Competency-Oriented Management Model of Private Medical Institutions: Synergy of Business Leadership, Digital Transformation and Security

The purpose of the article is to substantiate and model a competency-oriented management system for private medical institutions based on the synergy of managerial competence, digital transformation, and organizational security. The research methodology relies on a combination of a systemic synergetic approach, economic and mathematical modeling, and scenario analysis. The empirical base consists of the financial indicators of leading private medical institutions in Ukraine for 2020–2024 (40 observations). To quantitatively assess the impact of managerial factors on performance, the least squares method was applied, and a regression model with a determination coefficient of 0.82 was constructed, confirming its strong explanatory power. Within the synergetic approach, an integrated efficiency model is proposed. Scenario modeling (Scenario A: increased managerial competence; Scenario B: enhanced digital transformation; Scenario C: higher organizational security; Scenario D: combined growth of the three subsystems) showed that the greatest impact on management efficiency is achieved under Scenario B, where a 20 percent increase in the business-leadership and digital-maturity subsystems raises the integrated efficiency indicator by 8.7 percent. Meanwhile, the combined Scenario D ensures a projected increase in return on assets to 31.5 percent in 2026. The scientific novelty lies in the formalization of a competency-oriented synergetic management model for private medical institutions, which integrates quantitative financial parameters and intangible managerial factors into a single system. The practical significance of the results lies in the possibility of applying the model for strategic planning, evaluating the effectiveness of digital transformation, and strengthening the financial resilience of medical organizations. The findings confirm that optimal managerial synergy is achieved when managerial competencies, business leadership, and security mechanisms evolve in a balanced manner.