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A spark of foresight – configurations of Toyota production system practice bundles in healthcare operations through a subunit lens. A fuzzy set qualitative comparative analysis
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Roeger, Martin (2020) A spark of foresight – configurations of Toyota production system practice bundles in healthcare operations through a subunit lens. A fuzzy set qualitative comparative analysis. PhD thesis, University of Warwick.
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Official URL: http://webcat.warwick.ac.uk/record=b3736751
Abstract
A lack of research surrounds the definition of Lean practices. This will be addressed in the literature review. Instead this study will use the following definition of management practices, developed based on Galbraith (1977)’s work: Management practices are used by managers to improve the efficiency and/or effectiveness of operations through working methods, approaches, and innovations.
This thesis will follow this line of argument and study the relations between various Lean practices to identify how combining these in different ways impacts on performance indicators. By comparing subunits instead of entire organisations, this research will also provide deeper insights into how Lean implementations impact on complex healthcare organisations. These aims will be addressed through the following research questions:
▪How do combinations of Lean practices lead to superior performance improvement in healthcare subunits?
▪How is the `choice’ of the practices dependent on the organisational setting?
▪Which practices are required and/or sufficient for a higher impact on bundle performance?
Given the complexity of healthcare operations and organisations, the novel method fuzzy set Qualitative Comparative Analysis will be applied.
While some research advances have been made, there remains significant uncertainty about the effects of combinations of Lean practices on performance indicators such as quality, efficiency, and accessibility (Alkhaldi & Abdallah, 2019). This thesis will address that gap by identifying configurations of Lean practices that lead to superior performance improvement, while also investigating practices that are necessary or sufficient for this outcome. This will allow future studies to compare different combinations of Lean practices across other settings and industries. The identification of the differences and similarities across various Lean practices will support further developments and optimisations of the Lean approach – ultimately, strengthening health services. In particular, knowing which combinations of Lean practice are required/sufficient to effect specific performance outcomes will enable Lean managers to focus resources where they are most needed.
Item Type: | Thesis (PhD) | ||||
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Subjects: | H Social Sciences > HD Industries. Land use. Labor R Medicine > RA Public aspects of medicine |
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Library of Congress Subject Headings (LCSH): | Lean manufacturing, Health facilities, Health facilities -- Evaluation, Health facilities -- Management, Health facilities -- Business management, Production management, Organizational change, Management | ||||
Official Date: | September 2020 | ||||
Dates: |
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Institution: | University of Warwick | ||||
Theses Department: | Warwick Business School | ||||
Thesis Type: | PhD | ||||
Publication Status: | Unpublished | ||||
Supervisor(s)/Advisor: | Burgess, Nicola ; Johnson, Mark (associate professor) ; White, Leroy | ||||
Sponsors: | Heart of England NHS Foundation Trust ; National Institute for Health Research (Great Britain). Collaboration for Leadership in Applied Health Research and Care | ||||
Format of File: | |||||
Extent: | 171 leaves : illustrations | ||||
Language: | eng |
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