance all the related costs and introducing medical transport into the nomenclature of professional acts and the national reference tariff (TNR).
Placed under the theme “Improve the management of medical emergencies to preserve and save lives and contribute to ensuring quality care for all”, this meeting was an opportunity for the ESEC to plead for an improvement in the organization territorial, through the establishment of medical emergency care channels in each region, adapted to the population and geographical specificities of the territory by involving all the actors of the territories within the framework of a decentralized governance, the integration of the private sector in the supply of care and a better understanding of the needs of the populations of the regions.
The Council also highlighted the need to strengthen and develop pre-hospital regulation, through the empowerment of citizens, the broadening of the scope of action of regional emergency medical aid services (SAMU), the strengthening of civil protection and its collaboration with the SAMU and the territories, in addition to the regulation and regulation of the medical transport sector.
Along the same lines, the ESEC has highlighted the need to develop and enhance the human resources assigned to emergency services, calling, in this regard, to strengthen basic training and continuing education and to review the legal, regulatory and compensation for on-call and on-call duty.
The Council also made recommendations to improve the provision of emergency hospital services in the public and private sectors, in particular the encouragement of managers of healthcare establishments to enroll in an accreditation process by organizations evaluation, the establishment of mechanisms for monitoring, control and evaluation of the quality of medical care in all public or private establishments with emergency services as well as the development of emergency services specialists within each region.
According to a vision centered on the need to have a medical emergency management system delivering safe, timely, effective, efficient, equitable and patient-centred care, the ESEC has taken up this subject on its own with a view to analyzing the situation of the emergency sector in order to remedy its current dysfunctions.