The Application of Artificial Intelligence in Healthcare System Management in the Republic of Serbia: Enhancing Efficiency, Predictive Capacity, and Decision-Making

  • Marko Kimi Milić High Medical College of Professional Studija „Milutin Milanković”, Belgrade, Serbia
  • Šćepan Sinanović High Medical College of Professional Studija „Milutin Milanković”, Belgrade, Serbia
  • Tatjana Kilibarda The Academy of Applied Preschool Teaching and Health Studies Kruševac - Department in Ćuprija, Serbia
  • Saša Bubanj University of Niš, Faculty of Sport and Physical Education, Niš, Serbia
  • Novica Bojanić University of Niš, Faculty of Medicine, Niš, Serbia
  • Tanja Prodović High Medical College of Professional Studija „Milutin Milanković”, Belgrade, Serbia
  • Aleksa Bubanj University of Niš, Faculty of Medicine, Niš, Serbia
Keywords: Artificial Intelligence, Healthcare Management, Predictive Analytics, Decision Support Systems, Resource Optimization, Serbia

Abstract


Artificial intelligence (AI) offers transformative potential in healthcare management by enhancing predictive analytics, optimizing resource allocation, and supporting clinical decision-making. This study examines AI applications in Serbian healthcare institutions, focusing on operational efficiency and improved patient outcomes. Using statistical methods such as ANOVA and regression, findings show significant benefits with AI adoption, while infrastructure and ethical considerations remain critical for successful integration. The study provides a foundation for policymakers aiming to incorporate AI within Serbia's healthcare system, addressing both potential improvements and challenges.

References

1. Wang Y, Kung LA, Byrd TA. Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technol Forecast Soc Change. 2018;126:3-13.
2. Esteva A, Robicquet A, Ramsundar B, et al. A guide to deep learning in healthcare. Nat Med. 2019;25(1):24-29.
3. Topol EJ. High-performance medicine: The convergence of human and artificial intelligence. Nat Med. 2019;25(1):44-56.
4. Beam AL, Kohane IS. Big data and machine learning in health care. JAMA. 2018;319(13):1317-1318.
5. Davenport T, Kalakota R. The potential for artificial intelligence in healthcare. Future Healthc J. 2019;6(2):94-98.
6. Krittanawong C, Zhang H, Wang Z, Aydar M, Kitai T. Artificial intelligence in precision cardiovascular medicine. J Am Coll Cardiol. 2017;69(21):2657-2664.
7. Yu KH, Beam AL, Kohane IS. Artificial intelligence in healthcare. Nat Biomed Eng. 2018;2(10):719-731.
8. Jiang F, Jiang Y, Zhi H, et al. Artificial intelligence in healthcare: Past, present and future. Stroke Vasc Neurol. 2017;2(4):230-243.
9. Rajpurkar P, Irvin J, Ball RL, et al. Deep learning for chest radiograph diagnosis: A retrospective comparison of the CheXNeXt algorithm to practicing radiologists. PLoS Med. 2018;15(11).
10. Esteva A, Chou K, Yeung S, Naik N, Madani A, Mottaghi A. AI for radiology. Med Phys. 2021;48(6):16-22.
11. Chen JH, Asch SM. Machine learning and prediction in medicine - beyond the peak of inflated expectations. N Engl J Med. 2017;376(26):2507-2509.
12. He J, Baxter SL, Xu J, Xu J, Zhou X, Zhang K. The practical implementation of artificial intelligence technologies in medicine. Nat Med. 2019;25(1):30-36.
13. London AJ. Artificial intelligence and black-box medical decisions: Accuracy versus explainability. Hastings Cent Rep. 2019;49(1):15-21.
14. Shortliffe EH, Sepúlveda MJ. Clinical decision support in the era of artificial intelligence. JAMA. 2018;320(21):2199-2200.
15. Matheny ME, Whicher D, Thadaney Israni S. Artificial intelligence in health care: A report from the national academy of medicine. JAMA. 2020;323(6):509-510.
16. McKinney SM, Sieniek M, Godbole V, et al. International evaluation of an AI system for breast cancer screening. Nature. 2020;577(7788):89-94.
17. Price WN. Big data and black-box medical algorithms. Sci Transl Med. 2018;10(471).
18. Obermeyer Z, Emanuel EJ. Predicting the future - big data, machine learning, and clinical medicine. N Engl J Med. 2016;375(13):1216-1219.
19. Obermeyer Z, Powers B, Vogeli C, Mullainathan S. Dissecting racial bias in an algorithm used to manage the health of populations. Science. 2019;366(6464):447-453.
20. Char DS, Shah NH, Magnus D. Implementing machine learning in health care - addressing ethical challenges. N Engl J Med. 2018;378(11):981-983.
21. Deo RC. Machine learning in medicine. Circulation. 2015;132(20):1920-1930.
22. Reddy S, Fox J, Purohit MP. Artificial intelligence-enabled healthcare delivery. J R Soc Med. 2019;112(1):22-28.
23. Topol EJ. Deep medicine: How artificial intelligence can make healthcare human again. Basic Books. 2019.
24. Hamet P, Tremblay J. Artificial intelligence in medicine. Metabolism. 2017;69S.
25. Johnson KW, Torres Soto J, Glicksberg BS, et al. Artificial intelligence in cardiology. J Am Coll Cardiol. 2018;71(23):2668-2679.
26. Murdoch TB, Detsky AS. The inevitable application of big data to health care. JAMA. 2013;309(13):1351-1352.
27. Amann J, Blasimme A, Vayena E, Frey D, Madai VI. Explainability for artificial intelligence in healthcare: A multidisciplinary perspective. BMC Med Inform Decis Mak. 2020;20(1):310.
28. Parmar C, Barry JD, Hosny A, Aerts HJ. Machine learning with radiomic features. Radiographics. 2018;38(6):1872-1882.
29. McGough SF, Thigpen S, Samore MH, Weir CR, Drews FA. The use of artificial intelligence in clinical decision support. BMC Med Inform Decis Mak. 2018;18(1):65.
30. Mesko B, Hetenyi G, Gyoz E. Will artificial intelligence solve the human resource crisis in healthcare? BMC Health Serv Res. 2018;18(1):545.
31. Miller DD, Brown EW. Artificial intelligence in medical practice: The question to the answer? Am J Med. 2018;131(2):129-133.
32. Dilsizian SE, Siegel EL. Artificial intelligence in medicine and cardiac imaging: Harnessing big data and advanced computing to provide personalized medical diagnosis and treatment. Curr Cardiol Rep. 2014;16(1):441.
33. Sutton RT, Pincock D, Baumgart DC, Sadowski DC, Fedorak RN, Kroeker KI. An overview of clinical decision support systems: Benefits, risks, and strategies for success. NPJ Digit Med. 2020;3:17.
34. Davenport TH, Hongsermeier T, McCord KA. Using artificial intelligence to improve hospital inpatient care. NEJM Catal Innov Care Deliv. 2021;2(1):6-14.
35. Chen M, Decary M. Artificial intelligence in healthcare: An essential guide for the public and policy makers. BMC Med Inform Decis Mak. 2020;20(1):1-16.
36. Esteva A, Kuprel B, Novoa RA, et al. Dermatologist-level classification of skin cancer with deep neural networks. Nature. 2017;542(7639):115-118.
37. Tang F, Ishwaran H, VanderWeele TJ. Artificial intelligence in healthcare: A critical analysis. JAMA Netw Open. 2020;3(5).
38. Kulkarni S, Seneviratne N, Baig MS, Khan AHA. Artificial intelligence in medicine: Where are we now? Acad Radiol. 2020;27(1):62-70.
39. Cabitza F, Rasoini R, Gensini GF. Unintended consequences of machine learning in medicine. JAMA. 2017;318(6):517-518.
40. Lee J, Doyle-Lindrud S. The influence of artificial intelligence on oncology nursing. Clin J Oncol Nurs. 2020;24(4):331-334.
41. Bini SA. Artificial intelligence, machine learning, deep learning, and cognitive computing: What do these terms mean and how will they impact health care? J Arthroplasty. 2018;33(8):2358-2361.
42. Reardon S. Machine learning gets to the root of machine-learning biases. Nature. 2020;586(7827):483-484.
Published
2025/11/19
Section
Originalni rad / Original article