Integrated framework for healthcare crisis management: from consequence analysis to sustainable recovery

Abstract


Modern healthcare systems operate in an environment of increased uncertainty and are subject to various crises, from epidemics and natural disasters to financial disruptions and reputational crises. This paper explores the methodological framework for managing healthcare crises, focusing on an integrated approach to analyzing the consequences, managing risks, and planning for recovery. The analysis considers both direct economic losses and patient flow disruptions, as well as reputational risks and the impact of regulatory changes. The toolbox uses epidemic spread models (such as SIR and its modifications) combined with a systematic approach to strategic planning, which includes three interconnected stages: pre-crisis planning, crisis response, and post-crisis recovery. The empirical part is based on a step-by-step algorithm for developing a recovery plan for a medical organization, which includes data collection, risk identification, goal formulation, resource allocation, regulatory environment management, and monitoring and evaluation of effectiveness. The findings emphasize that successful recovery from a crisis is achieved through the integration of theoretical models, practical management techniques, and adaptive leadership, which ensures transparent communication and resilience to repeated shocks.

About the authors

Alexandra A. Shtertser

Scientific Research Institute of Healthcare Organization and Medical Management of the Moscow Department of Healthcare, Moscow, Russia

Email: aleshtertser@gmail.com

Viktoriya V. Tonkonog

Scientific Research Institute of Healthcare Organization and Medical Management of the Moscow Department of Healthcare, Moscow, Russia

Email: vikatonkonog79@mail.ru

References

  1. Lifanov A. V., Lifanova S. A. Building of an anti-crisis programme medical organization. Territory Development. 2020;2(20):52—56. doi: 10.32324/2412-8945-2020-2-52-56
  2. Lavrentyeva M. V. Analysis of approaches to incident management in the healthcare system's response to emergency situations. International Research Journal. 2023;(3):64. doi: 10.23670/IRJ.2023.129.68
  3. Kermack W. O., McKendrick A. G. A contribution to the mathematical theory of epidemics. Proc R Soc Lond A. 1927;115:700—721.
  4. Lomonosova A. V. Epidemiological features and main directions of surveillance and prevention of whooping cough at the present stage: thesis. Moscow; 2021. (In Russ.)
  5. Yates K. The mathematics of life and death. Moscow; 2020. 350 p.
  6. Shabunin A. V. SIRS-model with dynamic regulation of the population: probabilistic cellular automata approach. Izvestiya VUZ. Applied Nonlinear Dynamics. 2019;27(2):5—20. doi: 10.18500/0869-6632-2019-27-2-5-20
  7. Razumov T. E. SIR epidemic model taking into account the spatial heterogeneity of the location of individuals. Politechnical student journal. 2019;(6):5. doi: 10.18698/2541-8009-2019-6-490
  8. Akimov V. A., Bedilo M. V., Ivanova E. O. Mathematical models of epidemics and pandemics as the sources of biological and social emergencies. Civil Security Technology. 2022;19(3):10—14. doi: 10.54234/CST.19968493.2022.19.3.73
  9. Budarin S. S. Financial risk management in medical organizations (theory and practice): expert review. Moscow; 2025. 35 p.

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