Analysis of current situation and attitudes on reorganization and optimization of staffing for efficient work processes management in health centers of Sarajevo Canton

1 Amra Ališić
2,3 Amer Ovčina
3 Enisa Šljivo
2,3 Ernela Eminović
2,3 Dženana Hrustemović
1 Zineta Mulaosmanović

1 JU Dom zdravlja Kantona Sarajevo, Sarajevo, Bosna i Hercegovina Primary Healthcare Center of Canton Sarajevo, Sarajevo, Bosnia and Herzegovina
2 Klinički centar Univerziteta u Sarajevu, Sarajevo, Bosna i Hercegovina Clinical Center University of Sarajevo, Sarajevo, Bosnia and Herzegovina
3 Fakultet zdravstvenih studija Univerziteta u Sarajevu, Sarajevo, Bosna i Hercegovina Faculty of Health Studies, University of Sarajevo, Sarajevo, Bosnia and Herzegovina

Introduction: Healthcare reengineering is a powerful methodology of change that helps organizations rearrange priorities, provide cost-effective treatment, and increase the quality of patient care.

Aim: To determine the attitudes and opinions of healthcare professionals according to the needs for reorganization processes, evaluation of the profession and responsibilities for performing more complex jobs and tasks. Material and methods: The study is theoretical and empirical. An exploratory method and a descriptive analytical method for research using a questionnaire instrument were used to collect secondary data. The study was conducted among 108 healthcare professionals who completed one of the studies at the Faculties of Health Studies in Bosnia and Herzegovina and who are employed in the Public Healthcare Centers of Sarajevo Canton and among 6 managers of regional Healthcare Centers in Sarajevo Canton. Two original author questionnaires created on the basis of practical experience were used as a study instrument. The study was conducted in the period from September 1st to November 30th, 2019.

Results: Out of the total number, 87% of respondents believe that they are fully ready to take on new, more demanding tasks within their work, and 67% of them believe that they have enough education to perform more responsible jobs. In most cases, the heads of institutions expressed a positive attitude towards taking on greater obligations and responsibilities in the work process. Only 50% of the heads of institutions state that they have a strategic plan for reorganization and optimization of staff with a degree in healthcare.

Conclusion: Healthcare professionals who have completed their studies at Faculties of Health Studies can competently perform more complex and responsible jobs and tasks in health centers with additional training, which is confirmed by their managers. It is necessary to adopt a Strategic Plan for the development, reorganization and optimization of health personnel at the level of primary healthcare, which would significantly improve the quality of work.

Keywords: reorganization, education, nurses, primary healthcare