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Sustainable Lean in psychiatry? Assessment through socio-technical principles.
- Source :
- International Journal of Quality & Service Sciences; 2016, Vol. 8 Issue 1, p53-71, 19p
- Publication Year :
- 2016
-
Abstract
- Purpose – This paper aims to identify conditions affecting sustainability of Lean implementations in Swedish psychiatric healthcare, from a socio-technical perspective. Design/methodology/approach – Longitudinal focus group interviews were conducted with 24 first-line managers within Swedish psychiatric healthcare. The analysis was made using Cherns’ ten socio-technical principles and a framework for sustainable development work in healthcare. Findings – The most critical socio-technical principles for a sustainable Lean implementation were boundary location; power and authority; and compatibility. At hospital level, socio-technical principles were inhibited by the weak ownership of the Lean implementation. However, strong ownership at division level meant the same principles were supported. Unclear goals made follow-ups difficult which had negative effects on the learning processes in the Lean implementation. The role and responsibility of first-line managers were unclear in that they perceived they lacked power and authority resulting in negative effects on the participation – an important sustainability concept. Originality/value – Empirically based papers assessing Lean implementations in psychiatry are rare. This study is a contribution to the research area of sustainable Lean implementations in healthcare. The practical implication of this study is that decision makers, senior managers, first-line managers and psychiatrists can be supported in reaching sustainable implementations of Lean. [ABSTRACT FROM AUTHOR]
- Subjects :
- PSYCHIATRIC research
MEDICAL care
LEAN management
Subjects
Details
- Language :
- English
- ISSN :
- 1756669X
- Volume :
- 8
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- International Journal of Quality & Service Sciences
- Publication Type :
- Academic Journal
- Accession number :
- 113832544
- Full Text :
- https://doi.org/10.1108/IJQSS-07-2015-0056