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

Bauer, Jéssica Mariela; Vargas, Andrea; Sellitto, Miguel Afonso; Souza, Mariane Cásseres; Vaccaro, Guilherme Luís Roehe

doi:10.1108/bpmj-06-2016-0118

Cited by 14 publications

(8 citation statements)

References 48 publications

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“…Improved resource utilization Gupta and Kline (2008), Groop et al (2010), Kimbrough et al (2015), Gupta et al (2015), Groop et al (2017), Bauer et al (2019), Cox (2021a, b) Increased capacity Womack and Flowers (1999), Kershaw (2000), Rotstein et al (2002), Ritson and Waterfield (2005) high patient load can use these yardsticks to measure the effects of the application of various improvement methodologies. Various researchers have reported improvements in these measures with the application of TOC in the healthcare sector.…”

Section: Systemmentioning

confidence: 99%

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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Section: Systemmentioning

confidence: 99%

Theory of constraints in healthcare: a systematic literature review

Datt,

Gupta,

Misra

et al. 2024

IJQRM

View full text Add to dashboard Cite

show abstract

“…After defining icons, relevant information was collected for each step of the process designed to be classified as, add value, necessary or waste. From this point on, improvement goals were then defined for each activity and finally the map was redrawn to form the future map in order to eliminate the identified waste (Bonaccorsi et al, 2011;Braglia et al, 2006;Bauer et al, 2019).…”

Section: Value Strema Mapmentioning

confidence: 99%

Service value stream management (SVSM) - a case study

Moura

Bonadio

2021

Ind. Jour. Manag. & Prod.

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Air transport accounts for a significant portion of all wealth production in the world. In the case of Brazil, although the air transport industry is undergoing profound changes because of the economic crisis, there is enormous potential for this market to resume growth, especially when compared to the number of passengers/inhabitant of already consolidated markets, such as the United States. However, to grow in this market, airlines need to be prepared to adapt to new dynamics and overcome the effects of the economy on the industry. This paper presents a case study of an airline that in the crisis period lost its market leadership and chose to restructure the business-to-business (B2B) sales department to achieve better results in its Business Process Management (BPM). It seeks to identify which factors led the company to lose this leadership from the perspective of its customers and propose a way to review internal processes, eliminating waste, so that the company can resume its position in the market. It has been applied lean service-focused concepts to raise possible causes, identifying and optimized internal sales department flows to create a more appropriate customer value proposition, and correcting for each type of waste mapped. The objective of this case study was to apply the concepts related to the Value Stream Map tool to reduce activities that do not add value, in a service area, of a large airline. The objective was to improve the company's Business Process Management, aiming at a lean, effective and efficient process, improving the organization's performance and competitiveness.

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“…Some actions can be done to reduce plate waste until ≤20% according to the food administration quality standard e.g. given therapy stipulation, diet administration, and others 25 .…”

Section: Vegetable 4260mentioning

confidence: 99%

Improving Nutrition Services to Reduce Plate Waste in Patients Hospitalized Based on Theory of Constraint

Rochmah

2020

AMNT

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Background: Highly plate waste in hospitalized patients has become a problem in Hospitals’ nutrition service department, this causes adding treatment time for patient’s recovery and making the hospital service inefficient.Objectives: This research strives to develop a set of recommendations to improve the nutrition department service quality by reducing plate wastes in hospitals. Methods: This research uses a cross-sectional approach. The constraint causing analysis is done by observing dominant waste in each menu’s component and conducting FGD with the management team, nutrition department, and other related departments. The research population is 3000 plates.Results: One of the success indicators in the hospital’s nutrition services is less than 20% of plate waste. It was found that 26,65% or 327 of 1230 observed plates have more than 20% plate waste. The constraint was set with low scale value, food’s aroma, with 2,7 which make food’s aroma as a first priority problem to solve.Conclusions: The solution recommendation about constraint causes was sent to the nutrition department and hospital directors to review the hospital’s policies and SOP. The improvement can be focused on the hospital’s internal policies, Standard Operating procedures, employee competencies, obedience to set procedures, and also chefs and cooks skill

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

Cited by 14 publications

References 48 publications

Theory of constraints in healthcare: a systematic literature review

Theory of constraints in healthcare: a systematic literature review

Service value stream management (SVSM) - a case study

Improving Nutrition Services to Reduce Plate Waste in Patients Hospitalized Based on Theory of Constraint

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