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Application of Structural Equation Modeling for Analysis of Lean Concepts Deployment in Healthcare Sector

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Book cover Progress in Lean Manufacturing

Part of the book series: Management and Industrial Engineering ((MINEN))

Abstract

Healthcare sector had been recently witnessing lean concepts deployment. In order to enable effective implementation of lean concept in the healthcare domain, a structural model needs to be developed. The goal of this study is to analyze the relationship between lean constructs and healthcare performance. The model had been developed with five constructs and 20 measurement variables. The model was developed through the literature on lean deployment in healthcare unit and responses from healthcare experts. Forty-five responses were collected from healthcare experts. Partial least square (PLS) based Structural equation modeling (SEM) approach had been used for analysis. Based on the simulation results, it was found that “management” is the most driving enabler which influences people, process, technology, and other resources of the healthcare unit. The reliability of the developed model has been tested using Cronbach’s alpha and composite reliability. The study presents an attempt to develop a statistical model for lean concepts deployment so as to enhance healthcare performance.

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References

  • Bhasin, S. (2011). Measuring the Leanness of an organisation. International Journal of Lean Six Sigma, 2(1), 55–74.

    Google Scholar 

  • Chahal, H., & Bala, M. (2012). Significant components of service brand equity in healthcare sector. International Journal of Health Care Quality Assurance, 25(4), 343–362.

    Article  Google Scholar 

  • Costa, L. B. M., & Godinho Filho, M., (2016). Lean healthcare: Review, classification and analysis of literature. Production Planning & Control, 27(10), 823–836.

    Google Scholar 

  • Dahlgaard, J. J., Pettersen, J., & Dahlgaard-Park, S. M. (2011). Quality and lean health care: A system for assessing and improving the health of healthcare organisations. Total Quality Management & Business Excellence, 22(6), 673–689.

    Article  Google Scholar 

  • Dellve, L., Williamsson, A., Strömgren, M., Holden, R. J., & Eriksson, A. (2015). Lean implementation at different levels in Swedish hospitals: The importance for working conditions and stress. International Journal of Human Factors and Ergonomics, 3(3–4), 235–253.

    Google Scholar 

  • de Souza, L. B., & Pidd, M. (2011). Exploring the barriers to lean health care implementation. Public Money & Management, 31(1), 59–66.

    Article  Google Scholar 

  • Doolen, T. L., & Hacker, M. E. (2005). A review of lean assessment in organizations: An exploratory study of lean practices by electronics manufacturers. Journal of Manufacturing systems, 24(1), 55–67.

    Google Scholar 

  • Eriksson, N., Müllern, T., Andersson, T., Gadolin, C., Tengblad, S., & Ujvari, S. (2016). Involvement drivers: A study of nurses and physicians in improvement work. Quality Management in Healthcare, 25(2), 85–91.

    Article  Google Scholar 

  • Gitlow, H., “Amy” Zuo, Q., Ullmann, S. G., Zambrana, D., Campo, R. E., Lubarsky, D., et al. (2013). The causes of never events in hospitals. International Journal of Lean Six Sigma, 4(3), 338–344.

    Google Scholar 

  • Hussain, M., Malik, M., & Al Neyadi, H. S. (2016). AHP framework to assist lean deployment in Abu Dhabi public healthcare delivery system. Business Process Management Journal, 22(3), 546–565.

    Article  Google Scholar 

  • Hussey, D. M., & Eagan, P. D. (2007). Using structural equation modeling to test environmental performance in small and medium-sized manufacturers: Can SEM help SMEs? Journal of Cleaner Production, 15(4), 303–312.

    Article  Google Scholar 

  • Jorma, T., Tiirinki, H., Bloigu, R., & Turkki, L. (2016). Lean thinking in Finnish healthcare. Leadership in Health Services, 29(1), 9–36.

    Article  Google Scholar 

  • Kovacevic, M., Jovicic, M., Djapan, M., & Zivanovic-Macuzic, I. (2016). Lean thinking in healthcare: Review of implementation results. International Journal for Quality Research, 10(1).

    Google Scholar 

  • Lindskog, P., Hemphälä, J., Eklund, J., & Eriksson, A. (2016). Lean in healthcare: Engagement in development, job satisfaction or exhaustion? Journal of Hospital Administration, 5(5), 91.

    Article  Google Scholar 

  • Martín-Consuegra, D., Molina, A., & Esteban, Á. (2007). An integrated model of price, satisfaction and loyalty: An empirical analysis in the service sector. Journal of Product & Brand Management, 16(7), 459–468.

    Article  Google Scholar 

  • Mazzocato, P., Savage, C., Brommels, M., Aronsson, H., & Thor, J. (2010). Lean thinking in healthcare: A realist review of the literature. Quality and Safety in Health Care, 19(5), 376–382.

    Google Scholar 

  • Mitchell, B. G., Anderson, M., & Ferguson, J. K. (2017). A predictive model of days from infection to discharge in patients with healthcare-associated urinary tract infections: A structural equation modelling approach. Journal of Hospital Infection, 97(3), 282–287.

    Google Scholar 

  • Patri, R., & Suresh, M. (2017). Factors influencing lean implementation in healthcare organizations: An ISM approach. International Journal of Healthcare Management, 1–13. https://doi.org/10.1080/20479700.2017.1300380.

  • Radnor, Z. J., Holweg, M., & Waring, J. (2012). Lean in healthcare: The unfilled promise? Social Science and Medicine, 74(3), 364–371.

    Article  Google Scholar 

  • Reijula, J., & Tommelein, I. D. (2012). Lean hospitals: A new challenge for facility designers. Intelligent Buildings International, 4(2), 126–143.

    Article  Google Scholar 

  • Setijono, D., Mohajeri Naraghi, A., & Pavan Ravipati, U. (2010). Decision support system and the adoption of lean in a swedish emergency ward: Balancing supply and demand towards improved value stream. International Journal of Lean Six Sigma, 1(3), 234–248.

    Article  Google Scholar 

  • Sharma, V., Dixit, A. R., & Qadri, M. A. (2015). Impact of lean practices on performance measures in context to Indian machine tool industry. Journal of Manufacturing Technology Management, 26(8), 1218–1242.

    Google Scholar 

  • Shazali, N. A., Habidin, N. F., Ali, N., Khaidir, N. A., & Jamaludin, N. H. (2013). Lean healthcare practice and healthcare performance in Malaysian healthcare industry. International Journal of Scientific and Research Publications, 3(1), 1–5.

    Google Scholar 

  • Tarhini, A., Hone, K., Liu, X., & Tarhini, T. (2017). Examining the moderating effect of individual-level cultural values on users’ acceptance of E-learning in developing countries: A structural equation modeling of an extended technology acceptance model. Interactive Learning Environments, 25(3), 306–328.

    Article  Google Scholar 

  • Vegting, I. L., van Beneden, M., Kramer, M. H. H., Thijs, A., Kostense, P. J., & Nanayakkara, P. W. (2012). How to save costs by reducing unnecessary testing: Lean thinking in clinical practice. European Journal of Internal Medicine, 23(1), 70–75.

    Article  Google Scholar 

  • Vinodh, S., & Chintha, S. K. (2011). Leanness assessment using multi-grade fuzzy approach. International Journal of Production Research, 49(2), 431–445.

    Google Scholar 

  • Vinodh, S., & Joy, D. (2012). Structural equation modelling of lean manufacturing practices. International Journal of Production Research, 50(6), 1598–1607.

    Article  Google Scholar 

  • Wahab, A. N. A., Mukhtar, M., & Sulaiman, R. (2013). A conceptual model of lean manufacturing dimensions. Procedia Technology, 11, 1292–1298.

    Google Scholar 

  • Zhao, J., Zhu, Y., & Wang, P. (2017). Examining the direct and indirect effects of socioeconomic status (SES) on colorectal cancer risk using structural equation modeling. European Journal of Cancer, 72, S56.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Production Engineering, National Institute of Technology, Tiruchirappalli, 620 015, Tamil Nadu, India

    S. Vinodh & A. M. Dhakshinamoorthy

Authors
  1. S. Vinodh
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  2. A. M. Dhakshinamoorthy
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Correspondence to S. Vinodh .

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Editors and Affiliations

  1. Department of Mechanical Engineering, University of Aveiro, Aveiro, Portugal

    J. Paulo Davim

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Vinodh, S., Dhakshinamoorthy, A.M. (2018). Application of Structural Equation Modeling for Analysis of Lean Concepts Deployment in Healthcare Sector . In: Davim, J. (eds) Progress in Lean Manufacturing. Management and Industrial Engineering. Springer, Cham. https://doi.org/10.1007/978-3-319-73648-8_4

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  • DOI: https://doi.org/10.1007/978-3-319-73648-8_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-73647-1

  • Online ISBN: 978-3-319-73648-8

  • eBook Packages: EngineeringEngineering (R0)

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