目标:本文的目的是确定在医疗保健供应链中应用的精益生产(LP)实践以及与其实施相关的现有障碍。
方法:要实现这一目标,进行了范围审查,以巩固主要做法和障碍,并根据不同的理论镜头证明研究差距和方向。
结果:研究结果表明,在医疗保健供应链中实施LP实践的潜力存在共识,但是大多数研究仍然报告这种实施仅限于医院内的特定单位或价值流。
结论:医疗保健组织不断面临降低成本和浪费的压力,同时改善服务和患者安全。Further,它的供应链通常提供了巨大的改进机会,在降低成本和提高护理质量方面。在这个意义上,LP实践和原则的适应已在医疗保健中被广泛接受。然而,研究表明,大多数实现都远远达不到目标,因为它们是以零散的方式完成的,而不是从全系统的角度来看。
OBJECTIVE: The purpose of this paper is to identify the lean production (LP) practices applied in healthcare supply chain and the existing barriers related to their implementation.
METHODS: To achieve that, a scoping review was carried out in order to consolidate the main practices and barriers, and also to evidence research gaps and directions according to different theoretical lenses.
RESULTS: The findings show that there is a consensus on the potential of LP practices implementation in healthcare supply chain, but most studies still report such implementation restricted to specific unit or value stream within a hospital.
CONCLUSIONS: Healthcare organizations are under constant pressure to reduce costs and wastes, while improving services and patient safety. Further, its supply chain usually presents great opportunities for improvement, both in terms of cost reduction and quality of care increase. In this sense, the adaptation of LP practices and principles has been widely accepted in healthcare. However, studies show that most implementations fall far short from their goals because they are done in a fragmented way, and not from a system-wide perspective.