The role of strategic management in enhancing emergency response effectiveness in Gaza’s governmental hospitals

Effective emergency response is a critical challenge for healthcare institutions in conflict-affected areas. Strategic management has been recognized as a key factor in improving preparedness, coordination, and operational efficiency during crises. This study aimed to analyze the association of strategic management and enhancing the effectiveness of emergency response in governmental hospitals in Gaza Governorate. A descriptive-analytical design was employed. Data were collected through a questionnaire distributed to 77 administrative and supervisory staff from hospitals in Gaza and emergency committees at the Ministry of Health. The questionnaire had 19 closed-ended items covering strategic management and emergency response effectiveness, guided by the WHO Hospital Emergency Response Checklist, in addition to two open-ended questions. Reliability was high (Cronbach’s α = 0.93), and validity was confirmed by expert review. Findings revealed a positive association of strategic management on emergency response effectiveness, with an overall mean of 3.91 (78.2%). Highest-rated factors included adherence to assigned roles and responsibilities (91.42%) and decision-makers’ engagement (91.16%), reflecting professionalism, discipline, and leadership commitment. Key challenges identified were resource shortages, limited inter-team coordination, and weak logistical systems. Proactive planning, scenario-based simulations, and regular drills were found to enhance coordination, role clarity, and operational readiness. Strategic management plays a vital role in enhancing emergency response effectiveness in complex and unstable environments. It fosters hospital resilience, strengthens inter-agency collaboration, and ensures continuity and efficiency of healthcare services during crises.