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After the realization of regional SWOT analysis for Republic of Srpska/Bosnia and Herzegovina it is possible to withdraw some qualitative conclusions and recommendations for improvement of advanced medical imaging for this region.

  • Available technical infrastructure and especially one that refers to Advanced Medical Imaging is at unsatisfactory level. Most of technical equipment that research institutions have at disposal is outdated, inadequate and insufficient for serious research work. Healthcare institutions are facing with certain problems related to bad and inadequate infrastructure, fast communication and exchange of information with other research centres, availability of most modern MI devices and new methods.
  • The partnership and level of cooperation between healthcare institutions and research and academic institutions is at very low level and not well stimulated. There is a small number of institutional cooperation in serious research and development projects, exchange of knowledge and experience, as well as exchange of researchers. The cooperation is mainly done through the work of medical doctors and specialists working at the same time at clinics and public universities – medical faculties. Therefore, availability and closeness of research premises for biomedical research and nanomedicine and ICT is really bad.
  • Although there are several initiatives for networking (financed and supported mainly by international donation programs), there are no samples of joining in clusters and similar, functionally similar institutions and companies, and especially in sector of health and medical imaging.
  • At the regional market are present MI companies that are not facing with problems related to registration and business, but these are mainly distributive companies. There is almost no example of RTD oriented companies in health sector. Measures for stimulation and support of these or spin-off companies are insufficient especially for foreign companies that are considering this market not attractive for investments and opening of production capacities. Additional problem represents offer of     qualified workforce from the domestic labor market.
  • Existing demographic tendencies as well as policy in the field of social and health care in Republic of Srpska will definitely present a challenge for public authorities and healthcare institutions in future especially increasing number of requests and level of healthcare quality especially in the field of MI.  In that sense last of couple of years is obviously more intensive investment into MI and other health infrastructure through different models of investment
  • Differing from opinions of national experts and conclusions given in Value Chain Analysis, performed SWOT analysis shows that funding and subventions for RTD structure and for necessary MI equipment are not adequate and sufficient. Namely, allocations within the existing national and regional programmes and grants does not allow further development of RTD infrastructure and equipment and are not sufficient for improvement of technical infrastructure in health sector, especially in the segment of advanced medical technologies and biomedical researches.
  • Also, there is disproportion in conclusions of VCA and SWOT related to segment of cooperation with funding facilities. Namely, compare to opinion of national experts, SWOT analysis presented weakness in availability of different funding instruments (public and private) for healthcare institutions related in order to meet MI sector's needs. Most of them is based on guarantees given by Government of Republic of Srpska or other levels of authorities, while other models are insufficiently represented and unused, which at the end brings to inconsistency between needs of healthcare and research centres for MI equipment and available funding instruments and possibilities within the frame of various programmes and grants.

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