The quality management has become an essential step in the industrial sector; for social systems experiences around the world are widely divergent and there is not a consensus on the appropriate manner and the effective and efficient tools; the field of health recognized by its complexity suffers from management problem; this is why the introduction of quality management and quality is essential but the question that remains is what the most appropriate method? Morocco is not spared of this quality approach controversy adapted to the health system; this is why several approaches have been tried "certification, competition quality and accreditation" and so far, and until now these approaches are being tested.