Challenges of Healthcare Governance in Pandemic Period

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Healthcare systems face challenges posed by internal and external factors, including economic crises or pandemic outbreaks. In the current COVID-19 pandemic situation, particular attention is focused on the financing of the impact mitigation activities, strengthening the emergency medicine, healthcare human and technical resources. At the same time, it becomes noticeable that the proposed solutions and significant financial resources are not sufficient or appropriate to resolve potential and existing challenges. Consequently, the question arises as to whether there are any hidden obstructions in the healthcare system itself that hinder its operation. Therefore, this research aimed to identify areas in which the in-depth research would contribute to the performance of healthcare systems, alongside the allocation of funding.To achieve the goal of the study, a systematic literature review was conducted to identify the views of scientists on healthcare systems' operation in the COVID-19 spread period. The results of the performed literature review indicated several obstructions and potentials of the healthcare systems. Dominant attention is dedicated to shifting from the hierarchical structural governance principles to the people-centered approach, towards collaborative, inclusive, and participative practices of engagement and involvement of healthcare professionals and patients, moving from fragmentation to adaptive self-organization, creating well-integrated, equitable, and prosperous societies, by redesigning health policy thinking and respecting the principles of democracy and human rights. Further theoretical research could strengthen the practical implementation of more sustainable and inclusive healthcare systems.
Original languageEnglish
Title of host publicationThe 14th International Scientific Conference “New Challenges in Economic and Business Development – 2022: Responsible Growth”
Subtitle of host publicationRiga, Latvia, May 13, 2022 : Proceedings
Place of PublicationRiga
PublisherUniversity of Latvia
Number of pages8
ISBN (Print)978-9934-23-660-0
Publication statusPublished - 2022
Event14th international scientific conference "New Challenges in Economic and Business Development – 2022: Responsible Growth" - University of Latvia, Virtual, Riga, Latvia
Duration: 12 May 202214 May 2022
Conference number: 14


Conference14th international scientific conference "New Challenges in Economic and Business Development – 2022: Responsible Growth"
Internet address


  • Healthcare
  • Governance
  • Pandemic

Field of Science*

  • 3.3 Health sciences

Publication Type*

  • 3.2. Articles or chapters in other proceedings other than those included in 3.1., with an ISBN or ISSN code


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