IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i6p2876-d515130.html
   My bibliography  Save this article

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
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/6/2876/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/6/2876/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    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.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Juan A. Marin-Garcia & Tomas Bonavia, 2021. "Empowerment and Employee Well-Being: A Mediation Analysis Study," IJERPH, MDPI, vol. 18(11), pages 1-22, May.
    2. 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.
    3. Tiso, Anna & Pozzan, Caterina & Verbano, Chiara, 2022. "Health lean management implementation in local health networks: A systematic literature review," Operations Research Perspectives, Elsevier, vol. 9(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Juan A. Marin-Garcia & Tomas Bonavia, 2021. "Empowerment and Employee Well-Being: A Mediation Analysis Study," IJERPH, MDPI, vol. 18(11), pages 1-22, May.
    2. 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.
    3. Ming-Feng Wu & Jen-Ying Li & Yu-Hsuan Lin & Wei-Chang Huang & Chi-Chih He & Jiunn-Min Wang, 2021. "Processing Cycle Efficiency to Monitor the Performance of an Intelligent Tube Preparation System for Phlebotomy Services," IJERPH, MDPI, vol. 18(17), pages 1-12, September.
    4. Karine Borges de Oliveira & Otávio José de Oliveira, 2022. "Making Hospitals Sustainable: Towards Greener, Fairer and More Prosperous Services," Sustainability, MDPI, vol. 14(15), pages 1-21, August.
    5. Gianmaria Gioga & Morena Crivellaro & Veronica Lazzaretto & Elena Debora Toffanello & Alessandro Villa & Lorenzo Cattelino & Andrea Segnalini, 2022. "Implementazione della metodologia Lean per l?ottimizzazione del punto tamponi: l?esperienza di Piove di Sacco," MECOSAN, FrancoAngeli Editore, vol. 2022(122), pages 137-156.
    6. Diego Tlapa & Ignacio Franco-Alucano & Jorge Limon-Romero & Yolanda Baez-Lopez & Guilherme Tortorella, 2022. "Lean, Six Sigma, and Simulation: Evidence from Healthcare Interventions," Sustainability, MDPI, vol. 14(24), pages 1-25, December.
    7. 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.
    8. Diego Tlapa & Guilherme Tortorella & Flavio Fogliatto & Maneesh Kumar & Alejandro Mac Cawley & Roberto Vassolo & Luis Enberg & Yolanda Baez-Lopez, 2022. "Effects of Lean Interventions Supported by Digital Technologies on Healthcare Services: A Systematic Review," IJERPH, MDPI, vol. 19(15), pages 1-23, July.
    9. 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.
    10. Denisse Domínguez-Alfaro & Ismael Mendoza-Muñoz & Mildrend Ivett Montoya-Reyes & Olivia Yessenia Vargas-Bernal & Gabriela Jacobo-Galicia, 2023. "Design and Implementation of Integral Ergo-Value Stream Mapping in a Metal-Mechanical Company to Improve Ergonomic and Productive Conditions: A Case Study," Logistics, MDPI, vol. 7(4), pages 1-19, December.
    11. Simona Andreea Apostu & Valentina Vasile & Cristina Veres, 2021. "Externalities of Lean Implementation in Medical Laboratories. Process Optimization vs. Adaptation and Flexibility for the Future," IJERPH, MDPI, vol. 18(23), pages 1-22, November.
    12. Daniele La Forgia & Gaetano Paparella & Rahel Signorile & Francesca Arezzo & Maria Colomba Comes & Gennaro Cormio & Antonella Daniele & Annarita Fanizzi & Agnese Maria Fioretti & Gianluca Gatta & Miri, 2022. "Lean Perspectives in an Organizational Change in a Scientific Direction of an Italian Research Institute: Experience of the Cancer Institute of Bari," IJERPH, MDPI, vol. 20(1), pages 1-15, December.
    13. Agnieszka Zdęba-Mozoła & Remigiusz Kozłowski & Anna Rybarczyk-Szwajkowska & Tomasz Czapla & Michał Marczak, 2023. "Implementation of Lean Management Tools Using an Example of Analysis of Prolonged Stays of Patients in a Multi-Specialist Hospital in Poland," IJERPH, MDPI, vol. 20(2), pages 1-23, January.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:6:p:2876-:d:515130. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.