揭示精益领导力对持续改进成熟度的影响:一个范围审查
Jesse Jorian Hilverda1, Oskar Roemeling2, Edin Smailhodzic2
1Department of Audit & Risk Management, University Medical Center Groningen, Groningen, the Netherlands.
Journal of healthcare leadership
|October 16, 2023
概括
这项研究在9个主题中确定了58项领导活动,以推进医疗保健中精益管理 (LM) 的成熟度. 一个框架引导领导者通过初级,中级和专业阶段进行持续改进.
科学领域:
- 医疗保健管理的管理
- 组织行为 组织行为
- 过程改进 过程改进
背景情况:
- 精益管理 (LM) 在医疗保健中越来越多地被采用以改善流程.
- 一个成熟的LM方法需要持续改进的文化,领导力是核心.
- 目前缺乏影响LM成熟度的领导活动的全面概述.
研究的目的:
- 确定特定的领导活动,促进持续改进和提高精益管理的成熟度.
- 提供对领导力在促进医疗保健环境中的LM作用的结构化理解.
主要方法:
- 根据PRISMA指导方针,对20个医疗保健管理期刊进行了一项范围文献综述.
- 在选了466篇初始文章后,包括了23篇发表到2023年的同行评审文章.
- 基于理论和数据编码被用来识别和分类与持续改进成熟度相关的领导活动.
主要成果:
- 总共有58个不同的领导活动被确定,分为LM领导的9个主题.
- 定义了LM的三个成熟阶段:初学者,中级和专家.
- 制定了一个框架,以指导领导者对每个LM成熟阶段的适当活动.
结论:
- 本综述提供了LM领导活动及其与持续改进和LM成熟度的关系的首个全面概述.
- 医疗保健领导者应专注于领导风格,利益相关者参与,战略协调和员工自主,以提高LM的成熟度.
- 拟议的框架和提案为领导者提供了实际指导,并为未来的学术研究提供了理论基础.
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