The Evolution of Strategic Management in Public Administration Under the Influence of Digital Technologies and Global Process in the Social and Medical Sectors

This study analyzes contemporary approaches to strategic management in government under globalization and digitalization, with emphasis on the social and healthcare sectors. Using a mixed-methods design, it combines a systematic literature review and comparative case analysis (2018–2024) within a digital governance framework. The findings indicate that digital technologies increased bureaucratic efficiency by 23–35%, with uneven adoption across sectors, led by healthcare. Organizational culture, technology readiness, and leadership support emerge as key drivers of transformation. The COVID-19 pandemic significantly accelerated digitalization, particularly in telemedicine, highlighting both the effectiveness of hybrid digital management models and the centrality of risk management.