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Global Health Economics and
                                                                                        Sustainability





                                        REVIEW ARTICLE
                                        Fundamentals of the global healthcare system

                                        and its reforms during the COVID-19 pandemic



                                        Chayan Munshi* , Ruma Garai , Swapnanil Mondal , Upama Das ,
                                        Ishika Pal , and Farhan Jamil
                                        Ethophilia Research Foundation, Santiniketan, West Bengal, India




                                        Abstract

                                        The global healthcare system is inherently dynamic, shaped by the critical application
                                        of economic models aimed at delivering life-saving care to populations across all
                                        socioeconomic strata. However, when unprecedented crises, such as the COVID-19
                                        pandemic (SARS-CoV-2), emerge, the unanticipated demand for healthcare facilities
                                        disrupts the socioeconomic stability of the global healthcare system. The surge in
                                        healthcare expenditures strains the existing financial structures, challenging their
                                        capacity to sustain essential services. Nonetheless, supplementary financial support,
                                        through crowdfunding, government funding, and private sector contributions, has
                                        assisted in stabilizing healthcare delivery during such a period. These financial shifts
            Academic editor:            have driven the implementation of novel approaches in the global COVID-19 response.
            Mihajlo Jakovljevic M.D. Ph.D. MAE  This review examines the economic landscape of the global healthcare system and
            *Corresponding author:      highlights the fundamental managerial protocols during the COVID-19 pandemic.
            Chayan Munshi
            (chayan.munshi@ethophilia.com)
                                        Key words: Healthcare management; Healthcare finance; COVID-19; Public health;
            Citation: Munshi, C., Garai, R.,   COVID-19 management
            Mondal, S., Das, U., Pal, I. & Jamil,
            F. (2025). Fundamentals of the global
            healthcare system and its reforms
            during the COVID-19 pandemic.
            Global Health Econ Sustain, 3(3):74-91.   1. Introduction
            https://doi.org/10.36922/ghes.8492
            Received: January 10, 2025  The global healthcare system is inherently dynamic and plays a vital role in societal well-
                                        being. It broadly encompasses public health, which bridges epidemiological research
            1st revised: April 1, 2025  and management practice. Healthcare management is complex, as it spans both clinical
            2nd revised: April 16, 2025  and non-clinical sectors, each with unique operational challenges. Effective healthcare
            Accepted: April 29, 2025    management requires resource allocation, protocol enforcement, personnel supervision,
                                        and financial stewardship. Strong managerial skills are essential for the development
            Published online: June 5, 2025  and sustainability of any healthcare organization. A successful healthcare manager must
            Copyright: © 2025 Author(s).   demonstrate proactiveness, excellent communication skills, administrative competence,
            This is an Open-Access article   and strong leadership. The integration of advanced management techniques and
            distributed under the terms of the
            Creative Commons Attribution   administrative strategies is crucial for achieving efficient and effective healthcare delivery
            License, permitting distribution,   (Munshi, 2022).
            and reproduction in any medium,
            provided the original work is   Numerous processes have been employed to enhance the internal capabilities
            properly cited.             of healthcare managers, as management skills are critical in shaping an industry’s
            Publisher’s Note: AccScience   professional successes (Liang et al., 2018). Among these, a robust leadership development
            Publishing remains neutral with   program is essential, given that the sector’s exponential growth is predicated on
            regard to jurisdictional claims in
            published maps and institutional   important decisions made by competent leaders. Effective leadership requires prompt
            affiliations.               responsiveness in managing interactions among team members, decision-makers, and


            Volume 3 Issue 3 (2025)                         74                       https://doi.org/10.36922/ghes.8492
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