A sustainable public healthcare model: Transformative resilience and crisis management in a State University hospital during the coronavirus pandemic
DOI:
https://doi.org/10.61511/andmej.v4i1.2026.3950Keywords:
COVID-19 response, disaster preparedness, hospital resilience, organizational resilience, surge capacityAbstract
Background: This study addresses the governance challenges faced by State University Hospitals operating within rigid administrative structures while responding to the rapidly escalating pressures of the coronavirus pandemic. These conditions created severe resource scarcity, threatening critical disruptions in hospital operations. This research evaluates surge capacity adaptation strategies (4S), measures functional preparedness parameters, and analyzes multisectoral coordination (5C) in fostering organizational resilience. Methods: A descriptive qualitative case study design was employed at the Universitas Indonesia Hospital, combining in-depth interviews, field observations, and document audits. Quantitative functional preparedness was evaluated using an adapted multi-criteria scoring rubric, complemented by After-Action Review (AAR) and Pattern Matching analytical methods. Findings: The hospital adapted its resource allocation system across four core pillars (Space, Staff, Supplies, Systems). Although initial logistical vulnerabilities were identified, management expanded its decision space through an Emergency Budget Plan initiative and fast-track procurement. Furthermore, multisectoral coordination among government authorities, the university ecosystem, and hospital management reduced functional silos, facilitating flexible operational adjustments. Conclusion: The hospital progressed toward a transformative resilience phase by institutionalizing emergency adaptations into permanent policies within its 2024–2029 Strategic Plan. While limited as a single-case study, the findings suggest that expanding managerial decision space and fostering multisectoral synergy can mitigate resource constraints during biological health emergencies. Novelty/Originality of this article: This study integrates the 4S surge capacity framework, the 5C multisectoral coordination model, and standardized preparedness measurement to provide an empirical resilience blueprint for university hospitals in developing nations.
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