Understanding EHR current status and challenges to a nationwide electronic health records implementation in Morocco

Background: Electronic health records (EHRs) are transforming and revolutionizing the healthcare industry. While developed countries have a high EHR adoption rate, developing countries like Morocco are still struggling on deploying it over the whole territory. Objectives: Given the lack of scientific contribution on the topic, this study aims to fill this gap by investigating the status of Electronic Health Record (EHR) systems in Morocco with a focus on usage scenarios, implementation approach, and barriers to its implementation. Methods: This study is based on documentary analysis. The analyzed documents include the limited research papers available on the subject, data from local and international press, reports from health entities and project partners and data from the high commission of planning, which is the main administrative structure responsible for producing official statistics in Morocco. Results: The findings of this study unveil significant advancements in the deployment of EHR systems at the sub-national level in Morocco by adopting a “middle-out” implementation approach. Currently, EHR is utilized for clinical purposes within individual healthcare providers in a centralized manner. It is also used to some extent for epidemiological and research purposes. Although there is a growing awareness and willingness to implement a nationwide EHR to fully leverage EHR potential, several key organizational, technical, and human barriers impede its effective implementation. Conclusions: This study investigates the status of EHR implementation in Morocco. It presents some barriers to the successful implementation of nationwide EHR. Findings along with the experiences of developing countries that already succeed in nationwide EHR implementation will help support current efforts