Paper/Speech Details of Conference Program for the 19th NISPAcee Annual Conference Program Overview Health Care, Health Reforms and Their Implementation Author(s) Branko Dimeski University "St. Kliment Ohridski" Kicevo Republic of North Macedonia Patoska Aleksandra, Aleksandra Patoska, PhD Title Ministry of Public Administration in the Republic of Macedonia: Necessity and future challenge in Health Reform File Paper files are available only for conference participants, please login first. Presenter Abstract ABSTRACT On December, 17th, 2005, the European Counsel approved a candidate status for the Republic of Macedonia for a full membership in the European Union. In the process of integration of the Republic of Macedonia to the EU, the public administration reform has a strategic meaning. The principal research objectives of the paper are: • the motives and the basic reasons for undertaking a serious activities for public administration reform in the Republic of Macedonia; • the ongoing reform activities, actions and legal procedures that are undertaking for the reform of the Macedonian public administration; • an analysis of the accomplished results from the permanent governmental efforts for public administration reforms; and • the condition of the Macedonian public administration in present. Is there a need for the Ministry of Public Administration in the Republic of Macedonia? If there is, how it should be organized and what can be its future goals and functions? The scope of the research in this paper is covering explanation of the abovementioned objectives and will depend on the knowledge that already exists in the literature and is provided by different authors that made past research on the reform processes in the Macedonian public administration. For the purpose of writing the paper, we employed a combination of different methodology aspects that are based on: • content analysis of various governmental documents and research papers that are dealing with reform issues in public administration in the Republic of Macedonia; • using administrative databases for the purpose of explaining the research goals in this paper; • comparative analysis; and • during the research, the deduction aspect will be applied. The research summarized the following results and findings: • the main reasons for undertaking a reform activities in public administration in the Republic of Macedonia are multiple and naturally different; • the main motives for undertaking the reforms are: a proportional decrease of the overall number of the workforce, permanent measure of the working results, budget format change etc., that will guarantee a fulfillment of the criteria and conditions of entering Macedonia in the EU; • the already made reform efforts are partial and hard for implementation. Either the Strategy for public sector reform nor the Strategy for reform of the local government system, together with their Action Plans, by present, are not fully implemented; and • the introduction and the existence of the Ministry of public administration in the Republic of Macedonia comes as a basic need and necessity that is in the interest of the Macedonian citizens during the integrative processes on a road for a full membership in EU. From the research findings and results, the following principal conclusions can be derived: • it is a time when the governments in Macedonia can not ignore the reforms anymore and its practical implementation in the public administration. Without the reforms, that are based on the new public management philosophy, Macedonia can not survive anymore in the global surrounding; and • the establishment of a new Ministry of public administration is not just a necessity but indispensable. In a situation, where the institutions that are dealing with the public sector reforms are dispersive, the new Ministry of public administration should be organized according the examples that already exist in some of the countries in the EU, especially the example that exist with the Ministry of public administration in the Republic of Slovenia.
