Linking Lean Adoption and Implementation in Healthcare to National Cultures

Lean Healthcare (LHC) is a widely accepted approach to improve the quality of care around the world. This research compares two studies, which evaluated the adoption/implementation of LHC in Finland and Mexico, to understand how cultural similarities/differences influence LHC implementations. Data w...

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Bibliographic Details
Published in:Sustainability 2021-08, Vol.13 (16), p.8855
Main Authors: Peimbert-García, Rodrigo E, Jorma, Tapani, Cárdenas-Barrón, Leopoldo Eduardo, Nucamendi-Guillén, Samuel M, García-Reyes, Heriberto
Format: Article
Language:English
Subjects:
Australia
Case studies
Comparative analysis
Cultural factors
Culture
Expenditures
Funding
Health care
Health services administration
Hofstede, Geert
Individualism
Industrialized nations
Integration
Lean manufacturing
Literature reviews
Management
Medical care
Methods
Patient safety
Patient satisfaction
Similarity
Social aspects
Social conditions
Statistical tests
Uncertainty
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Summary:Lean Healthcare (LHC) is a widely accepted approach to improve the quality of care around the world. This research compares two studies, which evaluated the adoption/implementation of LHC in Finland and Mexico, to understand how cultural similarities/differences influence LHC implementations. Data were gathered from previous questionnaire-based studies administered to healthcare professionals in both countries. Statistics (X2, p, and Wilcoxon tests) are used to compare both studies across topics related to adoption, introduction, integration, success, and barriers of LHC projects, and results are linked to cultural dimensions. Driven by economic savings, LHC has been more adopted in Finland than in Mexico (75/13%). Upon introduction, similarities are found in the way LHC projects are conducted, high project success rate, poor level of integration, and enabling/disabling factors. Conversely, differences were mainly found in the objectives of implementing LHC. These similarities/differences are linked to national factors involving culture, social structure, uncertainty management, time orientation, and indulgence level. In particular, uncertainty avoidance, equal rights’ structure, and a feminine culture are positive for implementing Lean. These findings can be a benchmark to evaluate cultural practices. Thus, this study provides insight into how national cultures relate to LHC and determined distinctive sociotechnical aspects that influence its adoption/implementation.
ISSN:2071-1050
2071-1050
DOI:10.3390/su13168855