Scientific Publication Analysis on Lean Management in Healthcare Sector: The Period of 2010-2019 (original) (raw)
Related papers
Evaluation & the health professions, 2018
Industrial improvement approaches such as Lean management are increasingly being adopted in health care. Synthesis is necessary to ensure these approaches are evidence based and requires operationalization of concepts to ensure all relevant studies are included. This article outlines the process utilized to develop an operational definition of Lean in health care. The literature search, screening, data extraction, and data synthesis processes followed the recommendations outlined by the Cochrane Collaboration. Development of the operational definition utilized the methods prescribed by Kinsman et al. and Wieland et al. This involved extracting characteristics of Lean, synthesizing similar components to establish an operational definition, applying this definition, and updating the definition to address shortcomings. We identified two defining characteristics of Lean health-care management: (1) Lean philosophy, consisting of Lean principles and continuous improvement, and (2) Lean ac...
2018
Supplemental Material, SC_9_Lean_Sustainability for What Is Lean Management in Health Care? Development of an Operational Definition for a Cochrane Systematic Review by Thomas Rotter, Christopher Plishka, Adegboyega Lawal, Liz Harrison, Nazmi Sari, Donna Goodridge, Rachel Flynn, James Chan, Michelle Fiander, Bonnie Poksinska, Keith Willoughby, and Leigh Kinsman in Evaluation & the Health Professions
The first evidence about conceptual vs analytical lean healthcare research studies
Journal of Health Organization and Management, 2020
Purpose-Several authors have examined the lean healthcare literature, but besides all efforts made, articles comparing conceptual and analytical studies were not found. Thus, a systematic review is conducted aiming to understand the state of the art of lean healthcare by investigating and comparing how conceptual and analytical articles address tools/methods, application fields, implementation barriers and facilitators and positive and negative impacts. Design/methodology/approach-Articles in English about lean healthcare, published in journals in the last ten years (2009-2018) and indexed in Web of Science (WoS) or Scopus were examined and assessed by following the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA) protocol. A qualitative content analysis on the eligible articles was conducted, and results from the conceptual and analytical studies were compared. Findings-There is a literature gap regarding tools/methods in both conceptual and analytical approaches once they prioritize for different items. Barriers, facilitators and negative impacts are perceived differently within both categories and might require more extensive analysis. The same items prevail in both conceptual and analytical categories when analyzing healthcare fields and positive impacts. Originality/value-There is a lack of articles comparing conceptual and analytical studies concerning lean healthcare. So, this study's relevance is in identifying theoretical and applied research gaps to strengthen the lean healthcare state of the art and to integrate theoretical-applied knowledge. For healthcare professionals, it might provide an overview of the key factors that can promote lean implementation.
Recently, Malaysia healthcare industry has been continuously vigilant about healthcare system. The increase the number of medical schools showed that Malaysia is serious about providing quality healthcare. Healthcare system is faced with challenges and opportunities from a rapidly changing operating environment, including increasing expectations on the quality of healthcare. Hence, this paper attempts to review and proposed structural relationship model of lean healthcare practices (LHP) and a healthcare performance. A structural relationship model using Structural Equation Modeling (SEM) has been proposed. Based on the proposed conceptual model and reviewed, research hypotheses are being developed. The paper culminates with suggested future research work.
Lean management in the health sector – illusion or delusion ?
2014
There has been considerable interest in implementing practices imported from manufacturing into healthcare as a solution to rising healthcare spending and disappointing patient safety indicators. One approach attracting particular interest is Lean management, which is explored in this article. Design/methodology/approach: The exploratory research focuses on Lean management in the health sector. It is based on extensive secondary data and it is a practical in implication. Data provided both background and context. Findings: Despite widespread enthusiasm about Lean management's potential, evidence about its contribution to higher performance is inconsistent. Research limitations/implications: Major Lean operations management and human resource management concepts, including just-in-time (JIT), total quality management (TQM) and total productive maintenance (TPM) are explored. Practical implications: This article contributes to the healthcare organizational management literature by showing that although Lean management seems to have the potential to improve organizational performance; it is far from a panacea for underperforming hospitals. The article informs policy-making by suggesting that a progressive managerial philosophy has a stronger impact on healthcare performance than adopting practices from any particular managerial approach. Originality/value: A critical evaluation on Lean's impact on informing healthcare policy is presented, which contributes to healthcare organisational management literature by showing that even though Lean management in healthcare appears to have the potential to improve performance; there remain problems with its application.
Journal of Health Organization and Management, 2021
PurposeThe aims of the implementation of lean management in health care are to improve quality of care, to eliminate waste and to increase efficiency. The purpose of this study is to contribute to the advancement of knowledge by investigating which main socio-technical factors are considered to be effective for the implementation and management of lean initiatives.Design/methodology/approachA systematic review of literature reviews on lean management in health care was conducted. The components of the socio-technical system are identified by moving from the socio-technical drivers that support organization-wide quality improvement practices and the lean implementation process in health care. The impacts of lean management are classified using the internal processes, patient, learning and financial dimensions.FindingsThe 28 reviews retrieved confirm the current and increasing interest in lean management. While more than 60% of them call for a system-wide approach, system-wide impleme...
Implementation Of Lean Management In Improving The Quality Of Hospital Services: Literature Review
Journal of Social Research
Hospitals as labour-intensive and capital-intensive organizations, as well as providing medical and non-medical services require management to increase the efficiency and effectiveness of resources. However, this management must still pay attention to the quality of health services according to service standards and provide benefits for patients. Through Lean Management, continuous improvement can be made by eliminating waste, increasing added value, especially for patients. This is so that the hospital can be the choice of patients to entrust their health. This research is to determine efforts to improve the quality of hospital services using the lean management method. In collecting and synthesizing previous information, this study uses a systematic library research search approach using the PRISMA method. Searches were performed on the Google Scholar and PubMed databases. Articles are limited from 2018-2023, in hospital services and using the Lean Management method. Based on the ...
APPLYING LEAN TOOLS IN HEALTHCARE: A REVIEW OF THE MOST RECENT LITERATURE
Lean Thinking is the research field that studies ways to create more value to the customer using fewer resources and eliminating all superfluous activities. This management philosophy was first applied in the car manufacturing industry by Toyota. Its success drove other industries to implement these ideas in their operations too. The healthcare industry is a good example of that. In fact, all its stakeholders, looking for novel approaches to tackle excessive spending and declining of quality, found in lean thinking a good strategy to improve their institutions. The objective of this thesis is to illustrate this practice by surveying the more recent case studies (from 2010 to 2013) on lean thinking applied to the healthcare industry. We analyze fifty case studies published in forty papers between 2010 and 2013. We summarize the lean tools used and the benefits obtained in each study. All these studies reported improvements in at least two dimensions, which supports the role of lean management in the healthcare arena. We also present a brief summary about the history of Lean, explain its main tools, and compare these latest case studies with the first experiences documented in the healthcare literature. We conclude the analysis with the evolution of this lean healthcare trend, which shows the importance that researchers are driving towards this subject.