UMA ANÁLISE QUALITATIVA A PARTIR DO MÉTODO DELPHI DAS PRÁTICAS ENXUTAS E FATORES CRÍTICOS PARA IMPLEMENTAÇÃO DO LEAN HEALTHCARE.

Lean healthcare (LH) is emerging as a reference for health care management as it can increase efficiency. However, LH is often misunderstood and has its application mainly directed to lean practices (LPs) without considering the specific context of health organization. Thus, the understanding of the critical factors (CFs) for lean implementation of LH deserves greater attention. Despite the amount of studies on LPs and CFs, evidence dealing with the understanding of their relationship are scarce in the literature. Thus, this study aims to understand the relationships between LPs and CFs for the implementation of LH. From a literature consolidation related to LPs and FCs, it was possible to identify the level of relationship between the two using the Delphi method. This identification allowed the establishment of a direction to adopt the LPs in health care, since it was established a ranking of the considered most important practices for the implementation of LH from the identified critical factors. It also contributes theoretically to increase the existing body of knowledge in LH, providing a theoretical model that addresses the PEs from the perspective of other aspects of the organization. The LPs considered most important for the implementation of LH from the identified critical factors were: kaizen, problem solving methodology, visual management, cross-functional teams and education / training. [ABSTRACT FROM AUTHOR]