Publication type: Conference paper
Type of review: Peer review (abstract)
Title: Still lost in transformation? : a literature review on the scientific support of lean health care transformations
Authors: Angerer, Alfred
Liberatore, Florian
Brand, Tim
Proceedings: 16th EURAM Annual Conference : manageable cooperation?
Conference details: 16th EURAM Annual Conference, Paris, 1-4 June 2016
Issue Date: 2016
Language: English
Subjects: Lean enabling factor; Lean health care; Patient focus; Transformation path; Review
Subject (DDC): 362: Health and social services
Abstract: Purpose: The purpose of this paper is to review the literature on Lean Transformations in health care settings to highlight research gaps and managerial implications. The focus of this paper is on research contributions concerning enabling factors among employees. In addition, the effects of Lean Transformations on direct and indirect patient outcomes are analyzed to identify research propositions for future studies. Design/methodology/approach: A comprehensive review of the literature focusing on Lean Transformation in healthcare was conducted. Findings: The majority of the analyzed papers describe successful case studies, yet they often lack robust generalizable evidence. The derived managerial conclusions are often not thorough and on a high level and lacking a clear description of the transformation process for an entire health care organization. Improvements for patients are typically defined by the Lean philosophy as the major goal of Lean Transformations. However, process-oriented outcomes, as indirect patient outcomes, are mainly addressed in studies on Lean Transformations. Research Propositions: Based on the review, three main research propositions are identified. First, future research studies need to quantify the effect of Lean Transformations on key performance indicators of healthcare organizations. Second, we need to better understand how to conduct Lean Transformations and how the transformation path should be individually customized based on organizational characteristics, such as readiness for change. Third, we observe a research gap in how patients perceive and value the results of Lean Transformations. Value: Based on the research gaps in contemporary publications, this paper develops three research propositions that will help the Lean community focus its future research efforts on topics with major implications for health care managers aiming to transform their organizations.
URI: https://digitalcollection.zhaw.ch/handle/11475/13493
Fulltext version: Published version
License (according to publishing contract): Licence according to publishing contract
Departement: School of Management and Law
Organisational Unit: Winterthur Institute of Health Economics (WIG)
Appears in collections:Publikationen School of Management and Law

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