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Exploring the barriers to lean health care implementation

Author

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  • Luciano Brandão de Souza
  • Michael Pidd

Abstract

This article analyses implementation barriers to lean thinking in health care, based on experience of applying lean thinking in the UK's National Health Service (NHS). It discusses the differences and similarities between lean thinking in manufacturing and health care and why lean implementation has been slower in health care than in manufacturing. The problems to be faced and overcome when implementing lean approaches are compared with those in other improvement programmes. The authors conclude that lean approaches do offer ways to improve health care.

Suggested Citation

  • Luciano Brandão de Souza & Michael Pidd, 2011. "Exploring the barriers to lean health care implementation," Public Money & Management, Taylor & Francis Journals, vol. 31(1), pages 59-66, January.
    • Handle: RePEc:taf:pubmmg:v:31:y:2011:i:1:p:59-66
    DOI: 10.1080/09540962.2011.545548
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    Cited by:

    1. Angelo Rosa & Giuliano Marolla & Francesco Zammori, 2018. "Applicazione dello strumento Lean A3 al percorso di presa in carico di pazienti anziani con frattura del femore: il caso studio di un ospedale pugliese," MECOSAN, FrancoAngeli Editore, vol. 2018(106), pages 37-63.
    2. Hauge, Amalie Martinus, 2018. "Situated valuations: Affordances of management technologies in organizations," Scandinavian Journal of Management, Elsevier, vol. 34(3), pages 245-255.
    3. 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.
    4. Abdulaziz M. Almutairi & Mohammed Almanei & Ahmed Al-Ashaab & Konstantinos Salonitis, 2021. "Prioritized Solutions for Overcoming Barriers When Implementing Lean in the Healthcare Supply Chain: A Saudi Perspective," Logistics, MDPI, vol. 5(1), pages 1-16, February.
    5. Vineet Jain & Puneeta Ajmera, 2019. "Modelling of the factors affecting lean implementation in healthcare using structural equation modelling," International Journal of System Assurance Engineering and Management, Springer;The Society for Reliability, Engineering Quality and Operations Management (SREQOM),India, and Division of Operation and Maintenance, Lulea University of Technology, Sweden, vol. 10(4), pages 563-575, August.
    6. Frangeskou, Marianna & Erthal, Alice & Ndibalema, Rweyemamu, 2024. "Managing the tensions of standardized work processes in healthcare operations: The job crafting lens," Journal of Business Research, Elsevier, vol. 173(C).
    7. D’Andreamatteo, Antonio & Ianni, Luca & Lega, Federico & Sargiacomo, Massimo, 2015. "Lean in healthcare: A comprehensive review," Health Policy, Elsevier, vol. 119(9), pages 1197-1209.
    8. Sharon J. Williams & Zoe Radnor, 2018. "Using bandwidths to visualize and improve patient pathways," Public Money & Management, Taylor & Francis Journals, vol. 38(1), pages 21-28, January.
    9. Nguyen Thi Duc Nguyen & Do Tri Dang & Huynh Thi Phuong Lan, 2017. "Achieving the successful lean implementation at manufacturing companies in Vietnam: Awareness of critical barriers," HO CHI MINH CITY OPEN UNIVERSITY JOURNAL OF SCIENCE - ECONOMICS AND BUSINESS ADMINISTRATION, HO CHI MINH CITY OPEN UNIVERSITY JOURNAL OF SCIENCE, HO CHI MINH CITY OPEN UNIVERSITY, vol. 7(1), pages 89-106.
    10. Soliman, Marlon & Saurin, Tarcisio Abreu & Anzanello, Michel Jose, 2018. "The impacts of lean production on the complexity of socio-technical systems," International Journal of Production Economics, Elsevier, vol. 197(C), pages 342-357.
    11. Jiju Antony & Maneesh Kumar, 2012. "Lean and Six Sigma Methodologies in NHS Scotland: An Empirical Study and Directions for Future Research," Quality Innovation Prosperity, Technical University of Košice, Department of integrated management, vol. 16(2).
    12. Yash Daultani & Atanu Chaudhuri & Sushil Kumar, 2015. "A Decade of Lean in Healthcare: Current State and Future Directions," Global Business Review, International Management Institute, vol. 16(6), pages 1082-1099, December.
    13. 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.
    14. Baril, Chantal & Gascon, Viviane & Miller, Jonathan & Côté, Nadine, 2016. "Use of a discrete-event simulation in a Kaizen event: A case study in healthcare," European Journal of Operational Research, Elsevier, vol. 249(1), pages 327-339.
    15. Jacopo Guercini & Vincenzo Mezzatesta & Andrea Chiarini & Caterina Bianciardi & Lucia Bellandi & Sara Moi & Pasquale Biandolino, 2016. "Applicazione della metodologia SMED per il miglioramento delle operations nelle sale operatorie. Il caso Azienda Ospedaliera Universitaria Senese," MECOSAN, FrancoAngeli Editore, vol. 2016(98), pages 83-103.
    16. Thanos Papadopoulos, 2012. "Public–Private Partnerships from a Systems Perspective: A Case in the English National Health Service," Systems Research and Behavioral Science, Wiley Blackwell, vol. 29(4), pages 420-435, July.
    17. Federica Centauri & Jacopo Guercini & Caterina Bianciardi & Vincenzo Mezzatesta, 2017. "Strutturare il cambiamento organizzativo negli ospedali: l?esperienza dell?Ufficio Lean dell?AOU Senese," MECOSAN, FrancoAngeli Editore, vol. 2017(104), pages 51-67.
    18. Samieinasab, Mina & Hamid, Mahdi & Rabbani, Masoud, 2022. "An integrated resilience engineering-lean management approach to performance assessment and improvement of clinical departments," Socio-Economic Planning Sciences, Elsevier, vol. 84(C).

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