Lean healthcare practices from the perspective of the resource-based view: a study in a small hospital
DOI:
https://doi.org/10.26512/rgs.v15i3.51498Keywords:
Health Resources, Quality Improvement, Hospital AdministrationAbstract
The lean healthcare system aims to enhance the efficiency and quality of hospital processes by reducing waste to add value to patients. However, its implementation may face challenges due to the lack of adequate resources. In this study, the resource-based view will be adopted as a theoretical perspective to understand how the implementation of lean healthcare is linked to the acquisition, development, maintenance, and improvement of specific resources within a healthcare organization. The methodology used was a case study in a small-sized hospital that has initiatives focused on implementing lean practices. Data were collected through semi-structured interview, on-site observations, and document records to identify lean practices adopted, supporting resources, and to assess the value, versatility, and sustainability of the resources. Research findings demonstrated that the exploitation of resources such as training, reputation, information technology, customer service system, and planning and control was considered essential for the success of implementing lean healthcare in the studied hospital. These findings indicate that the continuous improvement of the lean healthcare system depends on management attention to the resources that support its implementation.
References
Graban, M. Lean hospitals – improving quality, patient safety, and employee satisfaction. New York: Taylor & Francis Group; 2009.
Lewis MA. Lean production and sustainable competitive advantage. International Journal of Operations & Production Management. 2000;20(8):959-978.
Netland TH.; Aspelund A. Company-specific production systems and competitive advantage. International Journal of Operations & Production Management. 2013;33(11/12): 1511–1531.
Collis DJ., Montgomery, Cynthia A. Competing on resources: Strategy in the 1990s. Harvard Business Review. 1995;73(4):118-128.
Silva ATC; Gohr, CF; Santos LC. A produção enxuta sob a perspectiva da visão baseada em recursos: um estudo em uma organização do setor calçadista, Gestão & Produção. 2019;26, (2):0.
Soliman M; Saurin, TA. Uma análise das barreiras e dificuldades em lean healthcare. Produção Online.2017;17, (2):620–640.
Womack JP.; Jones, DT. Lean thinking: banish waste and create wealth for your corporation. 2 ed. New York: Free Press; 2003.
Cudney EA.; Furterer SL.; Dietrich, DM. Lean systems – applications and case studies in manufacturing, service, and healthcare. New York: CRC Press,;2014.
Castaldi M; Sugano D; Kreps K; Cassidy A; Kaban J. Lean philosophy and the public hospital. Perioperative Care and Operating Room Management. 2016; 3, 25-28.
Barney JB.; Hesterly WS. Administração estratégica e vantagem competitiva: conceitos e casos. 5.ed. São Paulo: Pearson, 2017.
Kosiol J; Fraser L; Fitzgerald A; Radford K. Resource-based view: a new strategic perspective for public health service managers. Asia-Pacific Journal of Health Management. 2023; 18, (1):1-12.
Svejvig P; Schlichter BR. Resources, capabilities and public value creation in a healthcare IT project: an action research study. International Journal of Managing Projects in Business, 2021;14, (1):131–149.
Abreu A; Antonialli, LM. Aplicação da teoria RBV ao setor de serviços de saúde: uma revisão sistemática. Revista Eletrônica de Estratégia & Negócios. 2017;10(1):140-168.
Jayamaha NP.; Wagner JP; Grigg NP.; Campbell-Allen NM;; Harvie W. Testing a theoretical model underlying the ‘Toyota Way’ – an empirical study involving a large global sample of Toyota facilities. International Journal of Production Research. 2014;52(14):4332–4350.
Mills J; Platts K; Bourne M; Richards H. Competing through competences. Cambridge, UK: Cambridge University Press, 2002.
Eisenhardt KM. Building theories from case study research. Academy of Management Review. 1989;14(4):532-550.
Yin RK. Case study research: design and methods. 2 ed. Thousand Oaks: Sage, 1994.
Santos LC; Gohr CF; Cruz IKH; Cunha HS. Como dar suporte às estratégias de empresas hoteleiras? Uma análise segundo a visão baseada em recursos. Production,. 2015;25, (2):403-415.
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