The role of managers in improving the health care system in Serbia

Health institutions have the most complex organization and management among all institutions. Unlike traditional management in organizational systems characterized by analytical and interdisciplinary approach, health institution management is characterized by trans-disciplinary approach to solving business problems. Introduction of quality improvement is a challenge for health care managers due to their responsibility to create an environment that will lead to quality improvement and safety of health services. New Health care Act (2005) has created a legal framework for defining quality indicators, and setting up various committees and bodies in order to improve the quality of health care. As the planning, management and quality control are the most important parameters of the health system development, health manager must be a leader with exceptional communication skills and able to apply his knowledge and skills in the management of resources. Top managers, central type and lower level managers must be the driving force of their institutions creating the basis for activities related to quality. They should have a proper education as well. New concept of management emphasizes people and their specialized knowledge. Past practice in Serbia did not show significant improvements in the management process through the knowledge and skills of managers, especially in terms of strategic decision-making in the operation and development of the health system.