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Lean maturity and q...
Lean maturity and quality in primary care
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- Kaltenbrunner, Monica, 1975- (författare)
- Högskolan i Gävle,Arbetshälsovetenskap,Centrum för belastningsskadeforskning,Univ Gävle, Fac Hlth & Occupat Studies, Gävle, Sweden
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- Mathiassen, Svend Erik (författare)
- Högskolan i Gävle,Arbetshälsovetenskap,Centrum för belastningsskadeforskning,Univ Gävle, Fac Hlth & Occupat Studies, Gävle, Sweden
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- Bengtsson, Lars, 1958- (författare)
- Högskolan i Gävle,Industriell ekonomi,Centrum för logistik och innovativ produktion,Univ Gävle, Fac Engn & Sustainable Dev, Gävle, Sweden
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- Engström, Maria (författare)
- Uppsala universitet,Högskolan i Gävle,Med-Vårdvetenskap,Vårdvetenskap,Univ Gävle, Fac Hlth & Occupat Studies, Gävle, Sweden; Lishui Univ, Med & Hlth Coll, Nursing Dept, Lishui, Peoples R China
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(creator_code:org_t)
- Emerald Group Publishing Limited, 2019
- 2019
- Engelska.
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Ingår i: Journal of Health Organization & Management. - : Emerald Group Publishing Limited. - 1477-7266 .- 1758-7247. ; 32:2, s. 141-154
- Relaterad länk:
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https://doi.org/10.1...
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https://hig.diva-por... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Purpose - The purpose of this paper is to 1) describe Lean maturity in primary care using a questionnaire based on Liker’s description of Lean, complemented with observations, and 2) determine the extent to which Lean maturity is associated with quality of care measured as staff-rated satisfaction with care and adherence to national guidelines. High Lean maturity indicates adoption of all Lean principles throughout the organization and by all staff.Design/methodology/approach - Data were collected using a survey based on Liker’s four principles, divided into 16 items (n = 298 staff in 45 units). Complementary observations (n = 28 staff) were carried out at four units.Findings - Lean maturity varied both between and within units. The highest Lean maturity was found for ‘adhering to routines’ and the lowest for ‘having a change agent at the unit’. Lean maturity was positively associated with satisfaction with care and with adherence to national guidelines to improve healthcare quality. Practical implications - Quality of primary care may benefit from increasing Lean maturity. When implementing Lean, managers could benefit from measuring and adopting Lean maturity repeatedly, addressing all Liker’s principles and using the results as guidance for further development.Originality/value - This is one of the first studies to evaluate Lean maturity in primary care, addressing all Liker’s principles from the perspective of quality of care. The results suggest that repeated actions based on evaluations of Lean maturity may help to improve quality of care.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Annan hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Other Health Sciences (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Nyckelord
- healthcare
- Lean principles
- Liker
- observations
- qualitative
- Health-Promoting Work
- Hälsofrämjande arbete
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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