Journal of Strategic Management Studies
Online ISSN : 2434-124X
Print ISSN : 1883-9843
Invited paper
Creating Resilient and Sustainable Medical Organizations —An Empirical Study of a Medical Facility Facing the Uncertainty of the COVID-19 Pandemic—
Youichi Hiramatsu
Author information

2022 Volume 13 Issue 2 Pages 79-88


The Japanese medical system is considered to be world-class, but Japan’s declining birthrate and aging population are pressuring the medical system to make drastic reforms. In addition to these structural problems, the COVID-19 pandemic that struck in 2020 forced Japanese healthcare organizations to respond to a difficult global emergency involving a high degree of uncertainty. Medical administration is oriented toward relative stability, but it has been forced to make a shift in management amidst a raging (turbulent) storm. I have examined how healthcare organizations, and particularly nursing and care organizations dealing with structural problems, are facing this situation under such tumultuous circumstances.

In this paper, I first present the results of quantitative research and interviews. Next, I propose a framework useful for analyzing the case of medical organizations stated above and providing those organizations with tool for preparing for disasters such as the COVID-19 pandemic.

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© 2022 The International Academy of Strategic Management
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