Abstract
This chapter considers the findings of two patient pathway cases in relation to design and improvement paradigms: lean, agile and leagility. We discuss the qualitative results in relation to three theoretical domains: supply chain management, quality improvement and systems thinking. We explore the importance of emotional mapping when improving healthcare services, along with the application of decoupling points (DPs) and brokering roles. We examine the learning in relation to pathway architecture and the contributions made to understanding how lean, agile and leagility may be operationalised in healthcare. As a result of this research we identify key characteristics required to support and develop a sustainable and integrated healthcare system.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Banomyong, R., Veerkachen, V., & Supatn, N. (2008). Implementing leagility in reverse logistics channels. International Journal of Logistics Research and Applications, 11(1), 31–47.
Bergin, E., & Rønnestad, M. (2005). Different timetables for change: Understanding processes in reorganizations: A qualitative study in a psychiatric sector in Sweden. Journal of Health Organization and Management, 19(4/5), 355–377.
Bolton, S. (2001). Emotion here, emotion there, emotional organisations everywhere. Critical Perspectives on Accounting, 11, 155–171.
Brotheridge, C., & Lee, R. (2003). Development and validation of the emotional labour scale. Journal of Occupational and Organisational Psychology, 76(3), 365–379.
Burgess, N., & Radnor, Z. (2013). Evaluating lean in healthcare. International Journal of Health Care Quality Assurance, 26(3), 220–235.
Burt, R. S. (1992). Structural hole. Cambridge, MA: Harvard Business School Press.
Burt, R. S. (2005). Brokerage and closure: An introduction to social capital. Oxford: Open University Press.
Chase, R., & Tansik, D. (1983). The customer contact model for organisation design. Management Science, 29(9), 1037–1050.
Christopher, M. (2000). The Agile supply chain: Competing in volatile markets. Industrial Marketing Management, 29(1), 37–44.
Dixon-Woods, M., & Martin, G. (2016). Does quality improvement improve quality? Future Hospital Journal, 3(3), 191–194.
Johnston, R., & Clark, G. (2008). Service operations management: Improving service delivery (3rd edition). Harlow, Essex: Pearson Education Limited.
Johnston, R., Clark, G., & Shulver, M. (2012). Service operations management: Improving service delivery (4th edition). Harlow, Essex: Pearson Education Limited.
Li, M., & Choi, T. (2009). Triads in services outsourcing: Bridge, bridge decay and bridge transfer. Journal of Supply Chain Management, 45(3), 27–39.
Mann, S. (2005). A health-care model of emotional labour: An evaluation of the literature and development of a model. Journal of Health Organisation and Management, 19(4/5), 304–317.
McCreight, B. (2004). Perinatal grief and emotional labour: A study of nurses’ experiences in gynae wards. International Journal of Nursing Studies, 42(4), 439–448.
Mitchell, D., & Smith, P. (2003). Learning from the past: Emotional labour and learning disability nursing. Journal of Learning Disabilities, 7(2), 107–117.
Naim, M., & Gosling, J. (2011). On leanness, agility and leagile supply chains. International Journal of Production Economics, 131, 342–354.
Obstfeld, D. (2005). Social networks, the Tertius Iungens orientation, the involvement in innovation. Administrative Science Quarterly, 50(1), 100–130.
Parrott, G. (2001). Emotions in social psychology: Essential readings. Philadelphia: Psychology Press.
Peng, T.-J. A., Lin, N., Martinez, V., & Yu, C. (2010). Managing triads in a military avionics service maintenance network in Taiwan. International Journal of Operations & Production Management, 30, 398–422.
Phillips, S. (1996). Labouring the emotions: expanding the remit of nursing work? Journal of Advanced Nursing, 24(1), 139–143.
Strauss, A., Fagerhaugh, S., Suczek, B., & Winer, C. (1982). Sentimental work in the technologized hospital. Sociology of Health and Illness, 4, 255–278.
Towill, D. R., & Christopher, M. (2002). The supply chain strategy conundrum: To be lean or agile?. International Journal of Logistics Research and Applications, 3(3), 299–309.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2017 The Author(s)
About this chapter
Cite this chapter
Williams, S.J. (2017). Discussion and Theoretical Reflections. In: Improving Healthcare Operations. Palgrave Pivot, Cham. https://doi.org/10.1007/978-3-319-46913-3_9
Download citation
DOI: https://doi.org/10.1007/978-3-319-46913-3_9
Published:
Publisher Name: Palgrave Pivot, Cham
Print ISBN: 978-3-319-46912-6
Online ISBN: 978-3-319-46913-3
eBook Packages: Business and ManagementBusiness and Management (R0)