Lean implementation in healthcare: offsetting Physicians’ resistance to change

IF 6.1 3区管理学 Q1 ENGINEERING, INDUSTRIAL

Production Planning & Control Pub Date : 2021-06-18 DOI:10.1080/09537287.2021.1938730

P. Fournier, M.-H. Jobin, L. Lapointe, Lionel Bahl

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引用次数: 9

Abstract

Abstract Physicians’ resistance towards Lean is often viewed as an important barrier to its successful implementation in healthcare organisations. However, there exists a dearth of knowledge regarding what influences reactions from physicians towards Lean and what organisations can do about it. This study adopts a behavioural perspective and focuses on the triggers of physicians’ resistance towards Lean. Using longitudinal qualitative data from multiple case studies of Canadian hospitals, 15 behavioural triggers are identified. A cross-case analysis reveals that core-technical and efficiency-driven changes clash with medical professionalism and generate active resistance from physicians, while leadership and familiarity with Lean are linked to championing behaviours that mitigate it. This study provides a deeper understanding of physicians’ behaviours during Lean transformations and the factors that drive resistance. It also provides insight into how organisations can better engage their medical staff in their Lean efforts by focussing on the process of change to offset resistance.

查看原文本刊更多论文

医疗保健中的精益实施:抵消医生对变革的抵制

医生对精益的抵制往往被视为其在医疗机构成功实施的重要障碍。然而，关于是什么影响医生对精益的反应以及组织可以做些什么方面的知识缺乏。本研究采用行为学视角，关注医生对精益的抗拒的触发因素。利用来自加拿大医院多个案例研究的纵向定性数据，确定了15种行为触发因素。一项跨案例分析显示，核心技术和效率驱动的变革与医疗专业精神相冲突，并引起医生的积极抵制，而领导力和对精益的熟悉程度则与缓解这种冲突的倡导行为有关。本研究提供了一个更深入的了解医生的行为在精益转型和驱动阻力的因素。它还提供了关于组织如何通过关注变革过程来抵消阻力，从而更好地让医务人员参与精益工作的见解。

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

Production Planning & Control 管理科学-工程：工业

CiteScore

19.30

自引率

9.60%

发文量

审稿时长

6-12 weeks

期刊介绍： Production Planning & Control is an international journal that focuses on research papers concerning operations management across industries. It emphasizes research originating from industrial needs that can provide guidance to managers and future researchers. Papers accepted by "Production Planning & Control" should address emerging industrial needs, clearly outlining the nature of the industrial problem. Any suitable research methods may be employed, and each paper should justify the method used. Case studies illustrating international significance are encouraged. Authors are encouraged to relate their work to existing knowledge in the field, particularly regarding its implications for management practice and future research agendas.