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A Model for the Implementation of Lean Improvements in Healthcare Environments as Applied in a Primary Care Center

Author

Listed:
  • Oscar Morell-Santandreu

    (Universitat Politècnica of València (UPV), 46730 Grau de Gandia, Valencia, Spain)

  • Cristina Santandreu-Mascarell

    (IGIC, DOE, Universitat Politècnica of València (UPV), 46730 Grau de Gandia, Valencia, Spain)

  • Julio J. Garcia-Sabater

    (ROGLE, DOE, Universitat Politècnica of València (UPV), 46022 Valencia, Valencia, Spain)

Abstract

Companies operate in a competitive and changing environment requiring increasingly effective and efficient management strategies. Lean is a proven philosophy in the industrial sector having helped companies to adapt to rapid market changes; to economic, technical, and social complexities; and to customer needs. For this reason, companies in the service sector are adopting Lean to improve their service management and to achieve economic, social, and environmental sustainability. This paper presents a model which uses Lean tools to facilitate the introduction of Lean in the management of primary care centers. The results show the implementation of Lean improved primary care center management, achieved stated objectives, and demonstrated faster adaptation to environmental needs and changes. The Lean philosophy developed and applied in the primary care center proved useful at a professional level facilitating developmental changes and prompting lasting improvements by developing a sustainable work culture.

Suggested Citation

  • Oscar Morell-Santandreu & Cristina Santandreu-Mascarell & Julio J. Garcia-Sabater, 2021. "A Model for the Implementation of Lean Improvements in Healthcare Environments as Applied in a Primary Care Center," IJERPH, MDPI, vol. 18(6), pages 1-30, March.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:6:p:2876-:d:515130
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    References listed on IDEAS

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    1. Valentina Nino & David Claudio & Leonardo Valladares & Sean Harris, 2020. "An Enhanced Kaizen Event in a Sterile Processing Department of a Rural Hospital: A Case Study," IJERPH, MDPI, vol. 17(23), pages 1-20, November.
    2. Oscar Morell-Santandreu & Cristina Santandreu-Mascarell & Julio García-Sabater, 2020. "Sustainability and Kaizen: Business Model Trends in Healthcare," Sustainability, MDPI, vol. 12(24), pages 1-28, December.
    3. J. Carlos Prado-Prado & Jesús García-Arca & Arturo J. Fernández-González & Mar Mosteiro-Añón, 2020. "Increasing Competitiveness through the Implementation of Lean Management in Healthcare," IJERPH, MDPI, vol. 17(14), pages 1-26, July.
    4. Javier Vega de Seoane (coordinador) & José Luis Bonet & Alicia Coronil & Manel del Castillo & Pere Ibern & Víctor Madera & Julio Mayol & Pedro Sainz de Baranda & Antoni Trilla, 2020. "Informe sobre las Reformas e Innovacionesque requiere el Sistema de Sanidad español (IRISS)," Policy Papers 2020-08, FEDEA.
    5. Carlos Zepeda-Lugo & Diego Tlapa & Yolanda Baez-Lopez & Jorge Limon-Romero & Sinue Ontiveros & Armando Perez-Sanchez & Guilherme Tortorella, 2020. "Assessing the Impact of Lean Healthcare on Inpatient Care: A Systematic Review," IJERPH, MDPI, vol. 17(15), pages 1-24, August.
    6. Juan A. Marin-Garcia & Pilar I. Vidal-Carreras & Julio J. Garcia-Sabater, 2021. "The Role of Value Stream Mapping in Healthcare Services: A Scoping Review," IJERPH, MDPI, vol. 18(3), pages 1-25, January.
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    Cited by:

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    2. Anastasia Vasileiou & Eleni Sfakianaki & Georgios Tsekouropoulos, 2024. "Exploring Sustainability and Efficiency Improvements in Healthcare: A Qualitative Study," Sustainability, MDPI, vol. 16(19), pages 1-34, September.
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