PurposeThis study aims to explore the lean leadership factors influencing the effectiveness of lean healthcare performance at hospitals.Design/methodology/approachA total of 217 healthcare professionals’ responses were included for data analysis. The data were analyzed using the partial least square technique.FindingsThe findings revealed that improvement culture, gemba (hands-on approach), hoshin kanri (goal-oriented) and qualification are the crucial lean leadership factors that positively influence the effectiveness of lean healthcare performance at hospitals. The results indicated that the self-development of lean leaders has no significant impact on the effectiveness of lead healthcare performance.Originality/valueThe findings of this study could contribute to the healthcare institutions in Malaysia perceive the benefits of lean healthcare and show a positive intention of using lean leadership principles.

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In Malaysia, majority of the freight logistics companies has placed priority in enhancing their operational performances and its sustainable competitiveness. Ten (10) preliminary face-to-face interviews have been conducted. The informants have been selected based on the researcher’s network using the snowballing techniques. The purpose of this paper intents to review the issues and challenges faced by freight logistics companies in Malaysia: Logistics Performance Index, Container Deposits Payment, Freight Logistics Workforce and Employment Compensation, Logistic Social Responsibility. The researchers have conveyed these 4 issues and challenges influencing the freight logistics operational performances in Malaysia. The freight logistics risks management model has provided a base for the future researcher in examining the relevant relationships empirically.