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Mapeo de Lean Six Sigma en el cuidado de la salud: un análisis bibliométrico que revela brechas de investigación en
1MYAS-GNDU Department of Sports Sciences and Medicine, Guru Nanak Dev University, Amritsar, IND.
Cureus
|August 27, 2025
Resumen
Lean Six Sigma (LSS) es una herramienta valiosa para mejorar la atención médica, pero su adopción en la India es limitada. Este estudio pone de relieve los factores críticos de éxito y las brechas geográficas de la investigación, instando a centrarse en las economías en desarrollo.
Área de la Ciencia:
- Gestión de la asistencia sanitaria
- Mejora de los procesos
- Investigación de las operaciones
Sus antecedentes:
- Lean Six Sigma (LSS) ofrece un potencial significativo para optimizar los procesos de atención médica, especialmente en países en desarrollo con recursos limitados como la India.
- A pesar de sus beneficios, la adopción de LSS en el cuidado de la salud de la India se ve obstaculizada por factores críticos de éxito (CSF) poco explorados.
Objetivo del estudio:
- Investigar las tendencias mundiales de la investigación y las interconexiones temáticas de la LSS en el cuidado de la salud.
- Identificar las disparidades geográficas en la investigación de LSS, con un enfoque específico en la subrepresentación de naciones en desarrollo como la India.
- Explorar los factores críticos de éxito para la implementación de LSS en entornos de atención médica.
Principales métodos:
- Se realizó un análisis bibliométrico de 262 artículos en inglés de Scopus, PubMed y Web of Science (enero de 2012-abril de 2024).
- El análisis de la coincidencia de palabras clave se realizó utilizando VOSviewer para mapear los temas de investigación y las interconexiones.
- Se llevó a cabo una revisión sistemática cualitativa de 8 estudios seleccionados para identificar los CSF universales.
Principales resultados:
- La investigación global de LSS muestra un grupo central de "calidad del servicio", "delgado" y "seis sigma", vinculado a "CSF" y "seguridad del paciente".
- Existen importantes disparidades geográficas, y los países en desarrollo, incluida la India (0,38% de las publicaciones), están subrepresentados.
- Los MCA clave identificados incluyen liderazgo, comunicación, capacitación, cultura organizacional y preparación organizacional, con las naciones occidentales dominando la investigación.
Conclusiones:
- Hay una brecha crítica de investigación en la implementación de LSS dentro de las economías en desarrollo, lo que requiere estudios específicos de la India.
- Las naciones occidentales dominan la investigación de LSS, potencialmente pasando por alto las barreras y soluciones específicas del contexto para entornos con recursos limitados.
- La investigación futura debe centrarse en soluciones rentables, evaluaciones longitudinales e integrar factores como la tecnología y la retención de empleados para mejorar la adopción de LSS en diversos entornos de atención médica.
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