Lean technology principles improve management of medical organizations
To develop a process model and an algorithm for managing the development of medical organizations. Material and Methods. We enrolled 94 medical organizations of primary healthcare which employed the five key principles of lean technology. Patient satisfaction as well as accessibility and quality of...
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| Format: | Article |
| Language: | Russian |
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Kemerovo State Medical University
2021-03-01
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| Series: | Фундаментальная и клиническая медицина |
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| Online Access: | https://fcm.kemsmu.ru/jour/article/view/367 |
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| author | G. N. Tsarik G. L. Rytenkova T. Yu. Gracheva |
| author_facet | G. N. Tsarik G. L. Rytenkova T. Yu. Gracheva |
| author_sort | G. N. Tsarik |
| collection | DOAJ |
| description | To develop a process model and an algorithm for managing the development of medical organizations. Material and Methods. We enrolled 94 medical organizations of primary healthcare which employed the five key principles of lean technology. Patient satisfaction as well as accessibility and quality of medical care were measured by direct observation and assessing duration of the healthcare procedures. Both patients and medical staff filled a specially designed questionnaire. The study included 610 patients, 460 physicians and 430 paramedical workers. Process model of medical organizations was developed using official records and system analysis. To develop an algorithm for managing medical organizations, we stratifed the priorities and suggested an improvement pipeline. Results. The implementation of the lean technology principles reduced the duration of the pediatric checkup (from 14.1 to 1.0 days, p = 0.001), adult medical checkup (from 8.0 to 3.0 days, p = 0.002), room waiting time for the vaccination procedure (from 117.0 to 45.3 minutes, p = 0.001), and room waiting time for the routine medical procedures (120.5 to 15.5 minutes, p = 0.001). Further, it increased the patient satisfaction rate regarding the register office (from 45.2% to 87.3%, p = 0.001) and decreased the equipment downtime in physiotherapy departments (from 12.5 hours to 2.0 hours, p = 0.001). Conclusion. The development of a process model and an algorithm for managing the development of medical organizations results in a significant reduction in time losses when receiving primary healthcare and increases the efficiency of equipment use. |
| format | Article |
| id | doaj-art-26b1848ed14d4e8b8d1c358319d0bfcc |
| institution | DOAJ |
| issn | 2500-0764 2542-0941 |
| language | Russian |
| publishDate | 2021-03-01 |
| publisher | Kemerovo State Medical University |
| record_format | Article |
| series | Фундаментальная и клиническая медицина |
| spelling | doaj-art-26b1848ed14d4e8b8d1c358319d0bfcc2025-08-20T03:19:57ZrusKemerovo State Medical UniversityФундаментальная и клиническая медицина2500-07642542-09412021-03-016181510.23946/2500-0764-2021-6-1-8-15245Lean technology principles improve management of medical organizationsG. N. Tsarik0G. L. Rytenkova1T. Yu. Gracheva2Kemerovo State Medical UniversityRegional Center for the Organization of Primary Healthcare, Kuzbass Medical CollegeKuzbass Clinical Psychiatric HospitalTo develop a process model and an algorithm for managing the development of medical organizations. Material and Methods. We enrolled 94 medical organizations of primary healthcare which employed the five key principles of lean technology. Patient satisfaction as well as accessibility and quality of medical care were measured by direct observation and assessing duration of the healthcare procedures. Both patients and medical staff filled a specially designed questionnaire. The study included 610 patients, 460 physicians and 430 paramedical workers. Process model of medical organizations was developed using official records and system analysis. To develop an algorithm for managing medical organizations, we stratifed the priorities and suggested an improvement pipeline. Results. The implementation of the lean technology principles reduced the duration of the pediatric checkup (from 14.1 to 1.0 days, p = 0.001), adult medical checkup (from 8.0 to 3.0 days, p = 0.002), room waiting time for the vaccination procedure (from 117.0 to 45.3 minutes, p = 0.001), and room waiting time for the routine medical procedures (120.5 to 15.5 minutes, p = 0.001). Further, it increased the patient satisfaction rate regarding the register office (from 45.2% to 87.3%, p = 0.001) and decreased the equipment downtime in physiotherapy departments (from 12.5 hours to 2.0 hours, p = 0.001). Conclusion. The development of a process model and an algorithm for managing the development of medical organizations results in a significant reduction in time losses when receiving primary healthcare and increases the efficiency of equipment use.https://fcm.kemsmu.ru/jour/article/view/367process modelmedical organizationcontrol algorithm |
| spellingShingle | G. N. Tsarik G. L. Rytenkova T. Yu. Gracheva Lean technology principles improve management of medical organizations Фундаментальная и клиническая медицина process model medical organization control algorithm |
| title | Lean technology principles improve management of medical organizations |
| title_full | Lean technology principles improve management of medical organizations |
| title_fullStr | Lean technology principles improve management of medical organizations |
| title_full_unstemmed | Lean technology principles improve management of medical organizations |
| title_short | Lean technology principles improve management of medical organizations |
| title_sort | lean technology principles improve management of medical organizations |
| topic | process model medical organization control algorithm |
| url | https://fcm.kemsmu.ru/jour/article/view/367 |
| work_keys_str_mv | AT gntsarik leantechnologyprinciplesimprovemanagementofmedicalorganizations AT glrytenkova leantechnologyprinciplesimprovemanagementofmedicalorganizations AT tyugracheva leantechnologyprinciplesimprovemanagementofmedicalorganizations |