HrvatskiManagerial Competencies and their Impact on the Performance of Healthcare Organizations in Bosnia and Herzegovina
Sabina Šehić – Kršlak
2 Edin Medjedović
3 Amra Deliomerović – Skrobo
4 Nerman Ljevo
5 Selma Bećirović
5 Alma Suljević
1 Public Institution Center for Advanced Technologies
Sarajevo, Faculty of Management and Business
Economics, University of Travnik
2 Clinic for Gynecology and Obstetrics, Clinical Center,
University of Sarajevo, Faculty of Medicine, University of
Sarajevo
3 Public Institution Center for Advanced Technologies
Sarajevo
4 Faculty of Management and Business Economics,
University of Travnik
5 Clinic for Gynecology and Obstetrics, Clinical Center,
University of Sarajevo
Abstract
This paper’s primary aim is to examine the impact of managerial competencies on the performance of healthcare organizations in Bosnia and Herzegovina, with a particular focus on the role of middle management.
Research Methodology: A quantitative research approach was employed, and data were collected through a structured questionnaire designed to measure six key dimensions of managerial competencies: leadership, strategic thinking, communication, decision-making, teamwork, and change management. The construction of the uestionnaire was based on previous relevant research and theoretical models of managerial competencies, with particular attention given to the models developed by Boyatzis (1982)
and later expanded by Whetten and Cameron (2011), as well as findings from research on healthcare management, such as Calhoun et al. (2008) on competencies for healthcare
leaders. The items were adapted to the specific context of healthcare institutions in Bosnia and Herzegovina, and each item was rated on a 5-point Likert scale (1- Strongly Disagree; 2-Disagree; 3 – Neutral; 4- Agree; 5- Strongly Agree). The questionnaire was distributed to a purposive sample of 120 middle managers working in various healthcare institutions across Bosnia and Herzegovina. Data were collected during three months from January to April 2025. Descriptive statistics were used for data analysis.
Conclusion: The results indicate that communication and teamwork competencies were rated most positively and significantly correlated with organizational outcomes. In contrast, strategic thinking and change anagement received lower ratings. The instrument’s reliability was confirmed through high internal consistency (Cronbach α > 0.70).
Keywords: managerial competencies, healthcare organizations, middle management, organizational performance.