23 records are rendered in full. Stage duplicates remain visible because a document candidate, triage record, statement, and exact context are separately annotatable objects.
Candidate Analytical Mapping · Open for annotation
Access barriers are reported across territorial systems
Gavran L, Lukic A, Milic M. Healthcare access in Bosnia and Herzegovina in the light of European Union accession efforts. 2022; European Commission, Bosnia and Herzegovina 2023 Report; WHO, Health Systems in Action, 2022; Ministry for Human Rights and Refugees, Eleventh Periodic Report, 2020.
Statement or annotation question
A scoping review identifies territorial division as a barrier to equal access, and the European Commission reports persistent obstacles to patient mobility between entities or cantons. This supports a review-based access concern, not an observed causal estimate, a universal patient-flow claim or a comparison of private and public performance.
- Material reference
- material:0dc47f9c3fcfe52cbba52eb0
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Observed
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Bosnia and Herzegovina, including Federation of Bosnia and Herzegovina, Republika Srpska and Brcko District
- Period
- Scoping review published 2022, synthesizing earlier evidence; European Commission assessment published 2023
- Source layers
- Research Literature
- Coverage domains
- Authoritative review, Governance and accountability, Market structure, Provider networks, Provider ownership, Patient flows, Utilization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- Scoping review Abstract, Discussion and Conclusion; European Commission 2023 Report, Public health and Health inequalities pages 96 to 97; WHO pages 7 and 17; state report Article 12 health-care section.
- File Sha256
- ea1db4a8ff6935c19371c7a5626f8f1489d46e56a82cc4baf8bcced2e616352a
Annotation prompts and machine flags
- Do not label the review finding as a current national utilization metric or attribute it to a named sector without disaggregated evidence.
Candidate Analytical Mapping · Open for annotation
Brcko District reports referrals for unavailable specialist care
Ministry for Human Rights and Refugees of Bosnia and Herzegovina, Eleventh Periodic Report, 2020; IMF, Article IV Consultation Annex VI, 2022.
Statement or annotation question
The state report describes a Brcko District arrangement for referrals to specialized institutions outside the District when treatment is unavailable locally. It does not establish referral volumes, completed episodes, patient choice or performance.
- Material reference
- material:1640e1f313f33689976fede3
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Reported
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Brcko District only, for specialist care unavailable within the District
- Period
- State report published 2020; no current referral-flow period is supplied
- Source layers
- Official
- Coverage domains
- Governance and accountability, Hospital organization, Provider networks, Observed referral, Patient flows, Primary care organization, Referral design, Utilization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- State report Article 12 health-care section, Brcko District paragraph; IMF Annex VI paragraph 1.
- File Sha256
- 4261f2b9ea87faecf92a9fb8b873edc5bd8377bc1f568c92d8c854a85b65f90e
Annotation prompts and machine flags
- Keep the arrangement distinct from observed referral use and seek District and receiving-provider data before calculating any pathway indicator.
Candidate Analytical Mapping · Open for annotation
Family medicine has progressed within a hospital-centred system
WHO, Health Systems in Action: Bosnia and Herzegovina, 2022; IMF, Article IV Consultation Annex VI, 2022; Hodgetts G, et al., Twenty-five years on, 2020.
Statement or annotation question
WHO reports progress in family-medicine-centred primary care while also describing the health systems as largely hospital-centred. A qualitative follow-up documents participants' accounts of continuing primary-care constraints. Together, these sources do not provide an observed national referral, waiting-time, utilization or quality measure.
- Material reference
- material:4d182f0034343193b2b621ec
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Reported
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Bosnia and Herzegovina, with territorial systems requiring separate local confirmation
- Period
- WHO report published 2022; qualitative follow-up published 2020; implementation periods in cited evidence vary
- Source layers
- Official
- Coverage domains
- Authoritative review, Facility data, Hospital organization, Provider networks, Patient flows, Primary care organization, Referral design, Utilization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- WHO Key points and Provision of services sections, pages 7 and 24; IMF Annex VI paragraph 1; qualitative follow-up Background, Results and Discussion sections.
- File Sha256
- c39c44f7f47167d5442c910b0a1ad0060591c9e4c4b1819ff2ce535ba6c2f4c3
Annotation prompts and machine flags
- Do not infer a gatekeeping rule, referral completion or comparable facility capacity from the family-medicine and hospital-centred descriptions.
Candidate Analytical Mapping · Open for annotation
Federation framework and cantonal decision boundary
Government of the Federation of Bosnia and Herzegovina, Federal Ministry of Health, accessed 15 August 2026; WHO, Health Systems in Action, 2022; World Bank, Health Systems Improvement Project, 2021.
Statement or annotation question
The Federal Ministry of Health is a Federation-level actor, while available reviews describe ten separate cantonal systems. The evidence does not justify assigning one identical purchasing, ownership or operational decision to all Federation cantons.
- Material reference
- material:880cbde3c6cca43174c84f40
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Reported
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Federation of Bosnia and Herzegovina and its ten cantons only
- Period
- Ministry webpage accessed 2026-08-15; review and project sources published 2021 to 2022
- Source layers
- Official
- Coverage domains
- Actors, Authoritative review, Provider autonomy, Decision rights, Governance and accountability, Government responsibilities, Reform history
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- Federal Ministry page, Nadleznosti and Zakoni sections; WHO pages 7 and 17; World Bank pages 14 to 15.
- Response Sha256
- 70d5146724d9ed0d7b30b31b2eb904a7f1eb9e1f029448bb4ee7d8150f7b901d
Annotation prompts and machine flags
- Do not extrapolate the Federation-level page to any named canton, to Republika Srpska or to Brcko District.
Candidate Analytical Mapping · Open for annotation
Project appraisal reports reform intent, not completed change
World Bank, Bosnia and Herzegovina Health Systems Improvement Project, 2021; WHO, Health Systems in Action: Bosnia and Herzegovina, 2022.
Statement or annotation question
The World Bank appraisal reports a reform project and institutional baseline. It should be displayed as reported project-appraisal evidence, not as a formal national reform instrument or as evidence that planned governance, primary-care or hospital changes were completed across every territory.
- Material reference
- material:9e9b098e45f86e7c33201fe5
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Reported
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Bosnia and Herzegovina; implementation must be checked separately for Federation cantons, Republika Srpska and Brcko District
- Period
- World Bank appraisal 2021; WHO assessment published 2022
- Source layers
- Grey Literature
- Coverage domains
- Actors, Authoritative review, Decision rights, Governance and accountability, Government responsibilities, Hospital organization, Primary care organization, Reform history
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- World Bank health-sector context, legal framework and project-description sections, pages 14 to 15 and 29; WHO Key points.
- File Sha256
- 4e2ec956d6a4a3c4c2e4ceddb2b18c5acdff648812501d7f32638da9b1a437d5
Annotation prompts and machine flags
- Add implementation monitoring by territory before replacing planned status with evidence of operational change.
Candidate Analytical Mapping · Open for annotation
Provider ownership and autonomy cannot be inferred uniformly
World Bank, Bosnia and Herzegovina Health Systems Improvement Project, 2021; IMF, Article IV Consultation Annex VI, 2022.
Statement or annotation question
The World Bank reports different territorial ownership patterns for Republika Srpska and the Federation. That distinction supports an ownership boundary, not a claim that public providers in either territory share the same operational autonomy.
- Material reference
- material:68cda1b3bd5da6412a3b73ab
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Reported
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Republika Srpska and Federation of Bosnia and Herzegovina; not a Brcko District ownership map
- Period
- Institutional baseline reported in 2021 and 2022 sources
- Source layers
- Grey Literature
- Coverage domains
- Authoritative review, Provider autonomy, Decision rights, Governance and accountability, Hospital organization, Market structure, Provider ownership, Primary care organization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- World Bank pages 14 to 15, health-sector governance discussion; IMF Annex VI paragraph 1.
- File Sha256
- 4e2ec956d6a4a3c4c2e4ceddb2b18c5acdff648812501d7f32638da9b1a437d5
Annotation prompts and machine flags
- Require provider-specific statutes or contracts before coding workforce, financial, procurement, capital or service-mix autonomy.
Candidate Analytical Mapping · Open for annotation
Territorial facility descriptions are not capacity measures
IMF, Bosnia and Herzegovina: 2022 Article IV Consultation, Annex VI; WHO, Health Systems in Action: Bosnia and Herzegovina, 2022; Zunic L, et al., Family Medicine Practice During COVID-19 Pandemic in Canton Sarajevo, 2022.
Statement or annotation question
The IMF reports distinct territorial facility structures for the Federation, Republika Srpska and Brcko District, while a Canton Sarajevo case study documents local pandemic primary-care arrangements. These sources support a structural map and territory-bounded observation only; they cannot rank current national capacity, access, utilization, quality or referral performance.
- Material reference
- material:02e0005803d522f1ccdf1f19
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Reported
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Federation of Bosnia and Herzegovina, Republika Srpska and Brcko District, with Federation cantons not collapsed into one provider
- Period
- IMF staff report and Canton Sarajevo case study published 2022
- Source layers
- Review Literature
- Coverage domains
- Actors, Authoritative review, Facility data, Hospital organization, Provider networks, Patient flows, Primary care organization, Utilization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- IMF Annex VI paragraph 1; WHO Organization and governance and Provision of services sections; Canton Sarajevo case-study Methods, Results and Discussion sections.
- Response Sha256
- 9bff7bccbd3fb0d77d8462de21ba2eecc5962a46b5ed9bb887420242269aa10d
Annotation prompts and machine flags
- Replace reported counts only with dated facility registries and retain the canton-level denominators before comparison.
Candidate Analytical Mapping · Open for annotation
Territorial health-system functions are not one national delivery chain
WHO, Health Systems in Action: Bosnia and Herzegovina, 2022; Ministry for Human Rights and Refugees, Eleventh Periodic Report, 2020; IMF, Article IV Consultation Annex VI, 2022.
Statement or annotation question
Available sources support a territorial map of Federation and cantonal systems, Republika Srpska and Brcko District. They do not support collapsing Brcko District into either entity or treating the country as one unified service-delivery authority.
- Material reference
- material:a1eaeafa5b124c9e98414a59
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Reported
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Bosnia and Herzegovina, explicitly distinguishing Federation of Bosnia and Herzegovina, its ten cantons, Republika Srpska and Brcko District
- Period
- Reported system descriptions published 2020 to 2022
- Source layers
- Official
- Coverage domains
- Actors, Authoritative review, Decision rights, Governance and accountability, Government responsibilities
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- WHO pages 7 and 17; state report Article 12 health-care section; IMF Annex VI paragraph 1.
- File Sha256
- c39c44f7f47167d5442c910b0a1ad0060591c9e4c4b1819ff2ce535ba6c2f4c3
Annotation prompts and machine flags
- Annotate any later constitutional, entity, cantonal or District change before treating this map as current legal authority.
Candidate Analytical Mapping · Open for annotation
Territorial insurance fields do not establish one public-private network
WHO, Health Systems in Action: Bosnia and Herzegovina, 2022; Ministry for Human Rights and Refugees, Eleventh Periodic Report, 2020; IMF, Article IV Consultation Annex VI, 2022; Agency for Statistics of Bosnia and Herzegovina, National Health Accounts Statistics, 2023, 2025.
Statement or annotation question
The cited sources report multiple territorial insurance funds and variable coverage, while BHAS reports aggregate 2023 expenditure by financing scheme and provider category. They do not establish a complete public-private contracting network, a common provider roster or sector shares across Federation cantons, Republika Srpska and Brcko District.
- Material reference
- material:9bfe5494e6036efeb85b02dd
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Reported
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Bosnia and Herzegovina, with no collapse of Federation cantons, Republika Srpska and Brcko District into one network
- Period
- Reported descriptions and coverage estimates published 2020 to 2022; National Health Accounts data for 2023 released in 2025
- Source layers
- Official
- Coverage domains
- Actors, Authoritative review, Facility data, Governance and accountability, Market structure, Provider networks, Provider ownership, Patient flows, Utilization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- WHO pages 7 and 17; state report Article 12 health-care section; IMF Annex VI paragraph 1; BHAS National Health Accounts pages 1, 2 and 8.
- File Sha256
- c39c44f7f47167d5442c910b0a1ad0060591c9e4c4b1819ff2ce535ba6c2f4c3
Annotation prompts and machine flags
- Add contracting, payment and provider-list evidence separately before displaying a purchaser-provider network or public-private market share.
Candidate Analytical Mapping · Open for annotation
Territorial responsibility sets a limit on state-level delivery claims
Ministry for Human Rights and Refugees of Bosnia and Herzegovina, Eleventh Periodic Report, 2020; Gavran L, Lukic A, Milic M, 2022; WHO, Health Systems in Action, 2022.
Statement or annotation question
The state report allocates organization, financing and provision to entities, Federation cantons and Brcko District. Therefore the available evidence does not support a single national service-delivery or insurance-purchasing actor.
- Material reference
- material:09a4fed1c4cd9dabbd13946e
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Reported
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Bosnia and Herzegovina, retaining the separate Federation cantonal, Republika Srpska and Brcko District boundaries
- Period
- Sources published 2020 to 2022
- Source layers
- Official
- Coverage domains
- Actors, Authoritative review, Decision rights, Governance and accountability, Government responsibilities, Provider networks, Reform history
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- State report Article 12 health-care section; scoping review Abstract and Discussion; WHO Organization and governance section.
- File Sha256
- 4261f2b9ea87faecf92a9fb8b873edc5bd8377bc1f568c92d8c854a85b65f90e
Annotation prompts and machine flags
- Do not use this boundary to deny the role of state institutions in other domains; add source-specific evidence for each state-level function.
Country Improvement Source Lead · Open for annotation
Bosnia and Herzegovina 2023 Report
European Commission. Bosnia and Herzegovina 2023 Report. Commission Staff Working Document SWD(2023) 691 final. Brussels: European Commission; 2023. https://enlargement.ec.europa.eu/system/files/2023-11/SWD_2023_691%20Bosnia%20and%20Herzegovina%20report.pdf
Statement or annotation question
The European Commission reports that obstacles to patient mobility between entities or cantons persist and describes no state-level health information strategy or integrated health information system. These are external assessment findings and do not quantify national referral completion, travel frequency or the experience of every population group.
Source context or anchor
Obstacles to the mobility of patients between different entities or cantons persist
- Material reference
- material:56a1f0a189c1324bc13ada16
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Reported
- Publication date
- 2023
- Institution
- European Commission
- Document type
- Not Supplied
- Territory
- Bosnia and Herzegovina, including the Federation of Bosnia and Herzegovina, Republika Srpska, Brcko District and Federation cantons where noted
- Period
- European Commission assessment published November 2023; public-health assessment covers the preceding reporting period
- Source layers
- Grey Literature
- Coverage domains
- Actors, Authoritative review, Decision rights, Governance and accountability, Government responsibilities, Provider networks, Observed referral, Patient flows, Primary care organization, Referral design, Reform history, Utilization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- pdf_page_set_anchor
- Source Word Anchor
- Obstacles to the mobility of patients between different entities or cantons persist
- Source Word Count
- 11
- Detected Media Type
- application/pdf
- File Sha256
- 1649669f47902bef26ec1f1d1962c88765dedd8fea9001a681e628fbaedf4592
- Page Count
- 142
Annotation prompts and machine flags
- Retain this as an external assessment of the 2023 reporting period; do not recast its mobility finding as a measured national referral-completion rate or a formal entitlement rule.
Country Improvement Source Lead · Open for annotation
Bosnia and Herzegovina Health Systems Improvement Project
World Bank. Bosnia and Herzegovina Health Systems Improvement Project. 2021. https://documents1.worldbank.org/curated/en/838951648042774354/pdf/Bosnia-and-Herzegovina-Health-Systems-Improvement-Project.pdf
Statement or annotation question
The World Bank appraisal describes relatively autonomous systems in Republika Srpska, the Federation and its ten cantons, and Brcko District. It reports centralized ownership in Republika Srpska and cantonal decentralization in the Federation, while distinguishing project reforms from completed service changes.
Source context or anchor
12 relatively autonomous health systems
- Material reference
- material:41e8727e3dc1203f6a4f448c
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Reported
- Publication date
- 2021
- Institution
- World Bank
- Document type
- Not Supplied
- Territory
- Bosnia and Herzegovina, with separate findings for Federation of Bosnia and Herzegovina, Republika Srpska and Brcko District
- Period
- Project appraisal 2021; institutional descriptions refer to the appraisal period
- Source layers
- Grey Literature
- Coverage domains
- Actors, Authoritative review, Provider autonomy, Decision rights, Facility data, Governance and accountability, Government responsibilities, Hospital organization, Market structure, Provider networks, Provider ownership, Patient flows, Primary care organization, Referral design, Reform history, Utilization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- pdf_page_set_anchor
- Source Word Anchor
- 12 relatively autonomous health systems
- Source Word Count
- 5
- File Sha256
- 4e2ec956d6a4a3c4c2e4ceddb2b18c5acdff648812501d7f32638da9b1a437d5
Annotation prompts and machine flags
- Use the appraisal for its stated institutional baseline and proposed reforms; do not infer that project-supported actions were completed or uniform across cantons.
Country Improvement Source Lead · Open for annotation
Bosnia and Herzegovina: 2022 Article IV Consultation, Annex VI: An Overview of the Health Sector
International Monetary Fund. Bosnia and Herzegovina: 2022 Article IV Consultation, Annex VI. IMF Staff Country Reports. 2022;167. https://www.elibrary.imf.org/view/journals/002/2022/167/article-A001-en.xml
Statement or annotation question
The IMF reports a fragmented health sector. It describes Federation entity and cantonal structures separately from Republika Srpska's central system and Brcko District's department, fund, hospital and primary-care institution. These are staff-report descriptions, not a legal inventory or patient-flow dataset.
Source context or anchor
The health system is extremely fragmented and complex
- Material reference
- material:5b024a30e1eb2205effff4a7
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Reported
- Publication date
- 2022
- Institution
- International Monetary Fund
- Document type
- Not Supplied
- Territory
- Bosnia and Herzegovina, with separate Federation of Bosnia and Herzegovina, Republika Srpska and Brcko District descriptions
- Period
- IMF staff assessment published 2022; organization counts relate to the report's assessment period
- Source layers
- Review Literature
- Coverage domains
- Actors, Authoritative review, Provider autonomy, Decision rights, Facility data, Governance and accountability, Government responsibilities, Hospital organization, Market structure, Provider networks, Observed referral, Provider ownership, Patient flows, Primary care organization, Referral design, Reform history, Utilization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- web_section_anchor
- Source Word Anchor
- The health system is extremely fragmented and complex
- Source Word Count
- 8
- Response Sha256
- 9bff7bccbd3fb0d77d8462de21ba2eecc5962a46b5ed9bb887420242269aa10d
Annotation prompts and machine flags
- Treat reported facility and organization counts as dated contextual counts; they do not establish current service capacity, ownership for every provider or referral completion.
Country Improvement Source Lead · Open for annotation
Eleventh Periodic Report of Bosnia and Herzegovina on the Implementation of the International Covenant on Economic, Social and Cultural Rights
Ministry for Human Rights and Refugees of Bosnia and Herzegovina. Eleventh Periodic Report. 2020. https://www.mhrr.gov.ba/PDF/LjudskaPrava/11th%20Report_2020.pdf
Statement or annotation question
The state report describes three separate health systems and says entities, Federation cantons and Brcko District are responsible for organization, financing and provision. It reports that Brcko District uses referrals to specialized institutions outside the District when needed care is unavailable locally.
Source context or anchor
There are three separate health systems
- Material reference
- material:fb1bd53f5fa6f613a589e73f
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Reported
- Publication date
- 2020
- Institution
- Ministry for Human Rights and Refugees of Bosnia and Herzegovina
- Document type
- Not Supplied
- Territory
- Bosnia and Herzegovina, Federation of Bosnia and Herzegovina, Republika Srpska and Brcko District
- Period
- State report submitted 2020; health-insurance and referral descriptions cite earlier administrative years where stated
- Source layers
- Official
- Coverage domains
- Actors, Decision rights, Governance and accountability, Government responsibilities, Hospital organization, Market structure, Provider networks, Provider ownership, Patient flows, Primary care organization, Referral design, Reform history, Utilization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- pdf_section_anchor
- Source Word Anchor
- There are three separate health systems
- Source Word Count
- 6
- File Sha256
- 4261f2b9ea87faecf92a9fb8b873edc5bd8377bc1f568c92d8c854a85b65f90e
Annotation prompts and machine flags
- Do not treat the report as evidence that referral arrangements yield equal access, completion, capacity or identical benefits across territories.
Country Improvement Source Lead · Open for annotation
Family Medicine Practice During COVID-19 Pandemic in Canton Sarajevo: Positive and Negative Aspects
Zunic L, et al. Family Medicine Practice During COVID-19 Pandemic in Canton Sarajevo: Positive and Negative Aspects. Materia Socio-Medica. 2022. https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC9229353/unicode
Statement or annotation question
This Canton Sarajevo case study describes parallel COVID-19 and regular primary-care arrangements, family-physician referrals and reported access constraints during the pandemic. It provides local observed and qualitative evidence, not a countrywide standard referral pathway or current routine-care capacity measure.
Source context or anchor
Primary care was organized as two parallel systems
- Material reference
- material:d18bf9ca8a74a244a816c735
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Observed
- Publication date
- 2022
- Institution
- Materia Socio-Medica
- Document type
- Not Supplied
- Territory
- Canton Sarajevo, Federation of Bosnia and Herzegovina only; not a national estimate and not evidence for Republika Srpska or Brcko District
- Period
- COVID-19 pandemic response in Canton Sarajevo, from March 2020; article published 2022
- Source layers
- Research Literature
- Coverage domains
- Actors, Decision rights, Facility data, Governance and accountability, Government responsibilities, Hospital organization, Provider networks, Observed referral, Patient flows, Primary care organization, Referral design, Reform history, Utilization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- structured_article_section_anchor
- Source Word Anchor
- Primary care was organized as two parallel systems
- Source Word Count
- 8
- Detected Media Type
- application/json
- Response Sha256
- 7c9bd1c7440d74ce0e2c19e9e6c84bf6d427afe460897416fabadac1c6454401
Annotation prompts and machine flags
- Restrict this pandemic case study to Canton Sarajevo and its stated period; it must not be displayed as a national routine-referral rule or as evidence for other territories.
Country Improvement Source Lead · Open for annotation
Federal Ministry of Health
Government of the Federation of Bosnia and Herzegovina. Federal Ministry of Health. Accessed 15 August 2026. https://www.fbihvlada.gov.ba/bosanski/ministarstva/zdravstvo.php
Statement or annotation question
The Federation government identifies the Federal Ministry of Health and lists Federation health legislation. The page supports a Federation-level actor and legal-framework mapping, but does not establish cantonal decisions, provider ownership, financing practice or results.
Source context or anchor
Federalno ministarstvo zdravstva vrsi upravne poslove
- Material reference
- material:2b9151ea8d3e16ff52892dc3
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Reported
- Publication date
- 2026
- Institution
- Government of the Federation of Bosnia and Herzegovina
- Document type
- Not Supplied
- Territory
- Federation of Bosnia and Herzegovina only; this source does not describe Republika Srpska or Brcko District
- Period
- Current ministry webpage accessed 2026-08-15; legislation listed on the page includes the Federation Health Care Law
- Source layers
- Official
- Coverage domains
- Actors, Decision rights, Facility data, Governance and accountability, Government responsibilities, Hospital organization, Provider networks, Primary care organization, Reform history
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- html_section_anchor
- Source Word Anchor
- Federalno ministarstvo zdravstva vrsi upravne poslove
- Source Word Count
- 6
- Response Sha256
- 70d5146724d9ed0d7b30b31b2eb904a7f1eb9e1f029448bb4ee7d8150f7b901d
Annotation prompts and machine flags
- Keep the Federation Ministry's listed remit separate from cantonal health administration and from implementation evidence.
Country Improvement Source Lead · Open for annotation
Health Systems in Action: Bosnia and Herzegovina
Winkelmann J, Litvinova Y, Rebac B. Health Systems in Action: Bosnia and Herzegovina. Copenhagen: WHO Regional Office for Europe; 2022. https://iris.who.int/bitstream/handle/10665/362330/9789289059114-eng.pdf?sequence=1
Statement or annotation question
WHO and the European Observatory describe separate entity and district health systems, with 13 insurance funds and 14 health ministries. The report identifies variation between Federation cantons and reports family-medicine-centred primary care alongside a still hospital-centred system.
Source context or anchor
complex health systems, with 13 health insurance funds
- Material reference
- material:64e4e404ee3fa2dd1e5de02f
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Reported
- Publication date
- 2022
- Institution
- WHO Regional Office for Europe and European Observatory on Health Systems and Policies
- Document type
- Not Supplied
- Territory
- Bosnia and Herzegovina; Federation of Bosnia and Herzegovina, Republika Srpska and Brcko District are distinguished
- Period
- Report published 2022; cited insurance-coverage estimates are for 2020 unless otherwise stated
- Source layers
- Official
- Coverage domains
- Actors, Authoritative review, Provider autonomy, Decision rights, Facility data, Governance and accountability, Government responsibilities, Hospital organization, Market structure, Provider networks, Observed referral, Provider ownership, Patient flows, Primary care organization, Referral design, Reform history, Utilization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- pdf_page_set_anchor
- Source Word Anchor
- complex health systems, with 13 health insurance funds
- Source Word Count
- 7
- File Sha256
- c39c44f7f47167d5442c910b0a1ad0060591c9e4c4b1819ff2ce535ba6c2f4c3
Annotation prompts and machine flags
- Treat the 2020 coverage estimates and the report's system descriptions as dated reported evidence, not a current legal entitlement or patient-level pathway measure.
Country Improvement Source Lead · Open for annotation
Healthcare access in Bosnia and Herzegovina in the light of European Union accession efforts
Gavran L, Lukic A, Milic M. Healthcare access in Bosnia and Herzegovina in the light of European Union accession efforts. South Eastern European Journal of Public Health. 2022. https://www.seejph.com/index.php/seejph/article/view/138/117
Statement or annotation question
This scoping review identifies the division among the Federation, Republika Srpska and Brcko District as an access barrier and discusses differing medicine availability and pricing. It synthesizes prior literature and does not quantify a current national referral-completion rate or establish causation.
Source context or anchor
The main barrier to equal access
- Material reference
- material:90939e5e74eb01c47022a177
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Observed
- Publication date
- 2022
- Institution
- South Eastern European Journal of Public Health
- Document type
- Not Supplied
- Territory
- Bosnia and Herzegovina, including the Federation of Bosnia and Herzegovina, Republika Srpska and Brcko District
- Period
- Scoping review published 2022; source studies and policy documents span earlier years
- Source layers
- Research Literature
- Coverage domains
- Actors, Authoritative review, Facility data, Governance and accountability, Government responsibilities, Hospital organization, Market structure, Provider networks, Observed referral, Provider ownership, Patient flows, Primary care organization, Referral design, Reform history, Utilization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- pdf_section_anchor
- Source Word Anchor
- The main barrier to equal access
- Source Word Count
- 6
- File Sha256
- ea1db4a8ff6935c19371c7a5626f8f1489d46e56a82cc4baf8bcced2e616352a
Annotation prompts and machine flags
- Retain the scoping-review design and do not convert its access-barrier discussion into a measured causal or territory-specific utilization estimate.
Country Improvement Source Lead · Open for annotation
National Health Accounts Statistics, 2023
Agency for Statistics of Bosnia and Herzegovina. National Health Accounts Statistics, 2023. Sarajevo: BHAS; 2025. https://bhas.gov.ba/data/Publikacije/Saopstenja/2025/NHA_01_2023_Y1_1_BS.pdf
Statement or annotation question
BHAS reports 2023 National Health Accounts aggregated from the Federation of Bosnia and Herzegovina, Republika Srpska and Brcko District. It reports health expenditure by financing scheme and provider category, including public and private expenditure, but does not identify contracts, ownership for individual providers or patient pathways.
Source context or anchor
Public health in BiH is financed mostly from mandatory health insurance
- Material reference
- material:68b9475d641a112af736e0ab
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Reported
- Publication date
- 2025
- Institution
- Agency for Statistics of Bosnia and Herzegovina
- Document type
- Not Supplied
- Territory
- Bosnia and Herzegovina; the release aggregates Federation of Bosnia and Herzegovina, Republika Srpska and Brcko District data
- Period
- National Health Accounts data for 2023, released 1 July 2025
- Source layers
- Official
- Coverage domains
- Actors, Facility data, Governance and accountability, Government responsibilities, Hospital organization, Market structure, Provider ownership, Primary care organization, Utilization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- pdf_page_set_anchor
- Source Word Anchor
- Public health in BiH is financed mostly from mandatory health insurance
- Source Word Count
- 10
- Detected Media Type
- application/pdf
- File Sha256
- 09094c241f083db018d3ece95ca7fc13c10f96166da69e0ea67bef747f9c9238
- Page Count
- 13
Annotation prompts and machine flags
- Use this aggregate expenditure release for its stated 2023 accounting categories only; it does not establish territorial purchasing arrangements, provider ownership or utilization by population group.
Country Improvement Source Lead · Open for annotation
Twenty-five years on: revisiting Bosnia and Herzegovina after implementation of a family medicine development program
Hodgetts G, et al. Twenty-five years on: revisiting Bosnia and Herzegovina after implementation of a family medicine development program. BMC Family Practice. 2020. https://www.ncbi.nlm.nih.gov/research/bionlp/RESTful/pmcoa.cgi/BioC_json/PMC6958717/unicode
Statement or annotation question
This qualitative follow-up describes the long-term family-medicine development programme and participants' accounts of continuing constraints on family-physician scope, staffing and integration. It is not a national service-utilization dataset, a current legal inventory or a measure of referral completion.
Source context or anchor
almost all authority for decision making lay within the entity structure
- Material reference
- material:b24eb9a9a2b6357a050e6c34
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Observed
- Publication date
- 2020
- Institution
- BMC Family Practice
- Document type
- Not Supplied
- Territory
- Bosnia and Herzegovina; the study discusses both entities and ten Federation cantons, with interview and focus-group findings from participating study areas
- Period
- Qualitative follow-up published 2020, conducted eight years after the family-medicine development programme ended
- Source layers
- Research Literature
- Coverage domains
- Actors, Authoritative review, Provider autonomy, Decision rights, Governance and accountability, Government responsibilities, Hospital organization, Provider networks, Observed referral, Patient flows, Primary care organization, Referral design, Reform history, Utilization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- structured_article_section_anchor
- Source Word Anchor
- almost all authority for decision making lay within the entity structure
- Source Word Count
- 11
- Detected Media Type
- application/json
- Response Sha256
- 544fd697ad30e1aab30aafa0551c25d6cb17d43872420fc6e78c99c44935beca
Annotation prompts and machine flags
- Keep the qualitative design and historical programme period visible; participants' accounts do not establish a nationally representative current measure of family-medicine performance.
Displayed source projection · Open for annotation
Bosnia and Herzegovina: health system review 2002
European Observatory on Health Systems and Policies. Bosnia and Herzegovina: health system review 2002. 2002. https://eurohealthobservatory.who.int/countries/bosnia-and-herzegovina
- Material reference
- candidate-source:BIH:e5ed9c54b2af4a1b06bd
- Pipeline stage
- Current-Public-Source-Projection
- Evidence mode
- Not classified
- Publication date
- 2002
- Institution
- not supplied
- Document type
- Candidate Source Metadata
- Territory
- not supplied
- Period
- Not supplied
- Source layers
- Candidate Source Metadata, Official
- Coverage domains
- Actors, Governance and accountability, Government responsibilities, Primary care organization, Service Delivery
- Current display status
- Shown in full and open for annotation
- Page Locator Linked From Locator Gap Acquisition
- True
- Previous Visibility
- Previously projected
- Heading
- Country overview
- Html Text Block
- 9
- Locator Type
- html_text_anchor
- Source Word Anchor
- Primary health care PHC is provided by municipal health centers in both
- Source Word Count
- 12
- Response Sha256
- 1a25dd89275eb4b9347f68123f257fcdc27f1abb361cb229ab690bfa8c5d0b74
Annotation prompts and machine flags
- Public source projection retained as a distinct stage record.
- A recoverable source locator was retrieved from this exact public source URL in the locator-gap traceability audit.
Source Triage Record · Open for annotation
Bosnia and Herzegovina: health system review 2002
European Observatory on Health Systems and Policies. Bosnia and Herzegovina: health system review 2002. 2002. https://eurohealthobservatory.who.int/countries/bosnia-and-herzegovina
- Material reference
- material:b5db14e6735732c7c8e4af4b
- Pipeline stage
- Global-Source-Triage-Queue
- Evidence mode
- Not classified
- Publication date
- 2002
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- not supplied
- Period
- Not supplied
- Source layers
- Who European Observatory
- Coverage domains
- Actors, Governance and accountability, Government responsibilities, Primary care organization, Service Delivery
- Current display status
- Shown in full and open for annotation
- Page Locator Linked From Locator Gap Acquisition
- True
- Previous Boundary Detected
- True
- Previous Visibility
- Previously not projected
- Earlier source-record status
- Open for annotation
- Heading
- Country overview
- Html Text Block
- 9
- Locator Type
- html_text_anchor
- Source Word Anchor
- Primary health care PHC is provided by municipal health centers in both
- Source Word Count
- 12
- Response Sha256
- 1a25dd89275eb4b9347f68123f257fcdc27f1abb361cb229ab690bfa8c5d0b74
Annotation prompts and machine flags
- Verify the exact bibliographic citation against the original source.
- Confirm that the document applies to the named country and intended territorial scope.
- Confirm document type, issuing institution, authority, and claim-specific suitability.
- Retrieve and hash the exact source version when it is not already verified.
- Check publication date, effective period, currency, and supersession risk.
- Confirm only domains directly supported by the reviewed source.
- Add substantive feedback directly through the text-anchored annotation layer.
- A recoverable source locator was retrieved from this exact public source URL in the locator-gap traceability audit.
Targeted Source Lead · Open for annotation
Bosnia and Herzegovina: health system review 2002
European Observatory on Health Systems and Policies. Bosnia and Herzegovina: health system review 2002. 2002. https://eurohealthobservatory.who.int/countries/bosnia-and-herzegovina
- Material reference
- material:dbf5b54b12a725960be490a7
- Pipeline stage
- Targeted-Gap-Source-Leads
- Evidence mode
- Not classified
- Publication date
- 2002-11-05
- Institution
- European Observatory on Health Systems and Policies
- Document type
- Health System Review
- Territory
- not supplied
- Period
- Not supplied
- Source layers
- Not supplied
- Coverage domains
- Actors, Governance and accountability, Government responsibilities, Primary care organization, Service Delivery
- Current display status
- Shown in full and open for annotation
- Page Locator Linked From Locator Gap Acquisition
- True
- Previous Boundary Detected
- True
- Previous Visibility
- Previously not projected
- Earlier source-record status
- Unreviewed
- Source Version Linked From Locator Gap Acquisition
- True
- Status
- Candidate
- Heading
- Country overview
- Html Text Block
- 9
- Locator Type
- html_text_anchor
- Source Word Anchor
- Primary health care PHC is provided by municipal health centers in both
- Source Word Count
- 12
- Detected Media Type
- text/html
- Response Sha256
- 86a7870a3856f2c6a61c13563e09bca86595f60e3bedfadd58340c30d93da0ed
Annotation prompts and machine flags
- Authoritative official source page or publication exposes country-specific health-system organization, governance, delivery, or primary-care context.
- Immutable source-version metadata was retrieved from this exact public source URL in the locator-gap traceability audit.
- A recoverable source locator was retrieved from this exact public source URL in the locator-gap traceability audit.