Lean healthcare: review, classification and analysis of literature
综述了107篇精益医疗文献，按研究方法、国家、医疗领域等六参数分类，分析现状与趋势，指出应向更多国家推广、覆盖全院而非局部，并关注实施过程与障碍。
AbstractThis study presents a literature review of 107 papers on lean healthcare to evaluate its evolution by updating previous literature reviews and to propose a classification and analysis of the papers reviewed. The literature classification was performed based on six parameters: research method, country, healthcare area, implementation, lean tools and methods and results. From the analysis performed, this paper presents a quantitative analysis of the state of the art concerning lean healthcare and indicates current research trends, based on the stage of evolution of the area, that may guide further studies on the subject. An example is lean healthcare expansion to other countries, such as Brazil and the Netherlands. Another aspect is the application of lean healthcare in hospital as a whole, not limited to a specific setting. Finally, a few studies detail the lean implementation process and use infrequently applied tools, present the barriers and main critical factors found in the lean implementation.Keywords: Lean healthcarelean manufacturingliterature review Additional informationFundingThis work was supported by the CAPES.