采用SAE J4000/2021标准评估巴西医院的精益成熟度

IF 3.8 Q2 MANAGEMENT

TQM Journal Pub Date : 2023-08-15 DOI:10.1108/tqm-01-2023-0023

J. Fernandes, L. Reis, Raphael Mansk

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引用次数: 0

摘要

目的本研究旨在验证一个基于SAE J4000/2021标准的评估巴西医院精益成熟度水平的模型。设计/方法论/方法论方法论分为：（1）使标准适应健康环境，（2）通过调查应用问卷，以及（3）比较标准成熟度和聚类技术的结果，使用Minitab.Findings该研究提供了两个贡献：（1）基于SAE J4000/2021评估精益成熟度水平的模型的验证；（2）深入了解巴西医院的成熟程度。据观察，只有10%的样本被分类为成熟度级别3，75%被分类为级别2。与其他医院相比，私立和大型医院表现出更大的成熟度。研究限制/影响这包括参与调查的医院数量有限，因为在新冠肺炎大流行期间，很难遵守医院的时间和人员限制。实际含义本文提出了一个精益成熟度评估建议，使汽车行业的统一标准适应健康环境。深入了解巴西医院的精益成熟度有助于制定政策，鼓励针对每个特定环境实施精益理念。社会影响本研究为有兴趣通过SAE J4000/2021标准监测医院指标质量的公共机构提供了指南。通过这种精益成熟度分析，医院管理者可以了解他们在人力和组织方面的改进机会。这有利于改善向依赖卫生服务的社会提供的服务。原创性/价值由于缺乏在巴西医院验证精益成熟度水平评估模型的研究，本研究可以被视为巴西研究的先驱，通过在健康背景下验证SAE J4000/2021标准的更新版本。

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An adaptation of the SAE J4000/2021 standard for assessing lean maturity in Brazilian hospitals

PurposeThis study aims to validate a model to assess the level of lean maturity of Brazilian hospitals based on the adaptation of the SAE J4000/2021 standard.Design/methodology/approachThe methodology was divided: (1) adaptation of the standard to the health context, (2) application of the questionnaire through a survey, and (3) comparison of the results of the level of maturity in the standard and by the clustering technique, using Minitab.FindingsThe research presents two contributions: (1) validation of a model to assess the level of lean maturity based on the SAE J4000/2021; (2) insights into the level of maturity of Brazilian hospitals. It was observed that only 10% of the sample was classified at maturity level 3 and 75% at level 2. Private and large hospitals showed greater maturity compared to the others.Research limitations/implicationsThis includes the limited number of hospitals that participated in the survey, given the difficulty of adherence to due constraints of time and staffing from hospitals, during the COVID-19 pandemic.Practical implicationsThis article presents a lean maturity assessment proposal, adapting a consolidated standard in the automobile industry to the health context. Insights on the lean maturity of Brazilian hospitals can contribute to the development of policies to encourage the implementation of the lean philosophy directed to each specific environment.Social implicationsThis study serves as a guide for public agents interested in monitoring the quality of hospital indicators through the SAE J4000/2021 standard. From this lean maturity analysis, hospital managers can understand their opportunities for improvement in both human and organizational aspects. This favors the improvement of service delivery to society that depends on health services.Originality/valueDue to the lack of research that validates lean maturity level assessment models in Brazilian hospitals, this study can be considered a pioneer in this Brazilian research by validating the SAE J4000/2021 standard in its updated version in the health context.

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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.