Lean Six Sigma and quality performance in Italian public and private hospitals: a gender perspective

IF 2.7 Q2 MANAGEMENT
Maria Vincenza Ciasullo, Alexander Douglas, Emilia Romeo, Nicola Capolupo
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引用次数: 1

Abstract

Purpose Lean Six Sigma in public and private healthcare organisations has received considerable attention over the last decade. Nevertheless, such process improvement methodologies are not generalizable, and their effective implementation relies on contextual variables. The purpose of this study is to explore the readiness of Italian hospitals for Lean Six Sigma and Quality Performance Improvement (LSS&QPI), with a focus on gender differences. Design/methodology/approach A survey comprising 441 healthcare professionals from public and private hospitals was conducted. Multivariate analysis of variance was used to determine the mean scores on the LSS&QPI dimensions based on hospital type, gender and their interaction. Findings The results showed that public healthcare professional are more aware of quality performance improvement initiatives than private healthcare professionals. Moreover, gender differences emerged according to the type of hospital, with higher awareness for men than women in public hospitals, whereas for private hospitals the opposite was true. Research limitations/implications This study contributes to the Lean Six Sigma literature by focusing on the holistic assessment of LSS&QPI implementation. Practical implications This study informs healthcare managers about the revolution within healthcare organisations, especially public ones. Healthcare managers should spend time understanding Lean Six Sigma as a strategic orientation to promote the “lean hospital”, improving processes and fostering patient-centredness. Originality/value This is a preliminary study focussing on analysing inter-relationship between perceived importance of soft readiness factors such as gender dynamics as a missing jigsaw in the current literature. In addition, the research advances a holistic assessment of LSS&QPI, which sets it apart from the studies on single initiatives that have been documented to date.
精益六西格玛与意大利公立和私立医院的质量绩效:性别视角
在过去的十年里,精益六西格玛在公共和私人医疗保健组织受到了相当大的关注。然而,这样的过程改进方法是不可推广的,它们的有效实现依赖于上下文变量。本研究的目的是探讨意大利医院对精益六西格玛和质量绩效改进(LSS&QPI)的准备情况,重点关注性别差异。设计/方法/方法进行了一项调查,共有441名来自公立和私立医院的医护专业人员参与。采用多变量方差分析来确定基于医院类型、性别及其相互作用的LSS&QPI维度的平均得分。结果发现公立医疗保健专业人员比私立医疗保健专业人员更了解质量绩效改进措施。此外,根据医院的类型,也出现了性别差异,在公立医院,男性的认识高于女性,而在私立医院,情况正好相反。本研究通过对lss&&; QPI实施的整体评估,为精益六西格玛文献做出了贡献。实际意义本研究告知医疗保健管理人员关于医疗保健组织内的革命,特别是公共机构。医疗管理人员应该花时间了解精益六西格玛作为促进“精益医院”的战略方向,改进流程和培养以患者为中心。原创性/价值这是一项初步研究,重点分析软准备因素(如性别动态)的感知重要性之间的相互关系,这是当前文献中缺失的拼图。此外,该研究推进了lssqpi的整体评估,这将其与迄今为止已记录的单一倡议的研究区分开来。
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来源期刊
CiteScore
5.60
自引率
12.00%
发文量
53
期刊介绍: In today''s competitive business and industrial environment, it is essential to have an academic journal offering the most current theoretical knowledge on quality and reliability to ensure that top management is fully conversant with new thinking, techniques and developments in the field. The International Journal of Quality & Reliability Management (IJQRM) deals with all aspects of business improvements and with all aspects of manufacturing and services, from the training of (senior) managers, to innovations in organising and processing to raise standards of product and service quality. It is this unique blend of theoretical knowledge and managerial relevance that makes IJQRM a valuable resource for managers striving for higher standards.Coverage includes: -Reliability, availability & maintenance -Gauging, calibration & measurement -Life cycle costing & sustainability -Reliability Management of Systems -Service Quality -Green Marketing -Product liability -Product testing techniques & systems -Quality function deployment -Reliability & quality education & training -Productivity improvement -Performance improvement -(Regulatory) standards for quality & Quality Awards -Statistical process control -System modelling -Teamwork -Quality data & datamining
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