Bridging the Gap Between Ethical Norms and Clinical Practice: A Quantitative Study of Medical Ethics Implementation in Moroccan Healthcare.

Abstract

Despite the existence of codified ethical standards in healthcare, their consistent application in clinical decision-making remains underexplored. This study quantitatively evaluates the knowledge, attitudes and practices of Moroccan healthcare professionals regarding medical ethics. Guided by a positivist epistemology and a hypothetico-deductive methodology, a validated questionnaire was administered to 200 practitioners from diverse medical backgrounds. Descriptive statistics revealed that 96% of respondents report disclosing medical errors, yet only 50% had formal exposure to medical ethics, and 51.5% were familiar with the national code of ethics. Correlation analysis indicated weak but positive associations between ethical training and disclosure practices (r ≈ 0.07). Multiple linear regression demonstrated that variables such as knowledge of ethics (β = 0.111) and training (β = 0.022) had modest, non-significant effects on ethical conduct (R² = 1.05%). Attitudinal factors, such as acceptance of placebo use (β = - 0.121, p = 0.094), showed marginal influence, while respect for patient autonomy and additional training did not significantly predict behavior. Sociodemographic variables (age, experience, rank) also lacked predictive power, though the main model constant (β ≈ 1.0, p < 0.001) suggests a generally strong ethical baseline. These findings show the importance of targeted ethics education and institutional reinforcement to strengthen ethical clinical behavior and promote transparency within the Moroccan healthcare system.