Empirical analysis of Lean Six Sigma implementation barriers in healthcare sector using fuzzy DEMATEL approach: an Indian perspective

IF 3.8 Q2 MANAGEMENT

TQM Journal Pub Date : 2022-12-30 DOI:10.1108/tqm-05-2022-0152

Mahipal Singh, R. Rathi, Ajay Jaiswal, Shah Dhyey Manishbhai, Shaptarshi Sen Gupta, A. Dewangan

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引用次数: 0

Abstract

PurposeThe present study aims to explore the barriers to Lean Six Sigma (LSS) implementation in the healthcare sector and develop the ranking of finalized barriers using the Decision-Making Trial and Evaluation Laboratory (DEMATEL) approach under a fuzzy environment.Design/methodology/approachThe LSS barriers are identified through the literature review and validated by the expert's opinion and statistical analysis. A total of 124 experts were identified through the purposive sampling method for conducting this study. A questionnaire survey method is used to collect the data related to identified LSS barriers in the healthcare sector. The screened barriers are ranked through the Fuzzy DEMATEL approach.FindingsIn this study, a total of 21 barriers were identified with the help of a systematic literature review and screened 13 significant barriers by the expert opinions of healthcare personnel. The result reveals that “Lack of top management commitment and support, lack of awareness about LSS”, “resistance to culture change and inadequate resources emerges as the most critical barriers”. The prioritization of barriers facilitates the managers to make effective policies and guidelines for LSS implementation in healthcare organizations.Practical implicationsTo avoid LSS implementation failure, the practitioners and researchers need to focus on LSS barriers as per suggested ranking more conventionally and make plans and adoption policies accordingly.Originality/valueThis study is unique in terms of investigation and empirical analysis of LSS implementation barriers in the healthcare sector in the Indian context. The outcomes of the present study will help the managers of healthcare organizations to make the strategies and policies for LSS implementation as per the recommended LSS barriers.

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利用模糊DEMATEL方法对医疗保健行业精益六西格玛实施障碍的实证分析:印度视角

目的本研究旨在探索医疗保健部门实施精益六西格玛（LSS）的障碍，并在模糊环境下使用决策试验和评估实验室（DEMATEL）方法对最终障碍进行排名。设计/方法/方法通过文献综述确定LSS障碍，并通过专家意见和统计分析进行验证。通过有目的的抽样方法，共确定了124名专家进行这项研究。问卷调查方法用于收集与医疗保健部门中已确定的LSS障碍相关的数据。筛选出的障碍物通过模糊DEMATEL方法进行排名。研究结果在本研究中，通过系统的文献综述，共确定了21个障碍，并根据医护人员的专家意见筛选出13个重要障碍。结果表明，“缺乏最高管理层的承诺和支持，缺乏对LSS的认识”，“对文化变革的抵制和资源不足成为最关键的障碍”。障碍的优先顺序有助于管理者为医疗保健组织中的LSS实施制定有效的政策和指导方针。实际含义为了避免LSS实施失败，从业者和研究人员需要根据建议的排名更传统地关注LSS障碍，并制定相应的计划和采用政策。独创性/价值这项研究在印度医疗保健部门LSS实施障碍的调查和实证分析方面是独一无二的。本研究的结果将有助于医疗保健组织的管理者根据建议的LSS障碍制定LSS实施的战略和政策。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

TQM Journal Business, Management and Accounting-Business, Management and Accounting (all)

CiteScore

9.10

自引率

0.00%

发文量

114

期刊介绍： Commitment to quality is essential if companies are to succeed in a commercial environment which will be virtually unrecognizable in less than a decade. Changing attitudes, changing perspectives and changing priorities will revolutionise the structure and philosophy of future business practice - and TQM will be at the heart of that metamorphosis. All aspects of preparing for, developing, introducing, managing and evaluating TQM initiatives.