Transformational Healthcare Leadership in Improving Tele-Health System and Safety Performance Sustainability in University Teaching Hospitals

In developed countries, telehealth system applications are available in hospitals, hospital-based telemedicine centers, and rehabilitation centers. However, in contrast to developing countries, the telehealth system has not been implemented properly. Countries that implement telehealth systems experience different benefits, especially in developed countries. In developing countries, implementation remains challenging due to the requirement for literacy about the telehealth system itself in addition to using smartphone and tablet cellular technology for access. This research is motivated by concerns about the role of transformational leadership in providing a telehealth system to ensure the safety of medical personnel. The study adopts a quantitative approach with primary data collected at three major Indonesian university teaching hospitals—Gajah Mada Hospital, Diponegoro National Hospital, and Sebelas Maret Hospital—with medical personnel and administrative staff as the observation units. Hypothesis testing is conducted using Smart PLS 3.0. The study’s results reveal that traditional health services remain problematic despite efforts to make long-term changes. This study aligns with previous research, emphasizing that strategic flexibility serves as a proactive and reactive strategy for effecting long-term changes in key aspects of a company fostering innovation processes that contribute to sustainable business growth.   Received: 21 November 2023 / Accepted: 12 March 2024 / Published: 5 May 2024