Keywords:
institutional performance
organizational capabilities
decision processes
service quality
administrative efficiency

  • Abstract

    This study examines the influence of human talent and organizational leadership on the efficiency of strategic management within Peru’s Health Network in 2025. To this end, a quantitative, applied, and cross-sectional non-experimental design was adopted, involving 241 employees selected through simple random sampling. From a methodological standpoint, an ordinal logistic regression model was employed after verifying assumptions of normality, independence, and homoscedasticity, thereby ensuring statistical rigor. The findings confirm a strong model fit with substantial explanatory power, as reflected in Nagelkerke R² of 0.972, alongside statistically significant relationships among the principal variables. In this context, higher levels of professional competencies, work motivation, and transformational leadership are associated with notable improvements in institutional efficiency. Specifically, key dimensions include strategic planning, evaluation, and organizational sustainability, underscoring the decisive role of human and leadership factors in both operational performance and long-term outcomes. Moreover, leadership practices oriented toward communication, inspiration, and team alignment are shown to strengthen decision-making processes and enhance organizational coherence. Building upon these findings, a synergistic model of strategic efficiency is proposed, integrating transformational leadership, competency-based management, and the public value framework as complementary pillars. From a theoretical perspective, this study contributes to the literature by providing empirical evidence from a public health context in a developing country, highlighting the relevance of human capital development and leadership institutionalization. Furthermore, it offers practical implications for policymakers and managers, emphasizing the need to strengthen training systems, promote participatory leadership, and consolidate organizational capabilities to enhance efficiency and sustainability in public sector institutions and improve service delivery outcomes.

  • References

    1. Adeoye, M. A., Baharun, H., & Munawwaroh, I. (2025). Transformational leadership in education: Harmonising accountability, innovation and global citizenship. Kharisma: Jurnal Administrasi Dan Manajemen Pendidikan, 4(1), 14–30. https://doi.org/10.59373/kharisma.v4i1.68
    2. Alabdali, M. A., Yaqub, M. Z., Agarwal, R., Alofaysan, H., & Mohapatra, A. K. (2024). Unveiling green digital transformational leadership: Nexus between green digital culture, green digital mindset, and green digital transformation. Journal of Cleaner Production, 450, 141670. https://doi.org/10.1016/j.jclepro.2024.141670
    3. Alarcón, N., Alarcón, O., Alarcón, J. D., & Alarcón, D. S. (2023). Process management in public entities: A literature review. Podium, (44), 103–118. https://doi.org/10.31095/podium.2023.44
    4. Al-Tit, A. A., Al-Ayed, S., Alhammadi, A., Hunitie, M., Alsarayreh, A., & Albassam, W. (2022). The impact of employee development practices on human capital and social capital: The mediating contribution of knowledge management. Journal of Open Innovation: Technology, Market, and Complexity, 8(4), 218. https://doi.org/10.3390/joitmc8040218
    5. Alzoraiki, M., Ahmad, A. R., Ateeq, A. A., Naji, G. M. A., Almaamari, Q., & Beshr, B. A. H. (2023). Impact of teachers’ commitment on the relationship between transformational leadership and sustainable teaching performance. Sustainability, 15(5), 4620. https://doi.org/10.3390/su15054620
    6. Asif, M., Shao, Z., Sharif, M. N., Alshdaifat, S. M., & Hanaysha, J. R. (2025). Feeling empowered, acting beyond duty: A moderated-mediation model linking transformational leadership to organizational citizenship behavior. Acta Psychologica, 260, 105642.
    7. https://doi.org/10.1016/j.actpsy.2025.105642
    8. Bakker, A. (2023). Daily transformational leadership: A source of inspiration for follower performance? European Management Journal, 41(5), 700–708. https://doi.org/10.1016/j.emj.2022.04.004
    9. Biswas, S., & Akroyd, C. (2022). Management control systems and the strategic management of innovation. Qualitative Research in Accounting & Management, 19(5), 513–539. https://doi.org/10.1108/QRAM-04-2021-0083
    10. Brundin, E., Liu, F., & Cyron, T. (2022). Emotion in strategic management: A review and future research agenda. Long Range Planning, 55(4), 102144. https://doi.org/10.1016/j.lrp.2021.102144
    11. Fattahi, H., Gorji, H. A., & Bayat, M. (2020). Core competencies for health headquarters: A systematic review and meta-synthesis. BMC Public Health, 20(1), 891. https://doi.org/10.1186/s12889-020-08884-2
    12. General Directorate of Health Personnel, Ministry of Health of Peru (DIGEP-MINSA). (2023). Information on human resources in the health sector, Peru 2018–2023. https://digep.minsa.gob.pe/bibliografica.html
    13. General Directorate of Health Personnel, Ministry of Health of Peru (DIGEP-MINSA). (2023). Report to the Nation: Situation and challenges of human resources in health – Governance and performance with human development (RHUS). https://digep.minsa.gob.pe/desarrollo.html
    14. Gradim, B., & Teixeira, L. (2022). Robotic process automation as an enabler of Industry 4.0 to eliminate the eighth waste: A study on better usage of human talent. Procedia Computer Science, 204, 643–651. https://doi.org/10.1016/j.procs.2022.08.078
    15. Grewatsch, S., Kennedy, S., & Bansal, P. (2021). Tackling wicked problems in strategic management with systems thinking. Strategic Organization, 21(3). https://doi.org/10.1177/14761270211038635
    16. Haak-Saheem, W. (2020). Talent management in Covid-19 crisis: How Dubai manages and sustains its global talent pool. Asian Business & Management, 298–301. https://doi.org/10.1057/s41291-020-00120-4
    17. Hidayat, I., & Alsolamy, M. (2023). A SEM-ANN analysis to examine sustainable performance in SMEs: The moderating role of transformational leadership. Journal of Open Innovation: Technology, Market, and Complexity, 9(4), 100166. https://doi.org/10.1016/j.joitmc.2023.100166
    18. Huebner, C., & Flessa, S. (2022). Strategic management in healthcare: A call for long-term and systems-thinking in an uncertain system. International Journal of Environmental Research and Public Health, 19(14), 8617. https://doi.org/10.3390/ijerph19148617
    19. Lin, Q. (2023). Transformational leadership and innovative work behavior: The role of identification, voice and innovation climate. International Journal of Hospitality Management, 113, 103521. https://doi.org/10.1016/j.ijhm.2023.103521
    20. Ma, X., Waqas, A., & Malik, J. T. (2025). Transformational leadership and total quality management practices: Moderating role of collectivism. Acta Psychologica, 260, 105489.
    21. https://doi.org/10.1016/j.actpsy.2025.105489
    22. McGregor, D. (1960). The Human Side of Enterprise. McGraw-Hill.
    23. Merizalde, D., & Morocho, E. (2025). Human talent management: A fundamental pillar for organizational success. South Florida Journal of Development, 6(2), 1–10. https://doi.org/10.46932/sfjdv6n2-023
    24. Ministry of Health of Peru (MINSA). (2023). Institutional Evaluation Report 2023. https://www.minsa.gob.pe/Recursos/OTRANS/14Informes/pei/Informe%20de%20evaluacion%20institucional%20MINSA%202023.pdf
    25. Ministry of Health of Peru (MINSA). (2024). Evaluation Report of the National Multisectoral Health Policy to 2030 “Healthy Peru”. https://www.minsa.gob.pe/Recursos/OTRANS/09GestionIns/indicadores/2024/Informe%20de%20evaluacion%20de%20PNMS%202023.pdf
    26. Mızrak, F. (2023). Integrating cybersecurity risk management into strategic management: A comprehensive literature review. Research Journal of Business and Management, 10(3), 98–108. https://doi.org/10.17261/Pressacademia.2023.1807
    27. Nguyen, P., Hang, N., Hiep, N., & Flynn, O. (2023). Does transformational leadership influence organisational culture and organisational performance: Empirical evidence from an emerging country. IIMB Management Review, 35(4), 382–392. https://doi.org/10.1016/j.iimb.2023.10.001
    28. Ojra, J., Opute, A., & Alsolmi, M. (2021). Strategic management accounting and performance implications: A literature review and research agenda. Future Business Journal, 7, 64. https://doi.org/10.1186/s43093-021-00109-1
    29. Olvera, J., Llorens, S., Acosta, H., & Salanova, M. (2017). Transformational leadership and horizontal trust as antecedents of team performance in the healthcare context. Anales de Psicología, 33(2), 365–375. https://doi.org/10.6018/analesps.33.2.237291
    30. Pan American Health Organization (PAHO). (2025). The Strategic Role of Government Chief Nursing and Midwifery Officers in Latin America and the Caribbean. https://www.paho.org/en/topics/nursing-and-midwifery
    31. Pan American Health Organization (PAHO). (2025d). Bilateral Agreements on the Migration and Mobility of Health Workers: Fair and Ethical International Recruitment. https://www.paho.org/en/topics/nursing-and-midwifery
    32. Purwanto, A. (2022). Elementary school teachers’ performance: How the role of transformational leadership, competency, and self-efficacy? International Journal of Social and Management Studies (IJOSMAS). https://ssrn.com/abstract=4004346
    33. Shin, G., & Gordon, H. M. (2024). Toward a portfolio theory of talent development: Insights from financial theory, illustrations from the Asia-Pacific. World Development, 184, 106755. https://doi.org/10.1016/j.worlddev.2024.106755
    34. Sinnaiah, T., Adam, S., & Mahadi, B. (2023). A strategic management process: The role of decision-making style and organisational performance. Journal of Work-Applied Management, 15(1), 37–50. https://doi.org/10.1108/JWAM-10-2022-0074
    35. Strudsholm, T., & Robinson Vollman, A. (2021). Public health leadership: Competencies to guide practice. Healthcare Management Forum, 34(6), 340–345. https://doi.org/10.1177/08404704211032710
    36. Teece, D. (2023). Big Tech and strategic management: How management scholars can inform competition policy. Academy of Management Perspectives, 37(1), 49–61. https://doi.org/10.5465/amp.2022.0013
    37. Tokhirov, R., & Abdurakhimjanov, A. (2021). The issue of modern strategic management in enterprises or firms. The American Journal of Management and Economics Innovations, 3(8), 9–14. https://doi.org/10.37547/tajmei/Volume03Issue08-03
    38. Tran, Y. T., Chau, T. H. P., & Pham, Q. T. (2025). Transformational leadership and firm performance: The mediating roles of innovation capacity and management accounting systems usage. Sustainable Futures, 10, 100988. https://doi.org/10.1016/j.sftr.2025.100988
    39. Wang, M., Xu, M., & Ma, S. (2021). The effect of the spatial heterogeneity of human capital structure on regional green total factor productivity. Structural Change and Economic Dynamics, 59, 427–441. https://doi.org/10.1016/j.strueco.2021.09.018
    40. Wang, Q., Zhang, F., & Li, R. (2023). Revisiting the environmental Kuznets curve hypothesis in 208 countries: The roles of trade openness, human capital, renewable energy and natural resource rent. Environmental Research, 216(3), 114637. https://doi.org/10.1016/j.envres.2022.114637
    41. Wibowo, T., Suhendi, D., Suwandana, I., Nurdiani, T., & Lubis, F. (2023). The role of transformational leadership and organizational culture in increasing employee commitment. International Journal of Economics, Business and Accounting Research (IJEBAR), 7(2). https://doi.org/10.29040/ijebar.v7i2.9062
    42. World Health Organization (WHO). (2021). Protecting, Safeguarding and Investing in the Health and Care Workforce (WHA74.14). https://www.who.int/teams/health-workforce
    43. World Health Organization (WHO). (2023). Assessing Employment Effects for the Health and Care Workforce: A Guiding Framework. https://www.who.int/teams/health-workforce/data-and-statistics
    44. Yang, J., Zheng, G., Peng, M. Y.-P., Hrdinová, N., & Alasmrai, M. A. (2025). From silence to spark: How transformational leadership empowers employee innovation and voice in SMEs. Acta Psychologica, 261, 105761. https://doi.org/10.1016/j.actpsy.2025.105761
    45. Zhang, Y., Kumar, S., Huang, X., & Yuan, Y. (2023). Human capital quality and regional economic growth: Evidence from China. Journal of Asian Economics, 86, 101593. https://doi.org/10.1016/j.asieco.2023.101593
    46. Zumitzavan, V., Prachumrasee, K., & Pathak, S. (2025). Transformational leadership cultivating innovation and transparency in local government organisations, Thailand. Journal of Open Innovation: Technology, Market, and Complexity, 11(3), 100626. https://doi.org/10.1016/j.joitmc.2025.100626
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How to cite

Quispe Torres, R. M. (2026). Synergy between human talent and organizational leadership: a model of strategic efficiency in Peruvian public health management. Multidisciplinary Science Journal, (| Accepted Articles). Retrieved from https://malque.pub/ojs/index.php/msj/article/view/15907
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