在医疗保健中绘制精益六西格玛:揭示发展中国家研究差距的文献分析
1MYAS-GNDU Department of Sports Sciences and Medicine, Guru Nanak Dev University, Amritsar, IND.
Cureus
|August 27, 2025
概括
精益六西格玛 (LSS) 是一个有价值的医疗改善工具, 这项研究强调了关键的成功因素和地理研究差距,敦促关注发展中国家的经济.
科学领域:
- 医疗管理
- 过程改进
- 运营研究
背景情况:
- 精益六西格玛 (LSS) 提供了优化医疗保健流程的巨大潜力,
- 尽管有好处,但在印度医疗保健中采用LSS仍受到未充分探索的关键成功因素 (CSF) 的阻碍.
研究的目的:
- 调查全球研究趋势和LSS在医疗保健中的专题互联.
- 确定LSS研究的地理差异, 特别关注印度等发展中国家的不足.
- 探索在医疗保健环境中实施LSS的关键成功因素.
主要方法:
- 对来自Scopus,PubMed和Web of Science的262篇英语文章进行了文献分析 (2012年1月至2024年4月).
- 使用VOSviewer进行了关键字共发生分析,以绘制研究主题和相互联系.
- 对8项选定的研究进行了定性系统审查,以确定普遍的CSF.
主要成果:
- 全球LSS研究显示了与"CSF"和"患者安全"相关的"服务质量"",精益"和"六西格玛"的核心集群.
- 存在显著的地理差异,包括印度在内的发展中国家 (0.38%的出版物) 代表性不足.
- 主要的CSF包括领导力,沟通,培训,组织文化和组织准备,西方国家主导研究.
结论:
- 在发展中国家实施LSS方面存在严重的研究缺口,
- 西方国家主导LSS研究,可能会忽视特定环境的障碍和资源有限环境的解决方案.
- 未来的研究应侧重于具有成本效益的解决方案,纵向评估以及整合技术和员工保留等因素,以加强在各种医疗保健环境中采用LSS.
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