...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Leadership in health services >UK health visiting: challenges faced during lean implementation
【24h】

UK health visiting: challenges faced during lean implementation

机译：英国健康访问：精益实施期间面临的挑战

获取原文
获取原文并翻译 | 示例
   

获取外文期刊封面封底 >>

       
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Purpose - The purpose of this paper is to present the challenges identified during a lean implementation in a health visiting service within a large primary care trust in NHS UK. Design/methodology/approach - Following a series of lean workshops a triangulated approach to data collection was adopted in order to determine the root cause of the challenges that were faced during this lean implementation. The three methods that were selected for qualitative analysis included semi-structured interviews, document analysis and researcher participant observation. Findings - Six key challenges were identified from the data analysis. These were: high process variability; a lack of understanding of lean; poor communication and leadership; target focused; problems denning waste; and difficulty in determining who is the customer and what do they value? Practical implications - Although this particular lean implantation had limited success, the research has highlighted a number of challenges which would have to be addressed prior to future lean exercises. This will assist other clinical and managerial staff to prepare for the challenges that may be faced during a lean implementation, and adapt their approach to future quality improvement. Originality/value - The barriers to lean implementation could be overcome with upfront planning, transformational leadership, excellent communication, identification and sharing of best practice and, above all, a shared vision. There is no quick and easy solution to productivity improvement, community services, as in this paper, cannot expect to select lean tools and techniques and emulate the success seen elsewhere. If they wish to deliver world-class healthcare in the face of constrained resources and greater demand, they need to adopt a long-term vision.
机译：目的-本文的目的是介绍在英国NHS的大型初级保健信托机构中，在健康探视服务的精益实施过程中发现的挑战。设计/方法/方法-在一系列精益研讨会之后，采用了三角收集数据的方法，以确定在此精益实施过程中面临的挑战的根本原因。选择进行定性分析的三种方法包括半结构化访谈，文档分析和研究人员观察。调查结果-从数据分析中确定了六个关键挑战。它们是：高过程可变性;对精益缺乏了解;沟通和领导能力差;目标集中;浪费问题;难以确定谁是客户以及他们看重什么？实际意义-尽管这种特殊的瘦肉植入取得了有限的成功，但研究强调了许多挑战，这些挑战在将来的瘦肉练习之前必须解决。这将帮助其他临床和管理人员应对精益实施过程中可能面临的挑战，并使他们的方法适应未来的质量改进。原创性/价值-通过预先计划，变革型领导，出色的沟通，最佳实践的识别和共享以及最重要的是共同的愿景，可以克服精益实施的障碍。没有快速，简便的解决方案来提高生产力，正如本文所述，社区服务不能期望选择精益的工具和技术并效仿其他地方看到的成功。如果他们希望在资源有限和需求增加的情况下提供世界一流的医疗保健，则需要采取长远的眼光。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号