Wprowadzenie i cel. Jednym ze sposobów rozwiązywania aktualnych problemów w ochronie zdrowia jest upraszczanie procesów i procedur, czyli zastosowanie Lean Healthcare w jednostkach opieki zdrowotnej. Celem pracy jest ukazanie istoty i znaczenia implementacji koncepcji Lean Management w zarządzaniu jednostkami opieki zdrowotnej na podstawie badań empirycznych, ze szczególnym uwzględnieniem: identyfikacji celów wdrożenia koncepcji w badanych jednostkach opieki zdrowotnej, analizy procesów związanych z wdrożeniem koncepcji w badanych jednostkach oraz diagnozy efektów implementacji koncepcji w badanych jednostkach. Materiał i metody. Jako podmioty zakwalifikowane do badań empirycznych wybrano EMC Regionalne Centrum Zdrowia w Lubinie oraz Regionalne Centrum Nefrologii w Szczecinku. Główną metodą wykorzystaną w procedurze badawczej były studia przypadków badanych podmiotów. Wykorzystano również metodę analizy porównawczej oraz analizę treści dokumentacji badanych jednostek. Wyniki. W przypadku obydwu badanych podmiotów badania wykazały, że wdrożenie technik i narzędzi Lean Management przyniosło wymierne korzyści m.in.: w zakresie poprawy elastyczności, efektywności kluczowych procesów, ograniczenia marnotrawstwa zasobów oraz poprawy jakości świadczonych usług, zarówno z perspektywy pacjentów (poprawa satysfakcji pacjentów mierzona ankietami poziomu satysfakcji oraz opiniami), jak i z perspektywy pracowników. Wnioski. Lean Management dostarcza skutecznych narzędzi usprawniania podmiotów sektora ochrony zdrowia, zarówno pod kątem zasobowym, procesowym, logistycznym, jakościowym, proceduralnym, jak i efektywnościowym. Dzięki nim zidentyfikowane na poziomie operacyjnym problemy mogą być skutecznie eliminowane.
Introduction: Cancer requires many sacrifi ces from both the patient and family members, such as rearranging priorities and the acquisition of new medical care skills. The aim of this study is to present the role played by the family in achieving a successful recovery in women after mastectomy. Material and Methods: 50 women, Amazons Club members and women participating in a two-week rehabilitation period after mastectomy took part in the research. The dominant research method was monographic and the techniques included user surveys and standardized interviews with elements of free in-depth interview and participant observation. Results and conclusions: The study revealed that to achieve a successful recovery after mastectomy it is necessary to: relieve the sick woman of household duties; provide medical and emotional care and support in the family. Self-discipline and high psychological resistance of ill woman are important as well.
Methods and tools of Lean Management in hospital management – case studies Lean Management is a management concept whose main goal is to support the management and employees in improving the entity. The concept of Lean Management is of particular importance in the healthcare sector. Its importance in the improvement of health care units resulted in the creation of a subdiscipline of management called Lean Healthcare. The main goal of the empirical research undertaken is to show the role and importance of selected Lean Management methods and tools in health care units. The main research method used in the research procedure was a case study of selected health care units that implemented Lean Management methods and tools in their facilities. The method of analyzing the content of documents of the surveyed units was also used. The most frequently used Lean Management methods and tools in the surveyed healthcare units include: Kaizen, Kanban, Just-in-Time, 5S, A3, Takt Time, Value Streams Mapping, Visual Management, Gemba, Pull system. The surveyed entities decided to implement them mainly due to the desire to eliminate the phenomenon of waste, improve the quality of services and improve the area of services provided. The research also showed that the LM methods and tools implemented by the surveyed units brought measurable organizational, operational, logistic, financial and image benefits. Lean Management in healthcare units brings measurable benefits and multi-range benefits. However, special attention should be paid to the barriers and difficulties that individuals in this sector may encounter in implementing LM methods and tools. The health care sector is specific, so implementing changes in the units representing it should take into account counteracting possible, identified implementation barriers.
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