KNOWLEDGE AND ATTITUDES OF MANAGERS ON THE APPLICATION OF STANDARDIZED MANAGEMENT SYSTEMS IN THE REPUBLIC HEALTH INSURANCE FUND
Abstract
Introduction/Aim: The introduction and implementation of standardized management systems in the Republic Health Insurance Fund (RHIF) has become a necessity for the sake of internal stability, as well as the stability of the health system of the Republic of Serbia (RS). The aim of this cross-sectional study was to examine the knowledge and attitudes of managers of RHIF RS about standardized management systems and the importance of their implementation in RHIF, as well as to give appropriate recommendations.
Methods: As part of this cross-sectional study, during May 2017, data was collected using a questionnaire from 157 managers of RHIF RS, because they had a direct insight into the implementation of ISO 9001 – quality management system and ISO 27001 – information security management system, for which RHIF is certified.
Results: Of all the standardized management systems that were introduced in RHIF RS, the majority of managers were familiar with ISO 9001 (99.4%) and ISO 27001, while they were least familiar with ISO 30400 – human resources management system (6.4%), ISO 30001 – risk management system (5.7%), ISO 45001 – occupational health and safety (5.1%) and ISO 14001 – environmental management system (4.5%). The most important positive experiences regarding the implementation of ISO standardized management system were the following: better work organization (93.6%), increased satisfaction of employees (89.8%), improved work of branch offices (78.8%), and uniformity of work (72.0%), while the negative included: more extensive administration (26.8%) and resistance to changes (24.8%). The personal positive experiences related to the introduction of ISO standardized management systems included satisfaction with the improvement of business (84.1%) and increased responsibility (42.7%), while the negative ones were resistance to changes (31.2%) and a long period of introduction (23.6%).
Conclusion: The continuous improvement of RHIF business process leads to the better quality of the healthcare system in RS and a better general health condition of society.
References
1. Zakon o zdravstvenom osiguranju "Službeni glasnik RS", br. 107/2005, 109/2005, 57/2011, 110/2012 - Odluka US RS, 119/2012, 99/2014, 123/2014, 126/2014 - Odluka US RS i 106/2015.
2. Saltman RB, Busse R, Figueras J. Social health insurance systems in western Europe. In: Figueras J, McKee M, Mossialos E, Saltman RB (editors), European Observatory on Health Systems and Policies Series; Great Britain: WHO, 2004; Available at: https://eurohealthobservatory.who.int/docs/librariesprovider3/studies---external/social-health-insurance-systems-western-europe.pdf>
3. Filipović J, Jovanović B, Bjelović M. Menadžment kvaliteta u zdravstvu, Fakultet organizacionih nauka, Univerzitet u Beogradu: Beograd, 2017. Available at: http://kvalitet.fon.bg.ac.rs/wp-content/uploads/SRPS_ISO_9001_2008_11_24.pdf>
4. SRPS ISO 9000:2015 - Sistem menadžmenta kvalitetom – Zahtevi. Dostupno od 30.10.2015. Available at: https://iss.rs/sr_Latn/project/show/iss:proj:48666>
5. SRPS ISO 9000:2015 - Sistemi menadžmenta kvalitetom – Osnove i rečnik. Dostupno od 30.10.20215. Available at: https://iss.rs/sr_Cyrl/project/show/iss:proj:51311>
6. ISO/IEC 27001:2013 - Informacione tehnologije – Tehnike sigurnosti – Sistem upravljanja bezbednošću informacija – Zahtevi. Available at: https://iso.org.rs/iso-27001/>
7. SRPS ISO/IEC 27002:2015 Informaciona tehnologija – Tehnike sigurnosti – Pravila prakse za kontrole bezbednosti informacija; Dostupno od: 30.10.2015. Available at: https://iss.rs/sr_Latn/project/show/iss:proj:49038>
8. ISO 27799:2016 Health informatics - Information security management in health using ISO/IEC 27002; Available at: https://www.iso.org/obp/ui/#iso:std:iso:27799:ed-2:v1:en>
9. SRPS ISO 9001:2008 - Sistem menadžmenta kvalitetom - Zahtevi; Dostupno od 30.10.2015. Available at: https://iss.rs/sr_Latn/project/show/iss:proj:48666>
10. ISO/IEC 27001:2005 - Sistem menadžmenta bezbednošću informacija; Available at:
11. WHO. The World health report 2000: Health systems: Improving performance. World Health Organization: France, 2000. Available at: https://cdn.who.int/media/docs/default-source/health-financing/whr-2000.pdf?sfvrsn=95d8b803_1&download=true>
12. Evans D, Tandon A, Murray CJL, Lauer J. The comparative efficiency of national health systems in producing health: an analysis of 191 countries. Geneva: World Health Organization; 2000 (GPE Discussion Paper No. 29).
13. Countries with the Best Health Care - 2023 Update - Gazette Review [Internet]. 2022 [citirano 13. April 2023.]. Available at: https://gazettereview.com/countries-with-the-best-health-care/
14. World Health Organization. Regional Office for Europe, European Observatory on Health Systems and Policies, Legido-Quigley, Helena, McKee, Martin, Nolte, Ellen. et al. Assuring the quality of health care in the European Union: a case for action. World Health Organization: Regional Office for Europe, 2008. Available at: https://apps.who.int/iris/handle/10665/107894
15. Roy A. Why Switzerland Has the World’s Best Health Care System [Internet]. Forbes. [citirano 13. Април 2023.]. Available at: https://www.forbes.com/sites/theapothecary/2011/04/29/why-switzerland-has-the-worlds-best-health-care-system/
16. 10 Most Expensive Countries for Healthcare in the World [Интернет]. ZeroHedge. [citirano 13. Април 2023.]. Available at: https://www.zerohedge.com/news/2016-05-19/10-most-expensive-countries-healthcare-world>
17. Sweden Country Overview | World Health Organization [Internet]. [citirano 13. April 2023.]. Available at: https://www.who.int/countries/swe>
18. Agencija obaveznog socijalnog osiguranja Švedske. Available at: https://www.forsakringskassan.se/>
19. European Health Insurance Card [Internet]. [citirano 13. April 2023.]. Available at: https://ec.europa.eu/social/main.jsp?catId=559>
20. Hoyle D. ISO 9000 Quality Systems Handbook - updated for the ISO 9001:2008 standard (6th ed.). Routledge, Taylor & Francis: New York, USA; 2009. https://doi.org/10.4324/9780080958033>
21. Caspar Honée, "Environmental Performance of the Försäkringskassan IT Infrastructure" - A green-it case study for the swedish social insurance agency, (2010), mid sweden university, Ecotechnology and Sustainable Building Engineering. Available at: https://www.diva-portal.org/smash/get/diva2:664467/FULLTEXT03.pdf>
22. ISO 30400:2016 - Human resource management – Vocabulary. Available at: https://www.iso.org/standard/66032.html>
23. ISO/DIS 45001.2018 - Occupational health and safety management systems - Requirements with guidance for use: Available at: https://www.iso.org/standard/63787.html>
24. ISO 31000:2009 – ISO 31000:2009 –Risk Management System –Principles and guidelines. Available at: https://www.iso.org/standard/43170.html>