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Organizational issues for the lean success in China: exploring a change strategy for lean success

机译：中国精益成功的组织问题：探索依赖成功的变革策略

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The purpose of this paper is to explore a change strategy for lean success in hospitals based on a comprehensive review of the Chinese literature. The methodology is a systematic review of the Chinese literature which identified 212 case study papers about lean implementation. We did a thematic content analysis of the 212 papers. Lean applications in Chinese hospitals show significant increases and are mainly used in the fields of outpatient services, operating rooms, pharmacy and logistics. Most hospitals applied lean as a single project but some were beginning to use lean as a systemic path for improvement with an emphasis on lean and strategy. The main goals were to increase the operating efficiency and reduce operating costs. Patients were not central to lean applications. Chinese hospitals appear to lack a full understanding of lean. Four factors appear to be critical for lean success - organizational leadership, adequate technology, stakeholder involvement and individual and organizational benefits. The relationship of these factors changes over time. This is the first paper to provide a comprehensive view of lean application in Chinese hospitals. The findings presented in this paper provide a systemic evidence to the application of lean in healthcare.
机译：本文的目的是探讨基于中国文学全面审查的医院取得精益成功的变更策略。该方法是对中国文学的系统审查，确定了关于精益实施的212个案例研究论文。我们做了212篇论文的主题内容分析。中国医院的精益应用表现出显着增加，主要用于门诊服务，手术室，药房和物流领域。大多数医院适用于单一项目，但有些人开始使用精益作为系统性路径，以改善精益和战略。主要目标是提高运营效率并降低运营成本。患者不是贫民应用的核心。中国医院似乎缺乏对精益的充分了解。四个因素对于精益成功 - 组织领导，足够的技术，利益相关者参与和个人和组织福利至关重要。这些因素的关系随着时间的推移而变化。这是第一份提供中国医院精益申请综合观点的论文。本文提出的调查结果为贫民保健的应用提供了系统性证据。

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