Sofija Adžić¹, Jasminka Adžić^2,

This paper deals with the challenges of the health care system transition in the function of establishing a regime of sustainable economy in . The current system is not able to support this process, because a manipulative transition and a blend of quasy-public, quasy-market and administrative mechanisms of regulation made the existence of both public and private health care meaningless. The basic hypothesis is that the key task of the national health care system is to provide health care to every individual, so that he could cope with the challenges and problems of the development and operation of sustainable economy. Additional hypotheses are:(1) the production of medical goods and services must take place in the administrative hierarchical environment and (2) the main task of the public factors is the removal of barriers that block the adjustment of soft (software) elements of the health care system. In this context, the methodology for determining the transition model of health care can be defined as a process and activities that lead to adjustment of circumstances that cannot be changed, or competently act on those which can be controlled. Restructuring model of the health care system is defined as a mix strategy problems in which we need to solve the problems arising from the interactions of the: (1) health care system, (2) creation of humane conditions for establishing a regime of sustainable economy, (3) system of governance and (4) set of matching elements of education and innovation. A key result is that the solution lies in total re-engineering and in re-defining the justice paradigm. This way, the foreground of public health care system should be in prevention and preservation of health capabilities. Sophisticated and expensive technologies should be left to the private sector, based on the mix of public and private participation.

Serbia, Sustainable economy, Health care system, Unclear, hazy and manipulative transition, Justice