Original scientific paper
https://doi.org/10.24141/1/12/2/3
Strategic Planning as a Tool for More Efficient Healthcare Institutions: Quantitative and Qualitative Evaluation
Sabina Šehić – Kršlak
orcid.org/0009-0008-1091-3985
; Public Institution Center for Advanced Technologies, Sarajevo, Faculty of Management and Business Economics, University of Travnik
*
Edin Međedović
; Clinic for Gynecology and Obstetrics, Clinical Center, University of Sarajevo, Faculty of Medicine, University of Sarajevo
Asim Kurjak
; Department of Obstetrics and Gynecology, University Hospital “Sveti Duh”, Zagreb, Croatia
Vajdana Tomić
; Faculty of Health Studies, School of Medicine, University Mostar, Department of Gynecolgy and Obstetrics, University Hospital Mostar
Milan Stanojević
; Neonatal Unit, Department of Obstetrics and Gynecology, Medical School University of Zagreb, Zagreb, Croatia, Department of Obstetrics and Gynecololgy, University Hospital, “Sveti Duh”, Zagreb, Croatia
Ajla Hadžismailović Ajdin
; Clinic for Gynecology and Obstetrics, Clinical Center, University of Sarajevo, Faculty of Medicine, University of Sarajevo
* Corresponding author.
Abstract
The aim of this study is to examine the impact of strategic
planning on the performance of healthcare institutions,
with a particular focus on its application in
Bosnia and Herzegovina (BiH) and comparison to international
practices.
The study employed a mixed-methods approach, including
a secondary analysis of relevant literature
(WHO, OECD, NHS Trust, Ginter et al.) and a primary
quantitative analysis conducted through a questionnaire.
The survey was distributed to 15 public and private healthcare institutions in BiH, including clinical
centers, health centers, and specialized hospitals. A
total of 183 valid responses were collected from medical
and non-medical staff, including physicians, nurses,
and managerial personnel.
The key dimensions examined were the existence of a
formal strategic plan, internal communication and employee
participation in the planning process, staff satisfaction
and motivation, as well as patient satisfaction
based on subjective perceptions.
The results indicate that healthcare institutions implementing
strategic planning report higher efficiency
(14.0%), greater patient satisfaction (16.2%), and a lower
number of adverse events (32.6%). Furthermore, institutions
in BiH with formal strategic plans demonstrate 19.0%
better internal communication and 12.0% higher staff motivation
compared to institutions without such plans.
The study concludes that strategic planning significantly
contributes to improvements in the quality, efficiency,
and sustainability of healthcare services, particularly
in transitional healthcare systems such as that
of Bosnia and Herzegovina.
Keywords
strategic planning; healthcare institutions; performance of healthcare institutions; patient satisfaction
Hrčak ID:
346603
URI
Publication date:
28.4.2026.
Visits: 70 *