ZEVA Die Zentraleuropäische Vereinigung Der
Copyright © prim. dr. med. Goran Pavić
ZEVA Die Zentraleuropäische Vereinigung der Ärzteorganisationen The 23rd Symposium of the medical chambers of Central and East European countries Sofia, 28th-30th September 2016 Copyright © prim. dr. med. Goran Pavić Medical Chamber of Federation of Bosnia and Herzegovina
National report for the ZEVA 2016 Symposium
prim. dr. med. Goran Pavić, an epidemiologist The chair of the Commission for the international collaboration Copyright © prim. dr. med. Goran Pavić
1. Medical chambers 3
1.1 Bosnia and Herzegovina 1.1.1 There is no medical chamber at the state level 1.2 Federation of Bosnia and Herzegovina 1.2.1 Medical chamber of Federation of Bosnia and Herzegovina 1.2.2 The 10 cantonal medical chambers 1.3 Republic of Srpska 1.3.1 Medical chamber of Republic of Srpska 1.4 Brcko District of Bosnia and Herzegovina 1.4.1 There is no medical chamber 1.4.2 Mandatory choosing of the medical chamber Copyright © prim. dr. med. Goran Pavić
1. Medical chambers 4
1.2 Federation of Bosnia and Herzegovina
1.2.1 Medical chamber of Federation of Bosnia and Herzegovina http://www.fmcbih.ba/ 1.2.1.1 The membership at the cantonal medical chamber is mandatory 1.2.1.2 The medical doctors’ professional organization 1.2.1.3 The association of the 9 cantonal medical chambers 1.2.1.4 The 1 cantonal medical chamber is not the member 1.2.1.5 The all member medical chambers have their representatives Copyright © prim. dr. med. Goran Pavić
1. Medical chambers 5
1.2 Federation of Bosnia and Herzegovina
1.2.1 Medical chamber of Federation of Bosnia and Herzegovina 1.2.1.6 The membership of the chamber
Medical chamber (MC) Number of members % of membership at MC FB&H MC of Federation of Bosnia and Herzegovina 5.593 100,00 % MC of Una-Sana Canton 384 6,87 % MC of Posavina Canton 59 1,05 % MC of Tuzla canton 1.700 30,40 % MC of Zenica-Doboj Canton 682 12,19 % MC of Bosnian Podrinje Canton 33 0,59 % MC of Middle Bosnia Canton 384 6,87 % MC of Herzegovina-Neretva canton (not member) 763 0,00 % MC of West Herzegovina Canton 72 1,29 % Medical chamber of Sarajevo Canton 2.200 39,33 % Medical chamber of Herzeg-Bosnia Canton 79 1,41 % Total number of medical doctors in Federation of Bosnia and Herzegovina 6.356 88,00 % Copyright © prim. dr. med. Goran Pavić
1. Medical chambers 6
1.2 Federation of Bosnia and Herzegovina
1.2.1 Medical chamber of Federation of Bosnia and Herzegovina 1.2.1.7 The 88,00% of the MDs in Federation B&H are the members 1.2.1.8 The 12,00% of the MDs in Federation B&H are not members 1.2.1.9 The 2,9 of MDs/1.000 inhabitants in Federation B&H http://www.popis2013.ba/ 1.2.1.10 The 1,9 of MDs/1.000 inhabitants in Bosnia and Herzegovina http://data.worldbank.org/indicator/SH.MED.PHYS.ZS?locations=BA Copyright © prim. dr. med. Goran Pavić
1. Medical chambers 7
1.2 Federation of Bosnia and Herzegovina
1.2.2 The 10 cantonal medical chambers 1.2.2.1 Medical chamber of Una-Sana Canton 1.2.2.2 Medical chamber of Posavina Canton 1.2.2.3 Medical chamber of Tuzla Canton 1.2.2.4 Medical chamber of Zenica-Doboj Canton 1.2.2.5 Medical chamber of Bosnian Podrinje Canton Copyright © prim. dr. med. Goran Pavić
1. Medical chambers 8
1.2 Federation of Bosnia and Herzegovina
1.2.2 The 10 cantonal medical chambers 1.2.2.6 Medical chamber of Middle Bosnia canton 1.2.2.7 Medical chamber of Herzegovina-Neretva Canton (not member) 1.2.2.8 Medical chamber of West Herzegovina Canton
1.2.2.9 Medical chamber of Sarajevo Canton 1.2.2.10 Medical chamber of Herzeg-Bosnia Canton Copyright © prim. dr. med. Goran Pavić
2. The key topics to the ZEVA 2016 9
2.1 Ageing of the medical doctors/the society
2.2 Remuneration of medical doctors in private practice
2.3 Disciplinary measures
2.4 Privacy of medical doctors in media Copyright © prim. dr. med. Goran Pavić
2. The key topics to the ZEVA 2016 10
2.1 Ageing of the medical doctors/the society
2.1.1 The adiministrative map of Bosnia and Herzegovina http://www.bhas.ba http://www.popis2013.ba/ Copyright © prim. dr. med. Goran Pavić
2. The key topics to the ZEVA 2016 11
2.1 Ageing of the medical doctors/the society
2.1.2 The ageing index in Bosnia and Herzegovina http://www.bhas.ba http://www.popis2013.ba/ Copyright © prim. dr. med. Goran Pavić
2. The key topics to the ZEVA 2016 12
2.1 Ageing of the medical doctors/the society
2.1.3 The average age in Bosnia and Herzegovina http://www.bhas.ba http://www.popis2013.ba/ Copyright © prim. dr. med. Goran Pavić
2. The key topics to the ZEVA 2016 13
2.1 Ageing of the medical doctors/the society
2.1.4 The population by five-year age groups and sex in B&H http://www.bhas.ba http://www.popis2013.ba/ Copyright © prim. dr. med. Goran Pavić
2. The key topics to the ZEVA 2016 14
• 2.1 Ageing of the medical doctors/the society
• 2.1.5 The population by five-year age groups and sex in F B&H http://www.bhas.ba http://www.popis2013.ba/ Copyright © prim. dr. med. Goran Pavić
2. The key topics to the ZEVA 2016 15
2.1 Ageing of the medical doctors/the society
2.1.6 Structure of medical doctors in Federation of Bosnia and Herzegovina according to the sex
Title Number Percentage % Total number of medical doctors 6.356 100,00 % Men N/A N/A Women N/A N/A Copyright © prim. dr. med. Goran Pavić
2. The key topics to the ZEVA 2016 16
2.1 Ageing of the medical doctors/the society
2.1.7 Structure of medical doctors in Federation of Bosnia and Herzegovina according to the age and the sex
Title Age <30 Age 31-40 Age 41-50 Age 51-60 Age 60+ Total number N/A N/A N/A N/A N/A Men N/A N/A N/A N/A N/A Women N/A N/A N/A N/A N/A Copyright © prim. dr. med. Goran Pavić
2 The key topics to the ZEVA 2016 17
2.1 Ageing of the medical doctors/the society
2.1.8 Structure of medical doctors in Federation of Bosnia and Herzegovina according to the average age
Title The average age of medical doctors Total number of licensed medical doctors N/A Men N/A Women N/A Copyright © prim. dr. med. Goran Pavić
2. The key topics to the ZEVA 2016 18
2.1 Ageing of the medical doctors/the society
2.1.9 The idea of showing these data cannot be realized due to the limitation of the e-registration software at Medical Chamber of Federation Bosnia and Herzegovina 2.1.10 Sorting these data manually is very difficult job and could not be done Copyright © prim. dr. med. Goran Pavić
2. The key topics to the ZEVA 2016 19
2.1 Ageing of the medical doctors/the society
2.1.11 The ageing of the society and the ageing of medical doctors is present 2.1.12 The more elder society, the more needs in healthcare services
2.1.13 The ageing of medical doctors can make the healthcare system problems 2.1.14 There is the trend that young medical doctors leave the country 2.1.15 There is need for measure to keep healthcare system stable and progressive Copyright © prim. dr. med. Goran Pavić
2. The key topics to the ZEVA 2016 20
2.2 Remuneration of medical doctors in private practice
2.2.1 Definition: Reward for employment in the form of pay, salary, or wage, including allowances, benefits (such as company car, medical plan, pension plan), bonuses, cash incentives, and monetary value of the noncash incentives http://www.businessdictionary.com/definition/remuneration.html 2.2.2 Paying of medical doctors in private sector varies from one to another private medical facility, and the medical chambers in Federation of Bosnia and Herzegovina do not investigate this topic 2.2.3 Paying of medical doctors in private sector is the business secret for each private medical facility, and the medical chambers in Federation of Bosnia and Herzegovina do not have insight in these paying Copyright © prim. dr. med. Goran Pavić
2. The key topics to the ZEVA 2016 21
2.3 Disciplinary measures
2.3.1 Total number of disciplinary measures predicated by the medical chambers in Federation of B&H according the type and the years
Title 2012 2013 2014 2015 2016/I Written warning N/A N/A N/A N/A N/A Temporary deprival of licence N/A N/A N/A N/A N/A Permanent deprival of licence N/A N/A N/A N/A N/A Copyright © prim. dr. med. Goran Pavić
2. The key topics to the ZEVA 2016 22
2.3 Disciplinary measures
2.3.2 Medical Chamber of Federation of Bosnia and Herzegovina do not predicate such disciplinary measures, and do not collect data from the cantonal medical chambers about predicated disciplinary measures
2.3.3 Disciplinary measures are regulated by each cantonal medical chamber internal acts Copyright © prim. dr. med. Goran Pavić
2. The key topics to the ZEVA 2016 23
2.4 Privacy of medical doctors in media
2.4.1 During period 2012 till 2016/I there was no any reported case at Medical Chamber of Federation of Bosnia and Herzegovina of violating privacy of medical doctors by the media
2.4.2 Media journalist from all media like making stories about medical doctors, and medical doctors are often the topic of their stories
2.4.3 There is no the law of protection of privacy of medical doctors in the media, there is only the law of protection from the blasphemy, and according to this law the court suits are made Copyright © prim. dr. med. Goran Pavić
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2.4 Privacy of medical doctors in media
2.4.4 The medical chambers in Federation of Bosnia and Herzegovina are probably ready to protect rights of medical doctors which are violated by the media, but this is the subject of individual cases
2.4.5 Due to the fact that the media journalist like medical doctors as the subjects of their stories, and according to the media freedom for public announce, there is practically nothing for prevention of violating privacy of medical doctors
2.4.6 In the case of violating privacy of medical doctors by the media, the only one solution is the individual court suit, but the medical chambers in Federation of Bosnia and Herzegovina can issue the announcer for public Copyright © prim. dr. med. Goran Pavić Greetings from Bosnia and Herzegovina 25
Hvala Vam na pozornosti Thank you for your attention Vielen Dank für Ihre Aufmerksamkeit Благодаря за вниманието
The charter of Ban Kulin, 29.08.1189, the 1st Slavenic trade agreement Tvrtko I Kotromanic, 26.10.1377, the 1st Bosnian king