STRATEGIC LEADERSHIP AS A TOOL FOR ENSURING THE RESILIENCE OF THE HEALTHCARE SYSTEM TO CRISES UNDER CONDITIONS OF DIGITAL TRANSFORMATIONS
DOI:
https://doi.org/10.34132/pard2026.32.03Keywords:
strategic leadership, resilience, healthcare system, public administration, crises, content analysis, interinstitutional coordination, human resources capacity, digitalization, digital transformationsAbstract
The article examines strategic leadership as a tool for ensuring the resilience of the healthcare system to crises. The relevance of the topic is обусловлена the growing turbulence of the environment in which healthcare systems operate under the influence of pandemic, military, demographic, economic, and socio-political challenges, which require a reconsideration of traditional approaches to public governance in the sector. The aim of the study is to provide a theoretical justification of strategic leadership as a tool for ensuring the resilience of the healthcare system to crises, as well as to identify how the elements of strategic leadership are reflected in strategic and program documents of state policy in the field of healthcare. The methodological basis of the research is the combination of general scientific and special methods, including analysis, synthesis, generalization, the systemic and institutional approaches, content analysis, the logical-analytical method, and conceptual modeling. Within the framework of the study, a corpus of strategic and program documents of state policy regulating the development of the healthcare system and the mechanisms for ensuring its resilience in crisis conditions was formed. The results of the content analysis demonstrate that the most systematically represented indicators of strategic leadership in strategic documents are the strategic vision of sectoral development and inter-institutional coordination, whereas issues of resource mobilization and, in particular, the formation of leadership competencies of managers and the development of human resources are reflected less consistently. It is substantiated that strategic leadership performs an integrating function in ensuring the resilience of the healthcare system by combining strategic planning, institutional coordination, resource mobilization, human capital development, and post-crisis recovery into a unified governance logic. A conceptual understanding of strategic leadership as a mechanism for forming an adaptive model of public governance in healthcare under conditions of crisis uncertainty is proposed. The practical significance of the results lies in the possibility of their use for improving state policy in the field of healthcare.
References
Holling C. S. (1973). Resilience and stability of ecological systems. Annual Review of Ecology and Systematics. Vol 4 :1-23. Retrieved from: https://doi.org/10.1146/annurev.es.04.110173.000245 [in English].
Gunderson, Lance & Holling, Crawford. (2003). Panarchy: Understanding Transformations In Human And Natural Systems. Bibliovault OAI Repository, the University of Chicago Press. 114. Retrieved from: 10.1016/S0006-3207(03)00041-7 [in English].
Carpenter, S. R., Westley, F., & Turner, M. G. (2005). Surrogates for Resilience of Social-Ecological Systems. Ecosystems, 8(8), 941–944. Retrieved from: http://www.jstor.org/stable/25053889 [in English].
Duit, A. (2016). Resilience thinking: lessons for public administration. Public Admin, 94: 364-380. Retrieved from: https://doi.org/10.1111/padm.12182 [in English].
Haase, Thomas William (2010) Administrative resilience: evaluating the adaptive capacity of administrative systems that operate in dynamic and uncertain conditions. Doctoral Dissertation, University of Pittsburgh. Retrieved from: https://d-scholarship.pitt.edu/6314/ [in English].
Shkuropadska D. B. (2021). Resilience of the banking sector of Ukraine under the conditions of COVID-19. Young Scientist, 5(93), 152–158. Retrieved from: https://doi.org/10.32839/2304-5809/2021-5-93-29 [in Ukrainian]
Reznikova O. O. (2022). National resilience in a changing security environment. Kyiv: National Institute for Strategic Studies. Retrieved from: https://www.marshallcenter.org/sites/default/files/files/2022-04/Reznikova_Resilience_UKR.pdf [in Ukrainian]
Blikhar M., Skovronska I., Shyshko V., Potsiurko O., & Hodiak A. (2023). Institutional resilience of public administration under the intensification of economic and legal challenges and threats of the financial-economic and socio-political crisis in Ukraine. Financial and Credit Activity Problems of Theory and Practice, 3(50), 372–381. Retrieved from: https://doi.org/10.55643/fcaptp.3.50.2023.4087 [in Ukrainian]
Sydorenko N. S. (2024). Institutional resilience of the civil service structures of the European Union under conditions of societal transparency: A scientific review of theoretical foundations. Scientific Space: Current Issues, Achievements and Innovations, 137–140. Retrieved from: https://archives.mcnd.org.ua/index.php/conference-proceeding/article/view/354/351 [in Ukrainian]
Kurnosenko L. & Borieiko R. (2024). State regulation of human resource provision in the healthcare sector. Scientific Innovations and Advanced Technologies, 9(37), 17–27. Retrieved from: https://doi.org/10.52058/2786-5274-2024-9(37)-17-27 [in English]
Gillberg N. (2023). Resilience capability and capacity in unexpected crises: the role of leadership strategies in healthcare systems. International Journal of Health Planning and Management. Retrieved from: https://doi.org/10.1155/2023/6418267 [in English].
Emami S. H., Kasraei M., & Shams S. (2024). Towards resilient healthcare systems: A framework for strengthening health system resilience. International Journal of Environmental Research and Public Health, 21(3). Retrieved from: https://doi.org/10.3390/ijerph21030286 [in English].
Belloni G. (2025). Health systems governance, shocks and resilience: Implications for crisis management. BMJ Global Health, 10(6). Retrieved from: https://gh.bmj.com/content/10/6/e017358 [in English].
Udod S., Geerts G., & McMaster J. (2025). Health system leadership for psychological health and resilience during crises. JMIR Research Protocols. Retrieved from: https://www.researchprotocols.org/2025/1/e66402 [in English].
Ferreira R. G. L. A., Santos M., et al. (2025). Favorable strategies and barriers to the attainment of resilient healthcare systems. Public Health Reviews. Retrieved from: https://pmc.ncbi.nlm.nih.gov/articles/PMC12494389/ [in English].
Decree of the President of Ukraine No. 392/2020 «National Security Strategy of Ukraine». (2020). Official Website of the President of Ukraine. www.president.gov.ua Retrieved from: https://www.president.gov.ua/documents/3922020-35037 [in Ukrainian].
Decree of the President of Ukraine No. 479/2021 «On the decision of the National Security and Defense Council of Ukraine» of August 20, 2021 «On the introduction of the national resilience system». (2021). Official Website of the President of Ukraine. www.president.gov.ua Retrieved from: https://www.president.gov.ua/documents/4792021-40181 [in Ukrainian].
Strategy for the Development of the Healthcare System of Ukraine until 2030. Ministry of Health of Ukraine. Retrieved from: https://moz.gov.ua/strategiya-rozvitku-sistemi-ohoroni-zdorovya-do-2030-roku [in Ukrainian].
Strategy for the Development of Medical Education in Ukraine. (2019). Order of the Cabinet of Ministers of Ukraine No. 95-r. Verkhovna Rada of Ukraine. zakon.rada.gov.ua Retrieved from: https://zakon.rada.gov.ua/laws/show/95-2019-р#Text [in Ukrainian].
Concept for the Development of eHealth in Ukraine. (2020). Order of the Cabinet of Ministers of Ukraine No. 1671-r. Verkhovna Rada of Ukraine. zakon.rada.gov.ua Retrieved from: https://zakon.rada.gov.ua/laws/show/1671-2020-р#Text [in Ukrainian].
Mental Health for Ukraine (MH4U) Programme. Mental Health for Ukraine Project. Retrieved from: https://www.mh4u.in.ua [in English].
Ukraine Recovery Plan: National Recovery Council. Lugano Conference Materials. https://recovery.gov.ua
Hitt M. A., Ireland R. D., & Hoskisson R. E. (2013). Strategic leadership: competitiveness and globalization. Mason: South-Western Cengage Learning, 448 p. Retrieved from: https://www.researchgate.net/publication/242013571_Strategic_Management_Competitiveness_and_Globalization [in English].
Boal K. B., & Hooijberg R. (2001). Strategic leadership research: moving on. The Leadership Quarterly. Vol. 11(4). P. 515–549. Retrieved from: https://doi.org/10.1016/S1048-9843(00)00057-6 [in English].
Adair J. (2002). Strategic leadership: how to think and plan strategically and provide direction. London: Kogan Page, 224 p. [in English].
Mintzberg H. (1973). The nature of managerial work. New York: Harper & Row, 298 p. [in English].
Shtyrov, O. M., & Zhovnirchyk, Ya. F. (2026). Hlobalna demokratiia yak instrument rozvytku innovatsiinoho liderstva [Global democracy as a tool for the development of innovative leadership]. Investytsii: praktyka ta dosvid – Investments: Practice and Experience, (6), 314–319. Retrieved from: https://doi.org/10.32702/2306-6814.2026.6.314 [in Ukrainian].
.png)
.png)
