A qualitative analysis of Lean implementation in Brazilian surgical centres: a multiple-case study
by Paulo Renato De Sousa; Marcelo Werneck Barbosa; Gerson Tontini; Aloísio Rosado Filho; Maria Madalena Macedo Pires Ferreira
International Journal of Healthcare Technology and Management (IJHTM), Vol. 18, No. 3/4, 2021

Abstract: Different studies have been published in recent years describing the experiences of adopting Lean thinking in healthcare institutions. However, the analysis of Lean implementations in hospitals located in emerging economies is lacking. Besides, Lean implementations are usually reported based on a single case study. This study analyses Lean adoption in four Brazilian surgical centres, using a multiple-case approach using semi-structured interviews. Results suggest that Lean implementation reduces the duration of operations and the time the patient stays in the hospital, improves the punctuality of procedures, reduces losses, errors, materials' usage, preparation time, and increases collaborators' satisfaction. Primary challenges to implementing Lean include changes to organisational culture and involvement of multidisciplinary teams. By using a multiple-case design, it is possible to compare different outcomes and more confidently generalise these results to other surgical centres. We expect this study stimulates the implementation and analysis of Lean adoption in other emerging economies.

Online publication date: Fri, 26-Nov-2021

The full text of this article is only available to individual subscribers or to users at subscribing institutions.

 
Existing subscribers:
Go to Inderscience Online Journals to access the Full Text of this article.

Pay per view:
If you are not a subscriber and you just want to read the full contents of this article, buy online access here.

Complimentary Subscribers, Editors or Members of the Editorial Board of the International Journal of Healthcare Technology and Management (IJHTM):
Login with your Inderscience username and password:

Username:        Password:          Forgotten your password?

Want to subscribe?
A subscription gives you complete access to all articles in the current issue, as well as to all articles in the previous three years (where applicable). See our Orders page to subscribe.

If you still need assistance, please email subs@inderscience.com