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Have process redesign methods, such as Lean, been successful in changing care delivery in hospitals? A systematic review

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  • Sandra G. Leggat
  • Timothy Bartram
  • Pauline Stanton
  • Greg J. Bamber
  • Amrik S. Sohal

Abstract

A systematic literature review identified 41 studies, including four reviews, reporting on process redesign interventions in hospitals. Success factors for the changes included mechanisms to facilitate participation throughout the process, clearly documented protocols and expectations for the health professionals which were supported by education, mechanisms to audit and provide feedback on behaviours and performance, as well as being able to hold the participating health professionals accountable. The success of process redesign methodologies is found to be highly dependent on these performance-based human resource management (HRM) practices.

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  • Sandra G. Leggat & Timothy Bartram & Pauline Stanton & Greg J. Bamber & Amrik S. Sohal, 2015. "Have process redesign methods, such as Lean, been successful in changing care delivery in hospitals? A systematic review," Public Money & Management, Taylor & Francis Journals, vol. 35(2), pages 161-168, March.
    • Handle: RePEc:taf:pubmmg:v:35:y:2015:i:2:p:161-168
    DOI: 10.1080/09540962.2015.1007714
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    References listed on IDEAS

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    1. Hammer, Michael & Champy, James, 1993. "Reengineering the corporation: A manifesto for business revolution," Business Horizons, Elsevier, vol. 36(5), pages 90-91.
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    Cited by:

    1. Emil Lucian Crisan & Bogdan Florin Covaliu & Diana Maria Chis, 2021. "A Systematic Literature Review of Quality Management Initiatives in Dental Clinics," IJERPH, MDPI, vol. 18(21), pages 1-16, October.
    2. Cleven, Anne & Mettler, Tobias & Rohner, Peter & Winter, Robert, 2016. "Healthcare quality innovation and performance through process orientation: Evidence from general hospitals in Switzerland," Technological Forecasting and Social Change, Elsevier, vol. 113(PB), pages 386-395.
    3. Lukrafka, Tatiany Oleques & Silva, Diego Souza & Echeveste, Marcia, 2020. "A geographic picture of Lean adoption in the public sector: Cases, approaches, and a refreshed agenda," European Management Journal, Elsevier, vol. 38(3), pages 506-517.
    4. 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.
    5. Jeroen D. H. van Wijngaarden & Anoek Braam & Martina Buljac-Samardžić & Carina G. J. M. Hilders, 2023. "Towards Process-Oriented Hospital Structures; Drivers behind the Development of Hospital Designs," IJERPH, MDPI, vol. 20(3), pages 1-12, January.
    6. Sandra G. Leggat & Pauline Stanton & Greg J. Bamber & Timothy Bartram & Richard Gough & Ruth Ballardie & Kathy GermAnn & Amrik Sohal, 2018. ": 4P recommendations for implementing change, from research in hospitals," Public Money & Management, Taylor & Francis Journals, vol. 38(1), pages 45-50, January.

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