Abstract
The article substantiates the theoretical and applied foundations of innovation-oriented management of healthcare institutions under martial law, increasing demand for high-tech medical care and limited managerial resources. The relevance of the research is determined by the fact that digitalization, angiographic care, telemedicine, transplantation capacity, rehabilitation services and service innovations require not only financing, but also high-quality management, evidence-based procurement, trained teams, process integration and staff psychological readiness for change. The concepts of innovation activity of healthcare institutions, management potential, high-tech medical care, managerial gap and staff psychological readiness are clarified. The purpose of the article is to substantiate an approach to identifying and overcoming managerial gaps between demand for high-tech care, the management potential of healthcare institutions and staff readiness for innovation. Based on cases from the southern region of Ukraine, the article demonstrates that innovation in healthcare is expressed not only through the purchase of equipment, but also through network reorganization, telemedicine, angiographic care, transplantation capacity, medical cleaning, digital monitoring, quality management and justified procurement. A model of innovation-oriented management is proposed, combining demand analytics, strategic planning, procurement preparation, process integration, psychological support for personnel and performance evaluation. The scientific novelty lies in interpreting innovation as a full managerial cycle, from identifying the need to measuring medical, economic and organizational-psychological effects. The practical significance of the results lies in the possibility of using them by healthcare managers, local authorities and health departments when planning innovation projects, accelerating justified procurement, preparing staff and monitoring quality under wartime constraints. The study proves that the effectiveness of healthcare innovations depends on the balance between technological demand, managerial capacity and staff involvement.