在波兰的医疗保健系统实施精益管理的能力-公众咨询的结果。

IF 0.8 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Medycyna pracy Pub Date : 2023-03-08 DOI:10.13075/mp.5893.01303
Małgorzata Chmielewska, Renata Lotek-Waćkowska, Stanisław Brzozowski, Zbigniew Tytko, Kinga Dziok-Dmowska, Tomasz Hermanowski
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引用次数: 0

摘要

背景:精益医疗管理是医疗机构流程管理的一种创新方法。尽管精益原则在世界范围内被越来越多地认可为提高组织绩效、改善护理质量和遏制浪费的工具,但精益方法在一些国家很难实施。本研究旨在确定波兰医疗保健系统实施精益的促进因素和障碍。材料和方法:在波兰医疗保健系统的318名利益相关者团体代表中举行了公众咨询。数据收集使用有效的自我管理问卷。采用IBM SPSS Statistics 25软件进行统计学分析。结果:研究显示,很大一部分受访者认为利益相关者对工作实践中存在的组织缺陷的认识可以极大地促进精益在波兰医疗保健系统中的实施(50.9%,p < 0.05)。部署精益的主要障碍包括缺乏对精益方法论及其好处的认识(76.1%,p < 0.001);机构支持不足(43.7%),以及缺乏精益解决方案的资金(32.4%)。结论:医疗保健专业人员在最新的医疗保健过程管理解决方案方面的医学课程和教育计划的差距应该得到解决,以提高与精益专家合作的好处的认识,并积极参与应用“精益”思想来提高医疗保健组织绩效。决策者也有必要意识到现代流程管理在医疗保健中的好处,并支持其实施。中国生物医学工程学报,2013;31(1):1-8。
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The capacity to implement Lean Management in the healthcare system in Poland - results of a public consultation.

Background: Lean healthcare management is an innovative approach to process management in healthcare organizations. Despite that the Lean principles have been increasingly recognized worldwide as a tool to boost organizational performance, improve the quality of care and curb waste, the Lean methodology can be difficult to implement in some countries. This study seeks to identify the facilitators of and barriers to the implementation of Lean in the healthcare system in Poland.

Material and methods: A public consultation was held among 318 representatives of stakeholder groups in the healthcare system in Poland. Data was collected using validated self-administered questionnaires. Statistical analysis was performed using the IBM SPSS Statistics 25 software.

Results: The study revealed that a large share of respondents believed that the awareness of the existing organizational deficiencies in work practices among stakeholders can greatly facilitate the implementation of Lean in the healthcare system in Poland (50.9%, p < 0.05). The main barriers to the deployment of Lean include lack of awareness of the Lean methodology and its benefits (76.1%, p < 0.001); insufficient institutional support (43.7%), and lack of funding for Lean solutions (32.4%).

Conclusions: Gaps in the medical curricula and education programs for healthcare professionals concerning the latest process management solutions in healthcare should be addressed in order to raise awareness of the benefits of cooperation with and the active involvement of Lean experts in applying "lean" ideas to improve the organizational performance in healthcare. It is also necessary for policy makers to be aware of the benefits of contemporary process management in healthcare and to support its implementation. Med Pr. 2023;74(1):1-8.

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来源期刊
Medycyna pracy
Medycyna pracy PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
1.90
自引率
10.00%
发文量
35
审稿时长
6-12 weeks
期刊介绍: The journal publishes original papers, review papers and case studies in Polish and English. The subject matter of the articles includes occupational pathology, physical, chemical and biological agents at workplace, toxicology, mutagenesis, health policy, health management, health care, epidemiology, etc. The magazine also includes reports from national and international scientific conferences on occupational medicine. It also contains letters to the editor. Each first-in-year issue of the magazine comprises former-year indices of authors and keywords.
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