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Lean adoption in hospitals: the role of contextual factors and introduction strategy

BACKGROUND: In the scientific literature, many studies describe the application of lean methodology in the hospital setting. Most of the articles focus on the results rather than on the approach adopted to introduce the lean methodology. In the absence of a clear view of the context and the introduc...

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Autores principales: Rosa, Angelo, Marolla, Giuliano, Lega, Federico, Manfredi, Francesco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8403367/
https://www.ncbi.nlm.nih.gov/pubmed/34454500
http://dx.doi.org/10.1186/s12913-021-06885-4
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author Rosa, Angelo
Marolla, Giuliano
Lega, Federico
Manfredi, Francesco
author_facet Rosa, Angelo
Marolla, Giuliano
Lega, Federico
Manfredi, Francesco
author_sort Rosa, Angelo
collection PubMed
description BACKGROUND: In the scientific literature, many studies describe the application of lean methodology in the hospital setting. Most of the articles focus on the results rather than on the approach adopted to introduce the lean methodology. In the absence of a clear view of the context and the introduction strategy, the first steps of the implementation process can take on an empirical, trial and error profile. Such implementation is time-consuming and resource-intensive and affects the adoption of the model at the organizational level. This research aims to outline the role contextual factors and introduction strategy play in supporting the operators introducing lean methodology in a hospital setting. METHODOLOGY: The methodology is revealed in a case study of an important hospital in Southern Italy, where lean has been successfully introduced through a pilot project in the pathway of cancer patients. The originality of the research is seen in the detailed description of the contextual elements and the introduction strategy. RESULTS: The results show significant process improvements and highlight the spontaneous dissemination of the culture of change in the organization and the streamlined adoption at the micro level. CONCLUSION: The case study shows the importance of the lean introduction strategy and contextual factors for successful lean implementation. Furthermore, it shows how both factors influence each other, underlining the dynamism of the organizational system. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-021-06885-4.
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spelling pubmed-84033672021-08-30 Lean adoption in hospitals: the role of contextual factors and introduction strategy Rosa, Angelo Marolla, Giuliano Lega, Federico Manfredi, Francesco BMC Health Serv Res Research Article BACKGROUND: In the scientific literature, many studies describe the application of lean methodology in the hospital setting. Most of the articles focus on the results rather than on the approach adopted to introduce the lean methodology. In the absence of a clear view of the context and the introduction strategy, the first steps of the implementation process can take on an empirical, trial and error profile. Such implementation is time-consuming and resource-intensive and affects the adoption of the model at the organizational level. This research aims to outline the role contextual factors and introduction strategy play in supporting the operators introducing lean methodology in a hospital setting. METHODOLOGY: The methodology is revealed in a case study of an important hospital in Southern Italy, where lean has been successfully introduced through a pilot project in the pathway of cancer patients. The originality of the research is seen in the detailed description of the contextual elements and the introduction strategy. RESULTS: The results show significant process improvements and highlight the spontaneous dissemination of the culture of change in the organization and the streamlined adoption at the micro level. CONCLUSION: The case study shows the importance of the lean introduction strategy and contextual factors for successful lean implementation. Furthermore, it shows how both factors influence each other, underlining the dynamism of the organizational system. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-021-06885-4. BioMed Central 2021-08-28 /pmc/articles/PMC8403367/ /pubmed/34454500 http://dx.doi.org/10.1186/s12913-021-06885-4 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Rosa, Angelo
Marolla, Giuliano
Lega, Federico
Manfredi, Francesco
Lean adoption in hospitals: the role of contextual factors and introduction strategy
title Lean adoption in hospitals: the role of contextual factors and introduction strategy
title_full Lean adoption in hospitals: the role of contextual factors and introduction strategy
title_fullStr Lean adoption in hospitals: the role of contextual factors and introduction strategy
title_full_unstemmed Lean adoption in hospitals: the role of contextual factors and introduction strategy
title_short Lean adoption in hospitals: the role of contextual factors and introduction strategy
title_sort lean adoption in hospitals: the role of contextual factors and introduction strategy
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8403367/
https://www.ncbi.nlm.nih.gov/pubmed/34454500
http://dx.doi.org/10.1186/s12913-021-06885-4
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