As expected, the SWOT analysis showed that MI (including AMI) sector in Republic of Srpska is considerably weak and with a lot of possibilities for improvement. These improvements cannot be done overnight due to the complex nature of these improvements.
Although the economic situation in Republic of Srpska is very difficult and complex, still there are several strengths expressed in this analysis. Most important one is that Republic of Srpska is having and producing qualified workforce for MI and AMI sector. However, due to economic situation this workforce is not paid as supposed to be, actually salaries are not attractive for these specialists. Beside qualified workforce, Republic of Srpska is having development potential to foster MI development and to strengthen MI equipment market, even as producers or assemblers of MI equipment.
However, the list of weakness is far longer than list of strengths. The reason for this finding of the analysis lies in the fact that BIH is still underdeveloped country with a lot of social and economic problems, which are positioning themselves on more priority place than MI or AMI. The major problem is low level of investments in MI sector, which is essential precondition to have better MI infrastructure deployed. Recent investments in this sector were based on PPP and proved as successful model. However, there is still lack of private investments in this sector due to complex administrative procedures and unstable economical situation on the market. The major companies on MI market are representatives of major world-wide producers of MI equipment or just resellers and distributors. There are cases that these famous producers have representative in Austria or Croatia in charge for Bosnia and Herzegovina. This can be explained with the fact that BIH is having in total 4 millions of inhabitants (unofficial figure), which is rather small market despite increased market demand in health sector for MI equipment.
From scientific aspect, major problem presents lack of advanced research equipment, but in some cases even basic research equipment needed for MI research. Other major issues causing very difficult situation in MI scientific sector is that researchers do not have access to journals and magazines in order to acquire new knowledge. Another weakness is that the industry-academia cooperation is on very low level and there is small number of SMEs with R&D capacities, especially in MI sector. The research in MI sector is very limited due to the mentioned factors, although the researchers are trying to keep the pace with others. Thanks to continuous medical education that is obligatory for all medical doctors, they can follow up newest development in MI by participation to Congresses and to other similar events. Another very important weakness observed is low level of participation in available EU funds for S&T (FP7, COST, and EUREKA). Namely, academic community (including MI researchers) is not stimulated to participate in these projects and they see funding procedures complicated from the aspect of researcher. The researchers suffering lack of project manager skills and have problems to cope with different administrative procedures in project preparation, realization and reporting stages. From the other hand, EU partners are reluctant to involve RS researchers in the projects due to scarce and outdated equipment. Also, most of the research work done recently is not commercialized but is more academically oriented. Therefore the interest of SMEs to participate in joint projects with academia is very low.