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Dissemination strategy for Lean thinking in health care
Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Hälsouniversitetet. (Division of Community Medicine (SAM))
Linköpings universitet, Institutionen för ekonomisk och industriell utveckling, Kvalitetsteknik. Linköpings universitet, Tekniska högskolan. (Quality Technology & Management)ORCID-id: 0000-0003-4040-8302
Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Hälsouniversitetet. (Division of Community Medicine (SAM))ORCID-id: 0000-0001-6434-4855
2014 (engelsk)Inngår i: International Journal of Health Care Quality Assurance, ISSN 0952-6862, E-ISSN 1758-6542, Vol. 27, nr 5, s. 391-404Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Purpose – The purpose of this paper is to contribute to knowledge about dissemination strategies for Lean thinking throughout multiple healthcare organisations.

Design/methodology/approach – The Östergötland county council, Sweden (CCÖ ) was chosenas a case study for an healthcare Lean-thinking dissemination strategies. Document analysis and interviews were used and results were compared with similar strategies employed by staff at the National Health Service Institute for Innovation (NHSI) and improvement in Great Britain and the Odense University Hospital in Denmark.

Findings – The Lean improvement programme was introduced to tackle challenges such as anageing society, rising care expectations and budgetary and economic constraints. It was designedas a long-term programme to create added value for patients and employee involvement. The dissemination strategy was: forming clear visions and objectives; piloting; training potential adopters; and formal dissemination. The CCÖ strategy was focused primarily on managers and was not meant to involve all staff until the implementation stage. Staff at the NHS attempted to address nurses’ needs during dissemination, which questioned whether the CCÖ managers’ dissemination strategy is sustainable.

Practical implications – This paper inspires healthcare managers and decision makers who aim to disseminate Lean production in their organisations.

Originality/value – There are many case studies describing Lean implementation in single healthcare organisations, but little is known about effective dissemination and implementation strategies in large healthcare systems. The authors, therefore, suggest activities for developing and implementing dissemination strategies in multiple healthcare organisations.

sted, utgiver, år, opplag, sider
2014. Vol. 27, nr 5, s. 391-404
Emneord [en]
Lean production, Dissemination strategy, Implementation approach
HSV kategori
Identifikatorer
URN: urn:nbn:se:liu:diva-113703PubMedID: 25087337OAI: oai:DiVA.org:liu-113703DiVA, id: diva2:784330
Tilgjengelig fra: 2015-01-29 Laget: 2015-01-29 Sist oppdatert: 2018-08-14

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