Lean technologies in healthcare: current state of affairs and future opportunities in Russia. Analytical review

• Ilya V. Potapov
• Dmitrii A. Ovchinnikov
• Alexandra O. Konradi

Abstract

Despite the fact that Lean interventions in healthcare are actively supported by the Russian government and arouse keen interest among healthcare management specialists, in regard to scientific and expert assessment of effectiveness of the measures being carried out there's still a lot of nuances that remain poorly investigated. The main aim of the present review is to analyze the lean technologies' current status within the scientific discourse and with respect to introduction into medical organizations.

Methods. An analysis of literature sources was conducted among publications up to 2019. Full-text analysis was used to reveal existing trends among relevant literature and to determine methods and instruments of lean technologies most commonly implemented in Russian medical organizations.

Results. From 2011 to 2019 the amount of relevant publications has been significantly growing, with particularly substantial increase after the year of 2016 (which was the year when the "Lean polyclinic" project was introduced). 46% of sources are theoretic, 54% are empirical. Most of the empirical studies report an introduction of the lean technologies into outpatient clinics, inpatient wards are described in 5% of studies; besides, some other units are found, for example: dental clinics, blood donation centers trauma centers and emergency rooms.

Among analytical instruments being used most popular are value stream mapping (described in 43% of studies), followed by timing (38%), questionnaires (26%). Among implementation instruments 5S system is prevalent (38%), as well as solutions provided by "Lean polyclinic" project (50%).

Keywords:lean polyclinic, lean healthcare, "Lean polyclinic" project, lean medicine, lean manufacturing, Lean Six Sigma, the new model of polyclinic, scientific organization of labor, priority project

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