A patient-centric approach to improve health care services

Pergher, Isaac; Brandolf, Vanessa Patzlaff; Pacheco, Diego Augusto de Jesus; Vaccaro, Guilherme Luís Roehe

doi:10.1080/23311975.2016.1227232

Cited by 2 publications

(3 citation statements)

References 31 publications

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“…The analysis of hospital organizations from a TOC perspective can contribute to improving the quality of the provided services (Gupta and Kline, 2008; Nematipour et al , 2014). Nevertheless, the application of the TOC in the hospital context is still incipient, particularly in Brazil (Pergher et al , 2016; Ren et al , 2013; Souza et al , 2016; Wadhwa and Schleier, 2010). Therefore, the purpose of this paper is to propose an approach based on the thinking process of the theory of constraints (TP–TOC) to support decision-makers to diagnose problems and improve healthcare service systems performance, focusing on the quality of the service.…”

Section: Introductionmentioning

confidence: 99%

“…Pergher et al (2016) carried out a TP–TOC case study in the process of authorization of radiotherapy service in a large Brazilian hospital. The main results allowed the definition of a set of actions to eliminate or reduce the failure modes in their healthcare system.…”

Section: Introductionmentioning

confidence: 99%

“…Souza et al (2016) presented a study of a large Brazilian hospital that aims to improve the management of the number of hospital beds using the TOC. Finally, Pergher et al (2016) propose a diagnostics and improvement approach based on total quality management to apply in cancer healthcare service systems.…”

Section: Introductionmentioning

confidence: 99%

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The thinking process of the theory of constraints applied to public healthcare

Bauer

Vargas

Sellitto

et al. 2019

BPMJ

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Purpose The purpose of this paper is to present an approach based on the thinking process of the theory of constraints (TP–TOC) to support decision-makers, managers and professionals of health to diagnose and improve healthcare systems focusing on the service quality deployed to patients. Design/methodology/approach A case study was developed in a SUS-affiliated philanthropic hospital in southern Brazil, through the analysis of its ED processes and application of the TP–TOC. The Current Reality Tree and the Evaporating Cloud tools of the TOC were used to identify the root causes (RC) and their connections with undesirable effects. Findings The analysis of this case helped to understand and identify the causes of the current problems in the analyzed processes related to internal management and external causes. The proposed approach allowed the hospital team to progress in the understanding of such causes in a sequential manner, giving conditions to apport different perceptions and to identify relevant facets and causes related to the problem. The research provided a systemic and an integrated vision of the losses in the organizational processes and indicated the steps to be prioritized in order to eliminate such losses. Originality/value The paper proposed an approach that allowed the systematic and systemic analysis of organizational processes through the application of the TP–TOC. The recognition of the existence of RC responsible for processes losses represents an excellent opportunity for improvement because it allows managers to focus their efforts on the more productive areas.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The thinking process of the theory of constraints applied to public healthcare

Bauer

Vargas

Sellitto

et al. 2019

BPMJ

Self Cite

View full text Add to dashboard Cite

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Theory of constraints in healthcare: a systematic literature review

Datt,

Gupta,

Misra

et al. 2024

IJQRM

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PurposeTheory of Constraints (TOC), though a well-established process improvement methodology in manufacturing, is still a novel philosophy for healthcare and an exhaustive review of literature is needed to summarize the key findings of various researchers. Such a review can provide a direction to the researchers and academicians interested in exploring the application of TOC in the healthcare sector. This paper aims to review the existing literature of TOC tools and techniques applied to the healthcare environment, and to investigate motivating factors, benefits and key gaps for identifying directions for future research in the domain of healthcare.Design/methodology/approachIn this paper, different electronic repositories were searched using multiple keywords. The current study identified 36 articles published between January 1999 to mid-2021 to conceptualize and summarize the research questions used in the study. Descriptive analysis along with pictorial representations have been used for better visualization of work.FindingsThis paper presents a thorough literature review of TOC in healthcare and identifies the evolution, current trends, tools used, nature of services chosen for application and research gaps and recommends future direction for research. A variety of motivating factors and benefits of TOC in healthcare are identified. Another key finding of this study is that almost all implementations listed in literature reported positive outcomes and substantial improvements in the performance of the healthcare unit chosen for study.Practical implicationsThis paper provides valuable insight to researchers, practitioners and policymakers on the potential of TOC to improve quality of services, flow of patients, revenues, process efficiency and cost reduction in different health care settings. A number of findings and suggestions compiled in the paper from literature study can be used for diagnosing, learning and making substantial changes in healthcare. The methodologies used by different researchers were analysed and combined to propose a generic step by step procedure to apply TOC. This methodology will guide the practising managers about the appropriate tools of TOC for their specific need.Social implicationsGood health is always the first desire of all men and women around the globe. The global aim of healthcare is to quickly cure more patients and ensure healthier population both today and in future. This article will work as a foundation for future applications of TOC in healthcare and guide upcoming applications in the booming healthcare sector. The paper will help the healthcare managers in serving a greater number of patients with limited available resources.Originality/valueThis paper provides original collaborative work compiled by the authors. Since no comprehensive systematic review of TOC in healthcare has been reported earlier, this study would be a valuable asset for researchers in this field. A model has been presented that links various benefits with one another and clarifies the need to focus on process improvement which naturally results in these benefits. Similarly, a model has been presented to guide the users in implementation of TOC in healthcare.

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A patient-centric approach to improve health care services

Cited by 2 publications

References 31 publications

The thinking process of the theory of constraints applied to public healthcare

The thinking process of the theory of constraints applied to public healthcare

Theory of constraints in healthcare: a systematic literature review

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