Novosibirsk State Pedagogical University Bulletin, 2018, No.1, pp.239-254
UDC: 
614.2 + 338 + 316

Application of international experience in lean production within the concept of sustainable development of healthcare settings

Latuha O. A. 1 (Novosibirsk, Russian Federation)
1 Novosibirsk State Medical University, Novosibirsk, Russian Federation
Abstract: 

Introduction. The article presents a study on application of lean manufacturing (lean production) model to improve process and resource management of healthcare settings at the modern stage of healthcare development. The purpose of the article is to explore the application of lean manufacturing (lean production) model to solve problems of national health systems and sustainable development of healthcare settings on the basis of international experience, and to introduce the author's model of integration of lean production and the concept of sustainable development.
Materials and Methods. The research methods include General scientific methods of empirical and theoretical knowledge, General logical methods and techniques, methods of system analysis, comparisons and analogies, generalization, and the author’s socio-hygienic study of factors influencing sustainability of healthcare settings in modern conditions.
Results. The author identifies the major problems of healthcare industry in a range of countries, the solution of which lies in sustainable development. It is noted that the focus of researchers of health systems in different countries, is, on the one hand, on improving the quality of medical care to the population under the economical expenditure of funds and other resources, on the other hand, on the problem of ensuring the activities of healthcare settings aimed at achieving the maximum benefit from available financial, material and human resources. It is emphasized that technology of lean production and six Sigma (Lean Six Sigma (LSS)) is a widely used method for process improvement in spheres of production and services. The article analyses significant issues of using lean manufacturing model and six Sigma to achieve sustainability of healthcare settings and solve a number of problems of national health systems. The author presents the results of sociological and expert poll of managers, defining key directions for improving processes in healthcare settings to achieve sustainability of their development. The article introduces the author's approach to the integration of lean principles and the concept of sustainable development of healthcare settings.
Conclusions. The author concludes that introduction of certain principles of lean production can contribute to sustainable development of healthcare settings.

Keywords: 

Human resources management; Business management; Business process; Healthcare industry; Six-Sigma quality program; Sustainable development; Development strategy

References: 
  1. Aldowaisan T., Nourelfath M., Hassan J. Six Sigma performance for non-normal processes.  European Journal of Operational Research, 2015, vol. 247, issue 3, pp. 968–977. DOI: https://doi.org/10.1016/j.ejor.2015.06.036
  2. Alhuraish I., Robledo C., Kobi A. A comparative exploration of lean manufacturing and six sigma in terms of their critical success factors. Journal of Cleaner Production, 2017, vol. 164, pp. 325–337. DOI: https://doi.org/10.1016/j.jclepro.2017.06.146
  3. Amaratunga T., Dobranowski J. Systematic Review of the Application of Lean and Six Sigma Quality Improvement Methodologies in Radiology. Journal of the American College of Radiology, 2016, vol. 13, issue 9, pp. 1088–1095.e7. DOI: https://doi.org/10.1016/j.jacr.2016.02.033 
  4. Ashton T. Measuring health system performance: A new approach to accountability and quality improvement in New Zealand. Health Policy, 2015, vol. 119, issue 8, pp. 999–1004. DOI: https://doi.org/10.1016/j.healthpol.2015.04.012
  5. Azzopardi-Muscat N., Clemens T., Stoner D., Brand H. EU Country Specific Recommendations for health systems in the European Semester process: Trends, discourse and predictors. Health Policy, 2015, vol. 119, issue 3, pp. 375–383. DOI: https://doi.org/10.1016/j.healthpol.2015.01.007
  6. Backman Ch., Vanderloo S., Forster A. J. Measuring and improving quality in university hospitals in Canada: The Collaborative for Excellence in Healthcare Quality. Health Policy, 2016, vol. 120, issue 9, pp. 982–986. DOI: https://doi.org/10.1016/j.healthpol.2016.07.006
  7. Bramesfeld A., Wensing M., Bartels P., Bobzin H.,  Grenier C., Heugren M.,  Hirschfield D. J.,  Langenegger M.,  Lindelius B.,  Lucet B., Manor O.,  Schneider T.,  Wardell F., Szecsenyi J. Mandatory national quality improvement systems using indicators: An initial assessment in Europe and Israel. Health Policy, 2016, vol. 120, issue 11, pp. 1256–1269. DOI: https://doi.org/10.1016/j.healthpol.2016.09.019
  8. Cavicchi C., Vagnoni E. Does intellectual capital promote the shift of healthcare organizations towards sustainable development? Evidence from Italy. Journal of Cleaner Production, 2017, vol. 153, pp. 275–286. DOI: https://doi.org/10.1016/j.jclepro.2017.03.175
  9. Chakravorty S. S. Six Sigma programs: An implementation model. International Journal of Production Economics, 2009, vol. 119, issue 1, pp. 1–16. DOI: https://doi.org/10.1016/j.ijpe.2009.01.003
  10. Chen S., Fan S., Xiong J., Zhang W. The Design of JMP/SAP Based Six Sigma Management System and its Application in SMED. Procedia Engineering, 2017, vol. 174, pp. 416–424. DOI: https://doi.org/10.1016/j.proeng.2017.01.161
  11. Ciccone D. K., Vian T., Maurer L., Bradley E. H. Linking governance mechanisms to health outcomes: A review of the literature in low- and middle-income countries. Social Science & Medicine, 2014, vol. 117, pp. 86–95. DOI: https://doi.org/10.1016/j.socscimed.2014.07.010
  12. Costa T., Silva F. J. G., Ferreira L. P. Improve the extrusion process in tire production using Six Sigma methodology. Procedia Manufacturing, 2017, vol. 13, pp. 1104–1111. DOI: https://doi.org/10.1016/j.promfg.2017.09.171
  13. Genç N., İyigün N. Ö. The role of organizational learning and knowledge transfer in building strategic alliances: A case study. Procedia – Social and Behavioral Sciences, 2011, vol. 24, pp.  1124–1133. DOI: https://doi.org/10.1016/j.sbspro.2011.09.087
  14. Girdauskienė L., Savanevičienė A. Leadership role implementing knowledge transfer in creative organization: how does it work?. Procedia – Social and Behavioral Sciences, 2012, vol. 41, pp.  15–22. DOI: https://doi.org/10.1016/j.sbspro.2012.04.002
  15. Jairaman J., Sakiman Z., Li L. S. Sunway Medical Laboratory Quality Control Plans Based on Six Sigma, Risk Management and Uncertainty. Clinics in Laboratory Medicine, 2017, vol. 37, issue 1, pp. 163–176. DOI: https://doi.org/10.1016/j.cll.2016.09.013
  16. Jarrett J. E. Total quality management (TQM) movement in public health. International Journal of Quality & Reliability Management, 2016, vol. 33, no. 1, pp. 25–41. DOI: http://dx.doi.org/10.1108/IJQRM-12-2013-0193
  17. Juahi H., Ismail A., Mohamed S. B., Toriman M. E., Kassim A. Md., Zain S. Md., Ahmad W. K. W., Wah W. K., Zali M. A., Retnam A., Taib M. Z. M., Mokhtar M. Improving oil classification quality from oil spill fingerprint beyond six sigma approach. Marine Pollution Bulletin, 2017, vol. 120, issues 1–2, pp. 322–332. DOI: https://doi.org/10.1016/j.marpolbul.2017.04.032
  18. Luck J., Peabody J. W., DeMaria L. M., Alvarado C. S., Menon R. Patient and provider perspectives on quality and health system effectiveness in a transition economy: Evidence from Ukraine. Social Science & Medicine, 2014, vol. 114, pp. 57–65. DOI: https://doi.org/10.1016/j.socscimed.2014.05.034
  19. Marzagão D. S. L., Carvalho M. M. Critical success factors for Six Sigma projects International. Journal of Project Management, 2016, vol. 34, issue 8, pp. 1505–1518. DOI: https://doi.org/10.1016/j.ijproman.2016.08.005
  20. Mehrabi J. Application of Six-Sigma in Educational Quality Management. Procedia – Social and Behavioral Sciences, 2012, vol. 47, pp. 1358–1362. DOI: https://doi.org/10.1016/j.sbspro.2012.06.826
  21. Mehregan M. R., Jamporazmey M., Hosseinzadeh M., Kazemi A. An integrated approach of critical success factors (CSFs) and grey relational analysis for ranking KM systems. Procedia – Social and Behavioral Sciences, 2012, vol. 41, pp. 402–409. DOI: https://doi.org/10.1016/j.sbspro.2012.04.048
  22. Nawaz W., Koç M. Development of a systematic framework for sustainability management of organizations. Journal of Cleaner Production, 2018, vol. 171, pp. 1255–1274. DOI: https://doi.org/10.1016/j.jclepro.2017.10.011
  23. Nuti S., Seghieri C. Is variation management included in regional healthcare governance systems? Some proposals from Italy. Health Policy, 2014, vol. 114, issue 1, pp. 71–78. DOI: https://doi.org/10.1016/j.healthpol.2013.08.003
  24. Papanicolas I., Kringos D., Klazinga N. S., Smith P. C. Health system performance comparison: New directions in research and policy. Health Policy, 2013, vol. 112, issues 1–2, pp. 1–3. DOI: https://doi.org/10.1016/j.healthpol.2013.07.018
  25. Schalock R. L., Verdugo M., Lee T. A systematic approach to an organization’s sustainability. Evaluation and Program Planning, 2016, vol. 56, pp. 56–63. DOI: https://doi.org/10.1016/j.evalprogplan.2016.03.005
  26. Serapioni M., Matos A. R. Citizen participation and discontent in three Southern European health systems. Social Science & Medicine, 2014, vol. 123, pp. 226–233. DOI: https://doi.org/10.1016/j.socscimed.2014.06.006
  27. Singh A. K., Khanduja D. Defining Quality Management in Auto Sector: A Six-sigma Perception. Procedia Materials Science, 2014, vol. 5, pp. 2645–2653. DOI: https://doi.org/10.1016/j.mspro.2014.07.526
  28. Slack C. W., Slack W. V. The United Countries of America: Benchmarking the Quality of US Health Care. Mayo Clinic Proceedings, 2011, vol. 86, issue 8, pp. 788–790. DOI: http://dx.doi.org/10.4065/mcp.2011.0311
  29. Tagge E. P., Thirumoorthi A. S., Lenart J., Garberoglio C., Mitchell K. W. Improving operating room efficiency in academic children's hospital using Lean Six Sigma methodology. Journal of Pediatric Surgery, 2017, vol. 52, issue 6, pp. 1040–1044. DOI: https://doi.org/10.1016/j.jpedsurg.2017.03.035
  30. van Mosseveld C., Hernández-Peña P., Arán D., Cherilova V., Mataria A. How to ensure quality of health accounts. Health Policy, 2016, vol. 120, issue 5, pp. 544–551. DOI: https://doi.org/10.1016/j.healthpol.2016.03.009
  31. Vecchio M. D., Fenech L., Prenestini A. Private health care expenditure and quality in Beveridge systems: Cross-regional differences in the Italian NHS. Health Policy, 2015, vol. 119, issue 3, pp.  356–366. DOI: https://doi.org/10.1016/j.healthpol.2014.10.014
  32. Westgard J. O., Westgard S. A. Six Sigma Quality Management System and Design of Risk-based Statistical Quality Control. Clinics in Laboratory Medicine, 2017, vol. 37, issue 1, pp. 85–96. DOI: https://doi.org/10.1016/j.cll.2016.09.008
  33. Zu X., Fredendall L. D., Douglas T. J. The evolving theory of quality management: The role of Six Sigma. Journal of Operations Management, 2008, vol. 26, issue 5, pp. 630–650. DOI: https://doi.org/10.1016/j.jom.2008.02.001
  34. Artemyev S. A., Ilin S. N. Lean Technology Will Come To All. Successful Experience of Introduction. Deputy Chief Physician, 2017, no. 6, pp. 14–23. (In Russian) https://elibrary.ru/item.asp?id=29207601
  35. Burykin I. M., Khafiz'yanova R. H., Aleeva G. N. The Possibility of Using the Approach of "Lean Manufacturing" (Lean Production) in Medicine. Health is the Basis of Human Potential: Problems and Ways of their Solution, 2012, vol. 7, no. 2, pp. 840–841. (In Russian) https://elibrary.ru/item.asp?id=21729513
  36. Murashko M. A., Sharikadze D. T., Kondratyev Yu. A. Modern approaches to the quality of medical care. ORGSTR: News, Opinions, Training, 2016, no. 2, pp. 37–42. (In Russian) https://elibrary.ru/item.asp?id=26588207
  37. Starodubov V. I., Ulumbekova G. E.  Healthcare in Russia: development scenarios. ORGSTR: News, Opinions, Training, 2015, no. 2, pp. 34–47. (In Russian) https://elibrary.ru/item.asp?id=26160076
  38. Shapovalova M. A., Bondarev V. A., Koretskaya L. R.  Lean Medicine As A Lean Manufacturing Branch Variant. Chief physician: Economy and law, 2015, no. 5, pp. 24–29. (In Russian) https://elibrary.ru/item.asp?id=24872235
Date of the publication 28.02.2018