Capacités dynamiques et transformation numérique hospitalière : étude qualitative au CHU Hassan II de Fès
DOI:
https://doi.org/10.23882/ijdam.26345Palavras-chave:
Capacité dynamique, transformation numérique hospitalière, hôpital publicResumo
Cette recherche vise à analyser le rôle des capacités dynamiques dans la transformation numérique des hôpitaux publics marocains, à partir du cas du CHU Hassan II de Fès. Elle examine plus précisément comment les processus de détection des besoins, de saisie/mobilisation des ressources et de reconfiguration organisationnelle structurent cette transformation.
L’étude adopte une démarche qualitative interprétative fondée sur une étude de cas unique. Les données ont été collectées au moyen de quinze entretiens semi-directifs menés auprès d’acteurs stratégiques, administratifs, techniques et clinico-opérationnels du CHU. L’échantillonnage est raisonné, afin de couvrir les principaux profils impliqués dans les projets numériques hospitaliers.
Les données ont été analysées sous MAXQDA selon une double approche lexicale et thématique. Les résultats montrent que la transformation numérique ne se limite pas à l’adoption d’outils technologiques, mais implique une recomposition des pratiques, des routines, de la coordination et du pilotage hospitalier.
L’étude conclut que les capacités dynamiques constituent un cadre pertinent pour comprendre les conditions organisationnelles de la transformation numérique des hôpitaux publics marocains.
Mots-clés : Capacité dynamique; transformation numérique hospitalière; hôpital public; étude de cas qualitative; MAXQDA.
Referências
Ahmad, M., & Wilkins, S. (2025). Purposive sampling in qualitative research : A framework for the entire journey. Quality & Quantity, 59(2), 1461 1479. https://doi.org/10.1007/s11135-024-02022-5
Ahmed, S. K. (2024). The pillars of trustworthiness in qualitative research. Journal of Medicine, Surgery, and Public Health, 2, 100051. https://doi.org/10.1016/j.glmedi.2024.100051
Almahfouz, S. F., & Alrashed, A. M. (2025). Digital Transformation in Healthcare During the COVID-19 Pandemic : Insights from Saudi Arabian Healthcare Managers. In INTERNATIONAL AREA STUDIES REVIEW (Vol. 28, Numéro 1, p. 88 101). Center Int Area Studies. https://doi.org/10.69473/iasr.2025.28.1.88
Barreto, I. (2010). Dynamic Capabilities : A Review of Past Research and an Agenda for the Future. Journal of Management, 36(1), 256 280. https://doi.org/10.1177/0149206309350776
Braun, V., & Clarke, V. (2021). Can I use TA? Should I use TA? Should I not use TA? Comparing reflexive thematic analysis and other pattern‐based qualitative analytic approaches. Counselling and Psychotherapy Research, 21(1), 37 47. https://doi.org/10.1002/capr.12360
Braun, V., & Clarke, V. (2024). Supporting best practice in reflexive thematic analysis reporting in Palliative Medicine : A review of published research and introduction to the Reflexive Thematic Analysis Reporting Guidelines (RTARG). Palliative Medicine, 38(6), 608 616. https://doi.org/10.1177/02692163241234800
Ciasullo, M. V., Cosimato, S., & Ferrara, M. (2026). Exploring the microfoundations of digital transformation maturity : A focus on Italian healthcare organizations. In EUROPEAN JOURNAL OF INNOVATION MANAGEMENT (Vol. 29, Numéro 11, p. 1 26). EMERALD GROUP PUBLISHING LTD. https://doi.org/10.1108/EJIM-10-2024-1185
Cioanta-Pacuraru, I. M. (2024). Aspects regarding the impact of digital transformation in the sector of medical services. In ROMANIAN JOURNAL OF INFORMATION TECHNOLOGY AND AUTOMATIC CONTROL-REVISTA ROMANA DE INFORMATICA SI AUTOMATICA (Vol. 34, Numéro 2). INST NATL CERCETARE-DEZVOLTARE INFORMATICA-ICI. https://doi.org/10.33436/v34i2y202410
Correia, L. M. A. de M., & Frank, A. G. (2025). Structuring resources in healthcare digital transformation : A comparison across public, private and research hospitals. In TECHNOVATION (Vol. 147). ELSEVIER. https://doi.org/10.1016/j.technovation.2025.103320
Cresswell, K., Jahn, F., Silsand, L., Woods, L., Postema, T., Logan, M., Malkic, S., & Ammenwerth, E. (2025). Assessing Digital Maturity of Hospitals : Viewpoint Comparing National Approaches in Five Countries. In JOURNAL OF MEDICAL INTERNET RESEARCH (Vol. 27). JMIR PUBLICATIONS, INC. https://doi.org/10.2196/57858
Denicolai, S., & Previtali, P. (2023). Innovation strategy and digital transformation execution in healthcare : The role of the general manager. In TECHNOVATION (Vol. 121). ELSEVIER. https://doi.org/10.1016/j.technovation.2022.102555
Duncan, R., Eden, R., Woods, L., Wong, I., & Sullivan, C. (2022). Synthesizing Dimensions of Digital Maturity in Hospitals : Systematic Review. In JOURNAL OF MEDICAL INTERNET RESEARCH (Vol. 24, Numéro 3). JMIR PUBLICATIONS, INC. https://doi.org/10.2196/32994
Eisenhardt, K. M., & Martin, J. A. (2000). Dynamic capabilities : What are they? Strategic Management Journal, 21(10 11), 1105 1121. https://doi.org/10.1002/1097-0266(200010/11)21:10/11%253C1105::AID-SMJ133%253E3.0.CO;2-E
Fonda, F., Galazzi, A., Chiappinotto, S., Justi, L., Frydensberg, M. S., Boesen, R. L., Macur, M., Reig, E. A., Espaulella, E. R., & Palese, A. (2024). Healthcare System Digital Transformation across Four European Countries : A Multiple-Case Study. In HEALTHCARE (Vol. 12, Numéro 1). MDPI. https://doi.org/10.3390/healthcare12010016
Galdiero, C., Marrapodi, R., Mele, S., Scaletti, A., & Martinez, M. (2025). Mapping digital transformation and social impact in Italian healthcare : A holistic evaluation of organizational digital maturity. In BMC HEALTH SERVICES RESEARCH (Vol. 25, Numéro 1). BMC. https://doi.org/10.1186/s12913-025-13473-3
Geada, N., Alturas, B., & Anunciacao, P. (2024). Investigating the interplay between organisational change and digital transformation healthcare. In INTERNATIONAL JOURNAL OF HEALTHCARE TECHNOLOGY AND MANAGEMENT (Vol. 21, Numéros 3 4). INDERSCIENCE ENTERPRISES LTD. https://doi.org/10.1504/IJHTM.2024.149025
Gleiss, A., & Lewandowski, S. (2022). Removing barriers for digital health through organizing ambidexterity in hospitals. In JOURNAL OF PUBLIC HEALTH-HEIDELBERG (Vol. 30, Numéro 1, p. 21 35). SPRINGER HEIDELBERG. https://doi.org/10.1007/s10389-021-01532-y
Helfat, C. E., Finkelstein, S., Mitchell, W., Peteraf, M., Singh, H., Teece, D., & Winter, S. G. (2009). Dynamic capabilities: Understanding strategic change in organizations. John Wiley & Sons.
Hennink, M., & Kaiser, B. N. (2022). Sample sizes for saturation in qualitative research : A systematic review of empirical tests. Social Science & Medicine, 292, 114523. https://doi.org/10.1016/j.socscimed.2021.114523
Hospodkova, P., Berezna, J., Bartak, M., Rogalewicz, V., Severova, L., & Svoboda, R. (2021). Change Management and Digital Innovations in Hospitals of Five European Countries. In HEALTHCARE (Vol. 9, Numéro 11). MDPI. https://doi.org/10.3390/healthcare9111508
Huang, C.-W., Lai, Y.-C., Chiu, C.-Y., Jan, P.-T., & Chen, Y.-H. (2023). Key Strategies for Digital Transformation-A Non-medical Center Hospital in Taiwan as An Example. In JOURNAL OF INTERNET TECHNOLOGY (Vol. 24, Numéro 2, p. 389 400). LIBRARY & INFORMATION CENTER, NAT DONG HWA UNIV. https://doi.org/10.53106/160792642023032402017
Kizito, M. (2019). Digital resource Orchestration in Healthcare : The Case of Västra Götaland Region. Hawaii International Conference on System Sciences. https://doi.org/10.24251/HICSS.2019.458
Kokshagina, O. (2021). Managing shifts to value-based healthcare and value digitalization as a multi-level dynamic capability development process. In TECHNOLOGICAL FORECASTING AND SOCIAL CHANGE (Vol. 172). ELSEVIER SCIENCE INC. https://doi.org/10.1016/j.techfore.2021.121072
Lim, W. M. (2025). What Is Qualitative Research? An Overview and Guidelines. Australasian Marketing Journal, 33(2), 199 229. https://doi.org/10.1177/14413582241264619
Lochmiller, C. R., Cho, Y., & Lester, J. N. (2026). Designing Trustworthy Qualitative HRD Research : Methodological Considerations. Human Resource Development Review, 15344843261419651. https://doi.org/10.1177/15344843261419651
Mauro, M., Noto, G., Prenestini, A., & Sarto, F. (2024). Digital transformation in healthcare : Assessing the role of digital technologies for managerial support processes. In TECHNOLOGICAL FORECASTING AND SOCIAL CHANGE (Vol. 209). ELSEVIER SCIENCE INC. https://doi.org/10.1016/j.techfore.2024.123781
Merino-Barbancho, B., & Fico, G. (2025). Understanding Change Management in Hospital Context with the Integration of Digital Technologies. In V. Duffy (Éd.), HCI INTERNATIONAL 2024-LATE BREAKING PAPERS, HCII 2024, PT III (Vol. 15376, p. 144 153). SPRINGER INTERNATIONAL PUBLISHING AG. https://doi.org/10.1007/978-3-031-76809-5_11
Mettler, T., & Pinto, R. (2018). Evolutionary paths and influencing factors towards digital maturity : An analysis of the status quo in Swiss hospitals. In TECHNOLOGICAL FORECASTING AND SOCIAL CHANGE (Vol. 133, p. 104 117). ELSEVIER SCIENCE INC. https://doi.org/10.1016/j.techfore.2018.03.009
Mmako, M. J., & Kgopa, A. T. (2025). A framework for assessing cloud-computing readiness in Limpopo provincial hospitals. In SOUTH AFRICAN JOURNAL OF INFORMATION MANAGEMENT (Vol. 27, Numéro 1). AOSIS. https://doi.org/10.4102/sajim.v27i1.1916
Priya, A. (2021). Case Study Methodology of Qualitative Research : Key Attributes and Navigating the Conundrums in Its Application. Sociological Bulletin, 70(1), 94 110. https://doi.org/10.1177/0038022920970318
Raimo, N., De Turi, I., Albergo, F., & Vitolla, F. (2023). The drivers of the digital transformation in the healthcare industry : An empirical analysis in Italian hospitals. In TECHNOVATION (Vol. 121). ELSEVIER. https://doi.org/10.1016/j.technovation.2022.102558
Schlunegger, M. C., Zumstein-Shaha, M., & Palm, R. (2024). Methodologic and Data-Analysis Triangulation in Case Studies : A Scoping Review. Western Journal of Nursing Research, 46(8), 611 622. https://doi.org/10.1177/01939459241263011
Sermontyte-Baniule, R., Pundziene, A., Gimenez, V., & Narbon-Perpina, I. (2022). Role of Cultural Dimensions and Dynamic Capabilities in the Value-based Performance of Digital Healthcare Services. In TECHNOLOGICAL FORECASTING AND SOCIAL CHANGE (Vol. 176). ELSEVIER SCIENCE INC. https://doi.org/10.1016/j.techfore.2022.121490
Stanimirovic, D., & Stanimirovic, T. (2025). Beyond the Speculation : Mapping the Real Impacts of Digitalization on the Slovenian Healthcare Business Model. In CENTRAL EUROPEAN PUBLIC ADMINISTRATION REVIEW (Vol. 23, Numéro 2, p. 301 326). UNIV LJUBLJANA PRESS. https://doi.org/10.17573/cepar.2025.2.11
Teece, D. J. (2007). Explicating dynamic capabilities : The nature and microfoundations of (sustainable) enterprise performance. Strategic Management Journal, 28(13), 1319 1350. https://doi.org/10.1002/smj.640
Teece, D. J., Pisano, G., & Shuen, A. (1997). Dynamic capabilities and strategic management. Strategic Management Journal, 18(7), 509 533. https://doi.org/10.1002/(SICI)1097-0266(199708)18:7%253C509::AID-SMJ882%253E3.0.CO;2-Z
Tenggono, E., Soetjipto, B. W., & Sudhartio, L. (2024). Managing digital transformations : The intermediary function of digital readiness in facilitating strategic renewal within the healthcare industry. In COGENT BUSINESS & MANAGEMENT (Vol. 11, Numéro 1). TAYLOR & FRANCIS LTD. https://doi.org/10.1080/23311975.2024.2423276
Tenggono, E., Soetjipto, B. W., & Sudhartio, L. (2025). Dynamic managerial capabilities in action : Advancing strategic agility and digital readiness in healthcare organizations. In JOURNAL OF ORGANIZATIONAL CHANGE MANAGEMENT (Vol. 38, Numéro 3, p. 548 568). EMERALD GROUP PUBLISHING LTD. https://doi.org/10.1108/JOCM-12-2024-0772
van de Wetering, R., Versendaal, J., & Walraven, P. (2018). Examining the relationship between a hospital’s IT infrastructure capability and digital capabilities : A resource-based perspective Completed Research. In AMCIS 2018 PROCEEDINGS. ASSOC INFORMATION SYSTEMS.
Verhoef, P. C., Broekhuizen, T., Bart, Y., Bhattacharya, A., Qi Dong, J., Fabian, N., & Haenlein, M. (2021). Digital transformation : A multidisciplinary reflection and research agenda. Journal of Business Research, 122, 889 901. https://doi.org/10.1016/j.jbusres.2019.09.022
Vial, G. (2019). Understanding digital transformation : A review and a research agenda. The Journal of Strategic Information Systems, 28(2), 118 144. https://doi.org/10.1016/j.jsis.2019.01.003
Warner, K. S. R., & Wäger, M. (2019). Building dynamic capabilities for digital transformation : An ongoing process of strategic renewal. Long Range Planning, 52(3), 326 349. https://doi.org/10.1016/j.lrp.2018.12.001
Winter, S. G. (2003). Understanding dynamic capabilities. Strategic Management Journal, 24(10), 991 995. https://doi.org/10.1002/smj.318
YahiaMarzouk, Y. (2025). Digital transformation in the healthcare sector : A novel strategic perspective. In JOURNAL OF HEALTH ORGANIZATION AND MANAGEMENT (Vol. 39, Numéro 8, p. 1718 1753). EMERALD GROUP PUBLISHING LTD. https://doi.org/10.1108/JHOM-08-2024-0349
Younas, A., & Inayat, S. (2025). Choosing an Analytical Approach in Case Study Research. Creative Nursing, 31(1), 90 92. https://doi.org/10.1177/10784535241306773
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Direitos de Autor (c) 2026 Otman RAIS, Abdelhakim SMIMI, Abdellah ELBOUSSADI

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