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首页> 外文期刊>International Journal for Quality in Health Care >Application of lean thinking to health care: issues and observations
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Application of lean thinking to health care: issues and observations

机译：精益思维在医疗保健中的应用：问题和观察

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摘要

Incidents and quality problems are a prime cause why health care leaders are calling to redesign health care delivery. One of the concepts used is lean thinking. Yet, lean often leads to resistance. Also, there is a lack of high quality evidence supporting lean premises. In this paper, we present an overview of lean thinking and its application to health care.Lean thinking evolved from a tool designed to improve operational shop floor performance at an automotive manufacturer to a management approach with both operational and sociotechnical aspects. Sociotechnical dynamics have until recently not received much attention. At the same time a balanced approach might lead to a situation where operational and sociotechnial improvements are mutually reinforcing. Application to health care has been limited and focussed mainly on operational aspects using original lean tools. A more integrative approach would be to pay more attention to sociotechnical dynamics of lean implementation efforts. Also, the need to use the original lean tools may be limited, because health care may have different instruments and tools already in use that are in line with lean thinking principles.
机译：突发事件和质量问题是医疗保健领导者呼吁重新设计医疗保健提供服务的主要原因。使用的概念之一是精益思维。然而，精益往往会导致抵抗。而且，缺乏支持精益场所的高质量证据。在本文中，我们对精益思维及其在医疗保健中的应用进行了概述。精益思维从旨在提高汽车制造商的生产车间绩效的工具演变为具有运营和社会技术方面的管理方法。直到最近，社会技术动力还没有引起太多关注。同时，采取平衡的方法可能会导致业务和社会技术方面的改进相辅相成的情况。在医疗保健方面的应用受到限制，并且主要集中在使用原始精益工具的操作方面。一种更综合的方法是更加关注精益实施工作的社会技术动力。而且，使用原始精益工具的需求可能会受到限制，因为卫生保健可能已经使用了与精益思想原则相一致的不同工具和工具。

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