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Prioritizing lean management practices in public and private hospitals

机译:在公立和私立医院中优先考虑精益管理实践

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Purpose - The purpose of this paper is to prioritize 21 healthcare wastes in public and private hospitals of United Arab Emirates (UAE). Design/methodology/approach - Seven healthcare wastes linked with lean management are further decomposed in to sub-criteria and to deal with this complexity of multi criteria decision-making process, analytical hierarchical process (AHP) method is used in this research. Findings - AHP framework for this study resulted in a ranking of 21 healthcare wastes in public and private hospitals of UAE. It has been found that management in private healthcare systems of UAE is putting more emphasis on the inventory waste. On the other hand, over processing waste has got highest weight in public hospitals of UAE. Research limitations/implications - The future directions of this research would be to apply a lean set of tools for the value stream optimization of the prioritized key improvement areas. Practical implications - This is a contribution to the continuing research into lean management, giving practitioners and designers a practical way for measuring and implementing lean practices across health organizations. Originality/value - The contribution of this research, through successive stages of data collection, measurement analysis and refinement, is a set of reliable and valid framework that can be subsequently used in conceptualization, prioritization of the waste reduction strategies in healthcare management.
机译:目的-本文的目的是对阿拉伯联合酋长国(UAE)的公立和私立医院的21种医疗废物进行优先排序。设计/方法/方法-将与精益管理相关的七种医疗废物进一步分解为子标准,并且为了处理这种多标准决策过程的复杂性,本研究使用了层次分析法(AHP)。调查结果-这项研究的AHP框架对阿联酋公立和私立医院的21种医疗废物进行了排名。已经发现,阿联酋私人医疗保健系统中的管理更加重视库存浪费。另一方面,在阿联酋的公立医院中,过度处理废物的比例最高。研究的局限性/意义-这项研究的未来方向将是应用一套精简的工具来优化优先重点改进领域的价值流。实际意义-这是对精益管理的持续研究的一项贡献,为从业者和设计人员提供了一种在整个卫生组织中衡量和实施精益实践的实用方法。原创性/价值-通过数据收集,测量分析和完善的连续阶段,本研究的贡献是一套可靠且有效的框架,该框架可随后用于医疗保健管理中的废物减少策略的概念化,优先级排序。

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