Metodologías Lean para la gestión y calidad sanitariaresultados, barreras y factores de éxito : una revisión sistemática de revisiones

Abstract

The aim of this systematic review of reviews is to synthesize the impact, barriers and success factors of Lean methodologies implementation in Western healthcare settings. The analysis of 18 literature reviews published between 2015-2022 and selected from the Scopus, WoS, ProQuest and Dialnet databases shows positive outcomes in time management, efficiency, quality, satisfaction, safety and some health indicators. The lack of global approaches to Lean implementation leads to variability in measurement and evaluation, makes it difficult to compare results and does not allow the standardization of common indicators at the healthcare level. The main barriers to Lean implementation are related to organizational culture, leadership style and professional resistance, as well as limitations and deficiencies in the management and evaluation system. The success factors reveal the importance of systemic, adapted, long-term and sustainable Lean implementation and the type of leadership exercised, combined with the commitment and training of healthcare personnel and the continuous evaluation and dissemination of results. This study contributes to delimiting possible lines of action and the strategic planning of public policies in healthcare in order to improve the efficiency, productivity and quality of care.