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Applying Value Stream Mapping to Improve the Delivery of Patient Care in the Oncology Day Hospital

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  • Pilar I. Vidal-Carreras

    (ROGLE, Departamento de Organización de Empresas, Universitat Politècnica de València, Camino de Vera s/n, 46021 Valencia, Spain)

  • Julio J. Garcia-Sabater

    (ROGLE, Departamento de Organización de Empresas, Universitat Politècnica de València, Camino de Vera s/n, 46021 Valencia, Spain)

  • Juan A. Marin-Garcia

    (ROGLE, Departamento de Organización de Empresas, Universitat Politècnica de València, Camino de Vera s/n, 46021 Valencia, Spain)

Abstract

Improving the delivery of patient care is an ongoing challenge in the National Health Service (NHS). This challenge is not insignificant in the process of chemotherapy administration for oncology patients. The present research is motivated by a public Spanish hospital in which oncology patients receive medical care in the Oncology Day Hospital (ODH). At the ODH, oncology patients receive different health services by different specialists on a single day. Any discoordination in patient flow will contribute to longer waiting times and stays in the ODH. As oncology patients tend to have special health conditions, any extra time in the hospital is a source of risk and discomfort. This study applies value stream mapping methodology in a Spanish ODH to improve this situation, reducing hospital waiting times and shorting the length of stay. For that purpose, the path of the oncology patients is mapped and the current state of the system is analyzed. Working at takt time and levelling the workload are proposed for improving the working conditions for healthcare personnel. As a result, the quality of service for oncology patients who need a well-defined care profile is improved. The singular characteristics of the Spanish NHS make it challenging to implement new ways of working, so this study has significant theoretical and managerial implications offering directions in which improvement is possible.

Suggested Citation

  • Pilar I. Vidal-Carreras & Julio J. Garcia-Sabater & Juan A. Marin-Garcia, 2022. "Applying Value Stream Mapping to Improve the Delivery of Patient Care in the Oncology Day Hospital," IJERPH, MDPI, vol. 19(7), pages 1-18, April.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:7:p:4265-:d:786014
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    References listed on IDEAS

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    1. Bohui Liang & Ayten Turkcan & Mehmet Erkan Ceyhan & Keith Stuart, 2015. "Improvement of chemotherapy patient flow and scheduling in an outpatient oncology clinic," International Journal of Production Research, Taylor & Francis Journals, vol. 53(24), pages 7177-7190, December.
    2. Eva Jordan & Janez Kušar & Lidija Rihar & Tomaž Berlec, 2019. "Portfolio analysis of a Lean Six Sigma production process," Central European Journal of Operations Research, Springer;Slovak Society for Operations Research;Hungarian Operational Research Society;Czech Society for Operations Research;Österr. Gesellschaft für Operations Research (ÖGOR);Slovenian Society Informatika - Section for Operational Research;Croatian Operational Research Society, vol. 27(3), pages 797-813, September.
    3. Hicks, Chris & McGovern, Tom & Prior, Gary & Smith, Iain, 2015. "Applying lean principles to the design of healthcare facilities," International Journal of Production Economics, Elsevier, vol. 170(PB), pages 677-686.
    4. Kerim Dogan & Mumtaz Karatas & Ertan Yakici, 2020. "A model for locating preventive health care facilities," Central European Journal of Operations Research, Springer;Slovak Society for Operations Research;Hungarian Operational Research Society;Czech Society for Operations Research;Österr. Gesellschaft für Operations Research (ÖGOR);Slovenian Society Informatika - Section for Operational Research;Croatian Operational Research Society, vol. 28(3), pages 1091-1121, September.
    5. Narayanamurthy, Gopalakrishnan & Gurumurthy, Anand & Subramanian, Nachiappan & Moser, Roger, 2018. "Assessing the readiness to implement lean in healthcare institutions – A case study," International Journal of Production Economics, Elsevier, vol. 197(C), pages 123-142.
    6. Nur Banu Demir & Serhat Gul & Melih Çelik, 2021. "A stochastic programming approach for chemotherapy appointment scheduling," Naval Research Logistics (NRL), John Wiley & Sons, vol. 68(1), pages 112-133, February.
    7. 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.
    8. Wenchi Shou & Jun Wang & Peng Wu & Xiangyu Wang & Heap-Yih Chong, 2017. "A cross-sector review on the use of value stream mapping," International Journal of Production Research, Taylor & Francis Journals, vol. 55(13), pages 3906-3928, July.
    9. Michelle Alvarado & Lewis Ntaimo, 2018. "Chemotherapy appointment scheduling under uncertainty using mean-risk stochastic integer programming," Health Care Management Science, Springer, vol. 21(1), pages 87-104, March.
    10. 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.
    11. Véronique Nabelsi & Stéphane Gagnon, 2017. "Information technology strategy for a patient-oriented, lean, and agile integration of hospital pharmacy and medical equipment supply chains," International Journal of Production Research, Taylor & Francis Journals, vol. 55(14), pages 3929-3945, July.
    12. Agnieszka Zdęba-Mozoła & Anna Rybarczyk-Szwajkowska & Tomasz Czapla & Michał Marczak & Remigiusz Kozłowski, 2022. "Implementation of Lean Management in a Multi-Specialist Hospital in Poland and the Analysis of Waste," IJERPH, MDPI, vol. 19(2), pages 1-23, January.
    13. 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.
    14. Gallo, Pedro & Gené-Badia, Joan, 2013. "Cuts drive health system reforms in Spain," Health Policy, Elsevier, vol. 113(1), pages 1-7.
    15. Abdulmalek, Fawaz A. & Rajgopal, Jayant, 2007. "Analyzing the benefits of lean manufacturing and value stream mapping via simulation: A process sector case study," International Journal of Production Economics, Elsevier, vol. 107(1), pages 223-236, May.
    16. 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.
    17. Letícia Bianchini de Barros & Letícia de Camargo Bassi & Laura Passos Caldas & Alice Sarantopoulos & Eliete Boaventura Bargas Zeferino & Vinicius Minatogawa & Renata Cristina Gasparino, 2021. "Lean Healthcare Tools for Processes Evaluation: An Integrative Review," IJERPH, MDPI, vol. 18(14), pages 1-21, July.
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