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The Hidden Lever of Performance: The Mediating Role of the Appropriation of NPM Tools in Moroccan Public Hospitals
[Le Levier Caché de la Performance : Rôle Médiateur de l'Appropriation des Outils NPM dans les Hôpitaux Publics Marocains]

Author

Listed:
  • Achraf Cherkaoui Dekkaki

    (Kénitra - Ecole nationale de commerce et gestion Ibn Tofail)

  • Azzouz Elhamma

    (Kénitra - Ecole nationale de commerce et gestion Ibn Tofail)

  • Mohamed Baajji

    (Université Ibn Zohr = Ibn Zohr University [Agadir])

Abstract

For the past two decades, Morocco's public hospital sector has undergone profound changes through reforms inspired by New Public Management (NPM). This study examines the impact of adopting NPM tools on hospital performance, with a particular focus on how these tools are appropriated by local actors. Drawing on a quantitative survey of 240 hospital managers, our findings highlight the crucial mediating role of appropriation. This process, which involves the hybridization of managerial and public service logics, emerges as a key determinant of meaningful performance improvement. The study also reveals the significant influence of contingency factors such as hospital size, managerial autonomy, and organizational culture. Overall, our results demonstrate that the mere transfer of NPM tools is insufficient; their effectiveness relies on contextual appropriation that encourages organizational hybridization.

Suggested Citation

  • Achraf Cherkaoui Dekkaki & Azzouz Elhamma & Mohamed Baajji, 2025. "The Hidden Lever of Performance: The Mediating Role of the Appropriation of NPM Tools in Moroccan Public Hospitals [Le Levier Caché de la Performance : Rôle Médiateur de l'Appropriation des Outils ," Post-Print hal-05158968, HAL.
    • Handle: RePEc:hal:journl:hal-05158968
    DOI: 10.5281/zenodo.15835132
    Note: View the original document on HAL open archive server: https://hal.science/hal-05158968v1
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