供应链
实施
医疗保健
业务
价值流映射
过程管理
精益制造
运营管理
质量管理
最佳实践
质量(理念)
适应(眼睛)
风险分析(工程)
降低成本
计算机科学
营销
工程类
管理
服务(商务)
政治学
经济
哲学
物理
程序设计语言
法学
光学
认识论
作者
Gabriela Aline Borges,Guilherme Luz Tortorella,Matteo Rossini,Alberto Portioli Staudacher
出处
期刊:Journal of Health Organisation and Management
[Emerald (MCB UP)]
日期:2019-05-20
卷期号:33 (3): 304-322
被引量:60
标识
DOI:10.1108/jhom-06-2018-0176
摘要
The purpose of this paper is to identify the lean production (LP) practices applied in healthcare supply chain and the existing barriers related to their implementation.To achieve that, a scoping review was carried out in order to consolidate the main practices and barriers, and also to evidence research gaps and directions according to different theoretical lenses.The findings show that there is a consensus on the potential of LP practices implementation in healthcare supply chain, but most studies still report such implementation restricted to specific unit or value stream within a hospital.Healthcare organizations are under constant pressure to reduce costs and wastes, while improving services and patient safety. Further, its supply chain usually presents great opportunities for improvement, both in terms of cost reduction and quality of care increase. In this sense, the adaptation of LP practices and principles has been widely accepted in healthcare. However, studies show that most implementations fall far short from their goals because they are done in a fragmented way, and not from a system-wide perspective.
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