Human resource management in health care under martial law
DOI:
https://doi.org/10.63341/ijmmr/2.2025.92Keywords:
adaptive staffing strategies, psychological resilience of medical personnel, international safety protocols, rotational work models, traumatic stress in conflict zones, humanitarian resource coordinationAbstract
The mobilisation and management of medical personnel in active combat zones constitute one of the principal challenges of contemporary armed conflicts, directly affecting the continuity of medical care and the preservation of patients’ lives. This study aimed to synthesise existing scientific and practical evidence concerning the organisation of medical staff workflows, approaches to psychological support, and safety measures under conditions of martial law. The methodology involved a literature search in international databases covering publications from 2014 to 2025. The analysis focused on cases from Ukraine, Syria, Israel, and Sudan. The findings indicated that the implementation of Hospital Emergency and Contingency Planning enhances the resilience of health care systems through the formation of mobile teams, clear coordination mechanisms, and personnel reserves, while the 10-1-2 doctrine reduced battlefield mortality from 13% to 3%. The use of mathematical models for staff rotation demonstrated effectiveness in ensuring continuity of medical services. In the field of psychological support, cognitive-behavioural interventions and Eye Movement Desensitisation and Reprocessing therapy, along with group and individual programmes, proved the most effective, reducing distress levels by an average of 23%. Online platforms and international initiatives provided additional opportunities for remote assistance and knowledge exchange. In the domain of physical security, protocols for marking medical facilities, the establishment of protected zones, and training in tactical medicine play a decisive role. The analysis
confirmed that the integration of staff mobilisation strategies, psychological support, and legal safeguards is essential for maintaining the functionality of the medical system during armed conflict. The practical significance of the findings lies in their applicability for public administration bodies, medical institutions, and humanitarian organisations seeking to optimise personnel policies, implement support programmes, and strengthen staff safety
Received: 23.06.2025 | Revised: 11.11.2025 | Accepted: 30.12.2025
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