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Original scientific paper

https://doi.org/10.24141/1/11/1/2

Managerial Competencies and their Impact on the Performance of Healthcare Organizations in Bosnia and Herzegovina

Sabina Šehić – Kršlak orcid id orcid.org/0009-0008-1091-3985 ; Public Institution Center for Advanced Technologies Sarajevo *
Edin Medjedović orcid id orcid.org/0000-0003-2357-9580 ; Clinic for Gynecology and Obstetrics, Clinical Center, University of Sarajevo
Amra Deliomerović – Skrobo ; Public Institution Center for Advanced Technologies Sarajevo
Nerman Ljevo ; Faculty of Management and Business Economics, University of Travnik
Selma Bećirović ; Clinic for Gynecology and Obstetrics, Clinical Center, University of Sarajevo

* Corresponding author.


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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 questionnaire
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 management 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

Hrčak ID:

332121

URI

https://hrcak.srce.hr/332121

Publication date:

13.6.2025.

Article data in other languages: croatian

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