Purpose
Fostered by a rapid spread beyond the manufacturing sector, Lean philosophy for continuous improvement has been widely used in service organizations, primarily in the healthcare sector. However, there is a limited research on the motivating factors, challenges and benefits of implementing Lean in healthcare. Taking this as a valuable opportunity, the purpose of this paper is to present the key motivating factors, limitations or challenges of Lean deployment, benefits of Lean in healthcare and key gaps in the literature as an agenda for future research.
Design/methodology/approach
The authors used the secondary data from the literature (peer-reviewed journal articles) published between 2000 and 2016 to understand the state of the art. The systematic review identified 101 articles across 88 journals recognized by the Association of Business Schools ranking guide 2015.
Findings
The systematic review helped the authors to identify the evolution, current trends, research gaps and an agenda for future research for Lean in healthcare. A bouquet of motivating factors, challenges/limitations and benefits of Lean in healthcare are presented.
Practical implications
The implications of this work include directions for managers and healthcare professionals in healthcare organizations to embark on a focused Lean journey aligned with the strategic objectives. This work could serve as a valuable resource to both practitioners and researchers for learning, investigating and rightly adapting the Lean in the healthcare sector.
Originality/value
This study is perhaps one of the comprehensive systematic literature reviews covering an important agenda of Lean in Healthcare. All the text, figures and tables featured here are original work carried by five authors in collaboration (from three countries, namely, India, the USA and the UK).
This study was designed to research the impact of pandemic situations such as COVID-19 in digital transformation (DT). Our proposed study was designed to research whether COVID-19 is a driver of digital transformation and to look at the three most positive and negative DT disruptors. Our study suggests that COVID-19 is a driver of digital transformation, since 94 percent of respondents agreed that COVID-19 is a driver of DT. The second phase of our study shows that technology, automation, and collaboration (TAC) is the most positive significant factor which enables work from anywhere (WFA) (or work from home) arrangements and also leads to the third positive factor of a work-life balance (WLB). The top three negative factors are no work-life balance (NWL), social employment issues (SEI), and data security and technology issues (DST). The negative factors show a contradictory result since NWL is the most negative factor, even though WLB is the third most positive factor. While the pandemic situation is leading to a positive situation for economies and organizations at a micro level, the negative impacts, which will affect overall economic growth as well as social, health, and wealth wellbeing, need to be kept in mind. The motivation of this study was to research positive and negative effects of COVID-19 on DT, since COVID-19 is impacting everyone and everyday life, including businesses. Our study developed a unique framework to address both positive and negative adoption. Our study also highlights the need for organizations and the economy to establish mitigation plans, as the pandemic has already been disrupting the entire world for the past three quarters.
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