Le paradoxe de la sante numerique
La numerisation des soins de sante reduit-elle ou accentue-t-elle les inegalites d’acces au Maroc ?
DOI :
https://doi.org/10.23882/emss26339Mots-clés :
Santé numérique, Inégalités de santé, Accès aux soins de santé, Inégalités socioéconomiques, Fracture numériqueRésumé
Cet article analyse le paradoxe de la transformation numérique du système de santé au Maroc, qui vise à améliorer l’accès aux soins tout en risquant de reproduire ou d’exacerber les inégalités existantes. S’appuyant sur une enquête nationale (N=1183) et un modèle logit binaire estimé par la méthode du maximum de vraisemblance, l’étude souligne l’hétérogénéité significative des effets de la santé numérique. Les résultats montrent que les bénéfices de la numérisation dépendent fortement du niveau d’éducation, du revenu, de l’âge, du lieu de résidence et de la couverture d’assurance maladie. Ils révèlent également un effet cumulatif des inégalités, où les désavantages socio-économiques se renforcent mutuellement, en particulier dans les zones rurales et chez les personnes âgées. Enfin, l’étude souligne que la santé numérique, en l’absence de politiques de soutien, peut aggraver les fractures numériques et sanitaires. Elle conclut que la réduction des inégalités nécessite des politiques ciblant les compétences numériques et les déterminants structurels de l’exclusion.
Références
Acemoglu, D., & Restrepo, P. (2020). Robots and jobs: Evidence from US labor markets. Journal of political economy, 128(6), 2188-2244. https://doi.org/10.1086/705716
Anderson, M., & Perrin, A. (2017). Tech adoption climbs among older adults. Pew Research Center. https://www.pewresearch.org/internet/2017/05/17/tech-adoption-climbs-among-older-adults/
Arrow, K. J. (1963). Uncertainty and the welfare economics of medical care. The American Economic Review, 53(5), 941–973.
Becker, G., & Capital, H. (1964). A Theoretical and empirical Analysis. National Bureau of.
Bidmon, S., & Terlutter, R. (2015). Gender differences in searching for health information on the internet and the virtual patient–physician relationship in Germany: Exploratory results on how men and women differ and why. Journal of Medical Internet Research, 17(6), e156. https://doi.org/10.2196/jmir.4127
Bloom, D. E., Canning, D., & Sevilla, J. (2004). The effect of health on economic growth: a production function approach. World development, 32(1), 1-13. https://doi.org/10.1016/j.worlddev.2003.07.002
Bloom, N., Garicano, L., Sadun, R., & Van Reenen, J. (2014). The distinct effects of information technology and communication technology on firm organization. Management Science, 60(12), 2859–2885. https://doi.org/10.1287/mnsc.2014.2013
Boonstra, A., & Broekhuis, M. (2010). Barriers to the acceptance of electronic medical records by physicians from systematic review to taxonomy and interventions. BMC health services research, 10(1), 231.
Campos-Castillo, C., & Anthony, D. L. (2015). The double-edged sword of electronic health records: implications for patient disclosure. Journal of the American Medical Informatics Association, 22(e1), e130-e140.
Choi, N. G., & DiNitto, D. M. (2013). The digital divide among low-income homebound older adults: Internet use patterns, eHealth literacy, and attitudes toward computer/internet use. Journal of Medical Internet Research, 15(5), e93. https://doi.org/10.2196/jmir.2645
Cutler, D. M., & Lleras-Muney, A. (2010). Understanding differences in health behaviors by education. Journal of health economics, 29(1), 1-28. https://doi.org/10.1016/j.jhealeco.2009.10.003
Czaja, S. J., & Lee, C. C. (2007). The impact of aging on access to technology. Universal access in the information society, 5(4), 341-349.
Czaja, S. J., Charness, N., Fisk, A. D., Hertzog, C., Nair, S. N., Rogers, W. A., & Sharit, J. (2006). Factors predicting the use of technology: findings from the Center for Research and Education on Aging and Technology Enhancement (CREATE). Psychology and aging, 21(2), 333. https://doi.org/10.1037/0882-7974.21.2.333
Estacio, E. V., Whittle, R., & Protheroe, J. (2019). The digital divide: Examining socio-demographic factors associated with health literacy, access and use of internet to seek health information. Journal of Health Psychology, 24(12), 1668–1675. https://doi.org/10.1177/1359105317695429
Grossman, M. (1972). On the concept of health capital and the demand for health. Journal of Political economy, 80(2), 223-255. https://doi.org/10.1086/259880
Hargittai, E. (2001). Second-level digital divide: Mapping differences in people’s online skills. arXiv preprint cs/0109068.
Haut-Commissariat au Plan. (2022). Rapport sur le développement numérique et les disparités territoriales au Maroc. HCP, Maroc.
Heart, T., & Kalderon, E. (2013). Older adults: are they ready to adopt health-related ICT?. International journal of medical informatics, 82(11), e209-e231. https://doi.org/10.1016/j.ijmedinf.2011.03.002
Hilbert, M. (2016). The bad news is that the digital access divide is here to stay: Domestically installed bandwidths among 172 countries for 1986–2014. Telecommunications Policy, 40(6), 567-581.
Hosmer Jr, D. W., Lemeshow, S., & Sturdivant, R. X. (2013). Applied logistic regression. John Wiley & Sons.
Jacobs, B., Ir, P., Bigdeli, M., Annear, P. L., & Van Damme, W. (2012). Addressing access barriers to health services: an analytical framework for selecting appropriate interventions in low-income Asian countries. Health policy and planning, 27(4), 288-300.
Jallal, M., Serhier, Z., Boubekri, Z., Berrami, H., & Othmani, M. B. (2024, February). Digital Transition in Healthcare in Morocco: Current Progress and Challenges to Overcome. In International Congress on Information and Communication Technology (pp. 161-171). Singapore: Springer Nature Singapore.
Kontos, E., Blake, K. D., Chou, W. Y. S., & Prestin, A. (2014). Predictors of eHealth usage: Insights on the digital divide from the Health Information National Trends Survey 2012. Journal of Medical Internet Research, 16(7), e172. https://doi.org/10.2196/jmir.3117
Kruk, M. E., Gage, A. D., Arsenault, C., et al. (2018). High-quality health systems in the Sustainable Development Goals era: Time for a revolution. The Lancet Global Health, 6(11), e1196–e1252. https://doi.org/10.1016/S2214-109X(18)30386-3
Kruse, C. S., Kristof, C., Jones, B., Mitchell, E., & Martinez, A. (2017). Barriers to electronic health record adoption: A systematic literature review. Journal of Medical Systems, 40(12), 252. https://doi.org/10.1007/s10916-016-0628-9
Link, B. G., & Phelan, J. (1995). Social conditions as fundamental causes of disease. Journal of health and social behavior, 80-94. https://doi.org/10.2307/2626958
Lucas Jr, R. E. (1988). On the mechanics of economic development. Journal of monetary economics, 22(1), 3-42. https://doi.org/10.1016/0304-3932(88)90168-7
Mirazchiyski, P. V., & Černe, K. (2023). Digital divide and equality of opportunity. In Handbook of equality of opportunity (pp. 1-28). Cham: Springer International Publishing.
Nandan, M., Mitra, S., Parai, A., Jain, R., Agrawal, M., & Singh, U. K. (2022). Telemedicine (e-Health, m-Health): requirements, challenges and applications. Designing Intelligent Healthcare Systems, Products, and Services Using Disruptive Technologies and Health Informatics, 1-25.
Norman, C. D., & Skinner, H. A. (2006). eHealth literacy: Essential skills for consumer health in a networked world. Journal of Medical Internet Research, 8(2), e9. https://doi.org/10.2196/jmir.8.2.e9
Ragnedda, M., Ruiu, M. L., & Addeo, F. (2020). Measuring digital capital: An empirical investigation. New media & society, 22(5), 793-816.
Riper, H., Andersson, G., Christensen, H., Cuijpers, P., Lange, A., & Eysenbach, G. (2010). Theme issue on e-mental health: a growing field in internet research. Journal of medical Internet research, 12(5), e1713.
Saez, E., & Zucman, G. (2020). The rise of income and wealth inequality in America: Evidence from distributional macroeconomic accounts. Journal of Economic Perspectives, 34(4), 3-26.
Schultz, T. W. (1961). Investment in human capital. The American economic review, 51(1), 1-17.
Sen, A. (1999). Development as freedom. Oxford University Press.
van Deursen, A. J. A. M., & van Dijk, J. A. G. M. (2014). The digital divide shifts to differences in usage. New Media & Society, 16(3), 507–526. https://doi.org/10.1177/1461444813487959
van Dijk, J. A. G. M. (2020). The digital divide. Cambridge: Polity Press.
Venkatesh, V., Morris, M. G., Davis, G. B., & Davis, F. D. (2003). User acceptance of information technology: Toward a unified view. MIS Quarterly, 27(3), 425–478. https://doi.org/10.2307/30036540
Ziani, S., Rabhi, I., & Budas, I. (2025). Artificial Intelligence for Healthcare in Morocco: Status, challenges and perspectives. Revue Dossiers De Recherches en Économie Et Management Des Organisations, 10(2), 17-44.
Téléchargements
Publiée
Comment citer
Numéro
Rubrique
Licence
(c) Tous droits réservés Aboutayeb MOUSSANE, Essaid TARBALOUTI 2026

Ce travail est disponible sous licence Creative Commons Attribution - Pas d’Utilisation Commerciale 4.0 International.
