Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Issues And Trends In Healthcare Delivery System

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...

Current Trends in Nursing II

Current Trends in Nursing II

Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...

Introduction To Health Care Delivery System

Introduction To Health Care Delivery System

The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...

Current Trends in Nursing I

Current Trends in Nursing I

Current trends in nursing include:

Methods Of Healthcare Delivery System

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...

Healthcare Agencies II

Healthcare Agencies II

There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Adherence Trends to Physical Activity Guidelines in Adults With Cardiovascular Diseases and the Impact of Wearables on Adherence: Findings From a National Representative Sample.

The Journal of cardiovascular nursing·2025

Same author

Examining the Role of Social Determinants of Health on Adherence to Pap Screening Guidelines for US Women Aged 21 to 64 Years: Evidence From the 2022 Health Information National Trends Survey.

Cancer nursing·2025

Same author

Evaluating True Barriers to Dental Care for Patients with Periodontal Disease.

International journal of dentistry and oral health·2021

Same author

Comparison between students' self-assessment, and visual and digital assessment techniques in dental anatomy wax-up grading.

European journal of dental education : official journal of the Association for Dental Education in Europe·2020

Same author

Dental Students' Skills Assessments: Comparisons of Daily Clinical Grades and Clinical and Laboratory Assessments.

Journal of dental education·2018

Same author

Does vigilance in decision-making matter for dementia family caregivers?

Aging & mental health·2017

Search research articles

Related Experiment Video

Updated: Dec 27, 2025

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Lean in Healthcare: Time for Evolution or Revolution?

Sarah B Wackerbarth, Susan S Bishop, Adaeze C Aroh

Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality

|March 6, 2020

Summary

Healthcare quality improvement projects often use Lean, but few fully implement its eight-step process. Research shows projects typically complete only 2.77 steps, suggesting evolving Lean applications in healthcare.

More Related Videos

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

Published on: January 12, 2018

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient

Published on: November 30, 2022

Related Experiment Videos

Last Updated: Dec 27, 2025

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting

Published on: January 12, 2018

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient

Published on: November 30, 2022

Area of Science:

Healthcare Management
Quality Improvement Science
Operations Research

Background:

Lean methodology is increasingly adopted in healthcare for quality improvement.
Understanding adherence to Lean's structured approach in practice is crucial.

Purpose of the Study:

To assess the extent to which healthcare quality improvement projects follow Lean's established eight-step process.
To identify commonalities and deviations in Lean implementation within healthcare settings.

Main Methods:

A systematic literature review of 605 publications adhering to PRISMA guidelines.
Coding of publications using a structured data sheet to analyze Lean project components.

Main Results:

Empirical research constituted 48.6% of publications, with 80.3% reporting Lean project outcomes.
Of 237 Lean projects, 71.3% used a pre/post, one-site experimental design, often measuring operational metrics.
While Steps 2 and 6 were frequently reported, projects averaged only 2.77 completed steps, with none completing all eight.

Conclusions:

Healthcare Lean projects show limited adherence to the full eight-step model.
This suggests Lean principles are being adapted and integrated flexibly within healthcare contexts.
Further research may explore how these evolving Lean applications impact healthcare quality outcomes.