Background: Orchestrating personnel with different roles in healthcare sector using a proper leadership style is one of the main challenges in Iran. The coronavirus disease 2019 (COVID-19) pandemic, as a major threat to global public health, makes the leadership challenge in Iran healthcare sector bolder due the complexity of health industry as a service industry with twisted processes and aim of satisfying patients with proper service and managing healthcare personnel with increased workload and stress. As a result, to strengthen healthcare systems for unprecedented threats, a cohesive leadership is required. Authentic leadership is a method in which leaders are genuine, self-aware, and transparent. The aim of this paper is to clarify preconditions and consequences of authenticity in leadership of healthcare educational Small & Medium Enterprises (SMEs). Methods: The research is done in documentary research method, developmental research and descriptive correlation. Data collection in Meta-analysis phase is by library research method. Statistical society of the research is more than 38 articles written in the period of 2015 to 2022, from which collected data is codified and then analyzed by SPSS in order to describe research’s specifications and CMA2 for statistical calculations. Results: Preconditions of authentic leadership, including organizational structure, EQ, relationship oriented organizational culture, rules and regulations, ethical reasons of the leader and Industry attributes as well as consequences of authentic leadership, including employees’ bullying, extra-role behavior, work ethics, burnout, work productivity, product innovation, self-control, employees’ mindfulness, optimism and personnel health, have been identified through the 5th wave theory based on future planning and Meta-analysis and the Doost Research Methodology (DRM). The results suggest that authentic leadership considering attributes of healthcare industry has positive effect on performance of healthcare companies. Conclusions: As SMEs are formed more than 95% of businesses all around the World, they play indispensable role within developing economic and technical sustainability as well as seven pillars of sustainability (7PS) model. Identifying necessities and consequences of authentic leadership in healthcare companies can be used as a road map for modern managers. Investigating the effects of training, welfare, and health in improving the productivity of SMEs’ HR simultaneously through the 5th wave theory is the main conclusion of this paper.

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