The use of lean methodology in healthcare settings in developing countries: a narrative review

Author:

Kelendar Hisham1,Faisal Muhammad1,McIntosh Bryan2,Mohammed Mohammed A1

Affiliation:

1. Faculty of Health Studies, University of Bradford, Bradford, UK

2. York St John University, York, UK

Abstract

A substantial amount of literature describes the use of lean methodology in healthcare settings in developed countries, but less is known about its use in developing countries. Studies published between January 2000 and April 2018 describing the use of lean methodology in healthcare settings in developing countries were systematically searched, retrieved and reviewed across eight electronic databases. A total of fourteen studies met the inclusion criteria. The earliest study was published in 2014. Lean was mostly used to improve efficiency (n=10) and eliminate waste in hospitals (n=13). The most common tool used was value stream mapping (n=12). Half of the studies mentioned leadership, but no study reported value from the patients' viewpoints. This review found that lean tools have been used relatively recently in healthcare, mostly in hospitals and with varying emphasis on leadership and the wider lean methodology. Those studies involved staff but not patients, did not report costs and their reported successes were not rigorously evaluated.

Publisher

Mark Allen Group

Subject

Health Policy,Leadership and Management

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