TY - JOUR
T1 - “System-wide lean implementation in health care: A multiple case study”
AU - Centauri, Federica
AU - Mazzocato, Pamela
AU - Villa, Stefano
AU - Marsilio, Marta
PY - 2018
Y1 - 2018
N2 - Background: Lean practices have been widely used by health care organizations to meet efficiency, performance and quality
improvement needs. The lean health care literature shows that the effective implementation of lean requires a holistic
system-wide approach. However, there is still limited evidence on what drives effective system-wide lean implementation in
health care. The existing literature suggests that a deeper understanding of how lean interventions interact with the
organizational context is necessary to identify the critical variables to successfully sustain system-wide lean strategies.
Purpose and methodology: A multiple case study of three Italian hospitals is conducted with the aim to explore the
organizational conditions that are relevant for an effective system-wide lean implementation. A conceptual framework, built
on socio-technical system schemas, is used to guide data collection and analysis.
Findings: The analysis points out the importance to support lean implementation with an integrated and coordinated
strategy involving the social, technical, and external components of the overall hospital system.
AB - Background: Lean practices have been widely used by health care organizations to meet efficiency, performance and quality
improvement needs. The lean health care literature shows that the effective implementation of lean requires a holistic
system-wide approach. However, there is still limited evidence on what drives effective system-wide lean implementation in
health care. The existing literature suggests that a deeper understanding of how lean interventions interact with the
organizational context is necessary to identify the critical variables to successfully sustain system-wide lean strategies.
Purpose and methodology: A multiple case study of three Italian hospitals is conducted with the aim to explore the
organizational conditions that are relevant for an effective system-wide lean implementation. A conceptual framework, built
on socio-technical system schemas, is used to guide data collection and analysis.
Findings: The analysis points out the importance to support lean implementation with an integrated and coordinated
strategy involving the social, technical, and external components of the overall hospital system.
KW - health care, implementation process, lean, multiple case study, socio-technical system, system-wide
KW - health care, implementation process, lean, multiple case study, socio-technical system, system-wide
UR - http://hdl.handle.net/10807/127471
U2 - 10.1177/0951484818768226
DO - 10.1177/0951484818768226
M3 - Article
SN - 0951-4848
SP - 60
EP - 73
JO - Health Services Management Research
JF - Health Services Management Research
ER -