Application of lean Management Principles in Hospitals in Slovakia

IF 0.2 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
N. Jankelova, M. Belovicova, S. Moricova, M. Mucska
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Abstract

Introduction: Healthcare worldwide is struggling with many problems that have been escalated by the Covid-19 pandemic and the military conflict in Ukraine. The gap between the possibilities and the needs in the provision of health services is opening more and more. Therefore, it is necessary to look for ways to streamline processes at the level of the hospitals themselves and their management. Research aim and objectives: The aim of the research was to examine the mutual connections between the use of lean management principles and the ratings of hospitals in the Slovak Republic and to identify the influence of external and internal factors in this relationship. The sample consisted of 175 managers from 35 hospitals. Methods: To verify the hypotheses, the SEM method was used in the Smart Pls 3.3 software at a significance level of 0.05. Results: We discovered that there is a statistically significant connection between the use of lean principles and hospital ratings. If other variables enter the model, the overall effect of the mentioned variables is significantly increased. The stakeholder demands variable has a significant mediating effect (β = 0.470; p=0.000). The social lean climate variable has a lower indirect effect in the Slovak environment (β = 0.291; p=0.000). Conclusion: Our research shows the unequivocal importance of applying the principles of lean management in healthcare. There is ever-increasing pressure to increase quality and improve process efficiency from various stakeholders as well as pressure from within hospitals.
精益管理原则在斯洛伐克医院的应用
导言:世界范围内的医疗保健正在与许多问题作斗争,而 Covid-19 大流行病和乌克兰的军事冲突又加剧了这些问题。提供医疗服务的可能性与需求之间的差距越来越大。因此,有必要在医院本身及其管理层面寻找简化流程的方法。研究目的和目标:研究的目的是考察精益管理原则的使用与斯洛伐克共和国医院评级之间的相互联系,并确定外部和内部因素在这种关系中的影响。样本包括来自 35 家医院的 175 名管理人员。研究方法为验证假设,在 Smart Pls 3.3 软件中使用了 SEM 方法,显著性水平为 0.05。结果我们发现,精益原则的使用与医院评级之间存在显著的统计学联系。如果其他变量进入模型,上述变量的整体效应会显著增加。利益相关者需求变量具有显著的中介效应(β = 0.470; p=0.000)。在斯洛伐克环境中,社会精益氛围变量的间接效应较低(β = 0.291; p=0.000)。结论我们的研究表明,在医疗保健领域应用精益管理原则的重要性不言而喻。来自各利益相关方以及医院内部的提高质量和改善流程效率的压力与日俱增。
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来源期刊
Clinical Social Work and Health Intervention
Clinical Social Work and Health Intervention PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
自引率
50.00%
发文量
64
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