IDEAS home Printed from https://ideas.repec.org/a/spr/ijsaem/v10y2019i4d10.1007_s13198-019-00770-4.html
   My bibliography  Save this article

Modelling of the factors affecting lean implementation in healthcare using structural equation modelling

Author

Listed:
  • Vineet Jain

    (Amity University Haryana)

  • Puneeta Ajmera

    (Amity University Haryana)

Abstract

Lean is a quality enhancement process which has been implemented by several industries including healthcare to get leverage in this era of globalization and liberalization. The objective of present work is to identify the variables affecting implementation of lean principles in healthcare industry. To achieve this objective, a survey was conducted by using a structured questionnaire which was distributed among 460 health professionals in different hospitals in India to collect their responses about lean applications in healthcare. EFA was applied to identify the factor structure with the help of the SPSS software version 20 and dimensions were extracted from the variables. After that, CFA was carried out by SEM statistical approach to verify these dimensions in the factor analysis by AMOS software. Fifteen variables were explored and three factors i.e. organizational factors, management commitment and communication and human resource factors were extracted which affect lean application in healthcare. SEM was used to identify first order three factor structure. The managers and healthcare professionals can acquire information about the strength of various factors in advance which would help them to thoroughly understand the relative importance, interdependencies and relationships among these factors so that lean principles can be applied successfully in the organization.

Suggested Citation

  • 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.
    • Handle: RePEc:spr:ijsaem:v:10:y:2019:i:4:d:10.1007_s13198-019-00770-4
    DOI: 10.1007/s13198-019-00770-4
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s13198-019-00770-4
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.
    File URL: https://libkey.io/10.1007/s13198-019-00770-4?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Varinder Kumar Mittal & Rahul Sindhwani & P. K. Kapur, 2016. "Two-way assessment of barriers to Lean–Green Manufacturing System: insights from India," 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. 7(4), pages 400-407, December.
    2. Lee, DonHee & Rho, Boo-Ho & Yoon, Seong No, 2015. "Effect of investments in manufacturing practices on process efficiency and organizational performance," International Journal of Production Economics, Elsevier, vol. 162(C), pages 45-54.
    3. Golob, Thomas F., 2003. "Structural equation modeling for travel behavior research," Transportation Research Part B: Methodological, Elsevier, vol. 37(1), pages 1-25, January.
    4. Maiga, Adam S. & Nilsson, Anders & Ax, Christian, 2015. "Relationships between internal and external information systems integration, cost and quality performance, and firm profitability," International Journal of Production Economics, Elsevier, vol. 169(C), pages 422-434.
    5. Radnor, Zoe J. & Holweg, Matthias & Waring, Justin, 2012. "Lean in healthcare: The unfilled promise?," Social Science & Medicine, Elsevier, vol. 74(3), pages 364-371.
    6. Valmohammadi, Changiz & Roshanzamir, Shervin, 2015. "The guidelines of improvement: Relations among organizational culture, TQM and performance," International Journal of Production Economics, Elsevier, vol. 164(C), pages 167-178.
    7. Jain, Vineet & Raj, Tilak, 2016. "Modeling and analysis of FMS performance variables by ISM, SEM and GTMA approach," International Journal of Production Economics, Elsevier, vol. 171(P1), pages 84-96.
    8. K. Chen & C. Hsu & L. Ouyang, 2007. "Applied Product Capability Analysis Chart in Measure Step of Six Sigma," Quality & Quantity: International Journal of Methodology, Springer, vol. 41(3), pages 387-400, June.
    9. Schonberger, Richard J., 2018. "Reconstituting lean in healthcare: From waste elimination toward ‘queue-less’ patient-focused care," Business Horizons, Elsevier, vol. 61(1), pages 13-22.
    10. Zeng, Jing & Anh Phan, Chi & Matsui, Yoshiki, 2015. "The impact of hard and soft quality management on quality and innovation performance: An empirical study," International Journal of Production Economics, Elsevier, vol. 162(C), pages 216-226.
    11. 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.
    12. 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.
    13. Lakhan Patidar & Vimlesh Kumar Soni & Pradeep Kumar Soni, 2017. "Manufacturing wastes analysis in lean environment: an integrated ISM-fuzzy MICMAC approach," 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. 8(2), pages 1783-1809, November.
    14. Schoenherr, Tobias & Narayanan, Sriram & Narasimhan, Ram, 2015. "Trust formation in outsourcing relationships: A social exchange theoretic perspective," International Journal of Production Economics, Elsevier, vol. 169(C), pages 401-412.
    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. 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.

    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. Jain, Vineet & Raj, Tilak, 2016. "Modeling and analysis of FMS performance variables by ISM, SEM and GTMA approach," International Journal of Production Economics, Elsevier, vol. 171(P1), pages 84-96.
    2. 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.
    3. Lukas D. Filser & Fábio Francisco Silva & Otávio José Oliveira, 2017. "State of research and future research tendencies in lean healthcare: a bibliometric analysis," Scientometrics, Springer;Akadémiai Kiadó, vol. 112(2), pages 799-816, August.
    4. Federica Centauri & Marta Marsilio & Stefano Villa & Francesco Nicosia, 2016. "Implementare il modello Lean nelle organizzazioni sanitarie: il caso dell?Ospedale Galliera," MECOSAN, FrancoAngeli Editore, vol. 2016(100), pages 27-55.
    5. 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.
    6. 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.
    7. 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.
    8. Xu, Lu & Peng, Xianghui & Pavur, Robert & Prybutok, Victor, 2020. "Quality management theory development via meta-analysis," International Journal of Production Economics, Elsevier, vol. 229(C).
    9. 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.
    10. Prattana Punnakitikashem & Philip Hallinger, 2019. "Bibliometric Review of the Knowledge Base on Healthcare Management for Sustainability, 1994–2018," Sustainability, MDPI, vol. 12(1), pages 1-17, December.
    11. 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.
    12. Haffar, Mohamed & Al-Karaghouli, Wafi & Irani, Zahir & Djebarni, Ramdane & Gbadamosi, Gbolahan, 2019. "The influence of individual readiness for change dimensions on quality management implementation in Algerian manufacturing organisations," International Journal of Production Economics, Elsevier, vol. 207(C), pages 247-260.
    13. Åhlin, Philip & Almström, Peter & Wänström, Carl, 2022. "When patients get stuck: A systematic literature review on throughput barriers in hospital-wide patient processes," Health Policy, Elsevier, vol. 126(2), pages 87-98.
    14. 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.
    15. Akmal, Adeel & Podgorodnichenko, Nataliya & Foote, Jeff & Greatbanks, Richard & Stokes, Tim & Gauld, Robin, 2021. "Why is Quality Improvement so Challenging? A Viable Systems Model Perspective to Understand the Frustrations of Healthcare Quality Improvement Managers," Health Policy, Elsevier, vol. 125(5), pages 658-664.
    16. 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).
    17. Hauge, Amalie Martinus, 2018. "Situated valuations: Affordances of management technologies in organizations," Scandinavian Journal of Management, Elsevier, vol. 34(3), pages 245-255.
    18. Huiming Liu & Su Wu & Chongwen Zhong & Ying Liu, 2020. "The Sustainable Effect of Operational Performance on Financial Benefits: Evidence from Chinese Quality Awards Winners," Sustainability, MDPI, vol. 12(5), pages 1-23, March.
    19. Assadej Vanichchinchai, 2021. "Assessing lean satisfaction and its enablers: a care provider perspective," Operations Management Research, Springer, vol. 14(1), pages 95-106, June.
    20. Vredin Johansson, Maria & Heldt, Tobias & Johansson, Per, 2006. "The effects of attitudes and personality traits on mode choice," Transportation Research Part A: Policy and Practice, Elsevier, vol. 40(6), pages 507-525, July.

    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:spr:ijsaem:v:10:y:2019:i:4:d:10.1007_s13198-019-00770-4. 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: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.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.