Inspirational leadership, change implementation, and technology adoption in shaping healthcare service effectiveness: A study at Hasan Sadikin hospital, Bandung

This study examines how Inspirational Leadership Style (ILS) influences Healthcare Service Effectiveness (HSE) at Rumah Sakit Hasan Sadikin Bandung, with Change Process Implementation (CPI) and New Technology Adoption (NTA) as mediating variables. A quantitative approach was employed, collecting survey data from 349 hospital leaders, managers, and staff, analyzed using Structural Equation Modeling (SEM). The results reveal that ILS has both direct and significant indirect effects on HSE, primarily mediated through CPI and secondarily through NTA. CPI emerges as the most influential pathway, underscoring the critical role of structured change management in healthcare transformation. The findings reinforce the strategic importance of leadership development, organizational change readiness, and technological adoption to improve healthcare outcomes. The study contributes to the leadership and health management literature, particularly in the context of emerging economies, and offers practical recommendations for healthcare administrators and policymakers. Limitations include the cross-sectional design and single-institution focus. Future research is encouraged to explore longitudinal effects and additional mediating factors such as employee engagement and digital literacy.