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Evaluating lean in healthcare
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Burgess, Nicola (2012) Evaluating lean in healthcare. PhD thesis, University of Warwick.
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Official URL: http://webcat.warwick.ac.uk/record=b2583347~S1
Abstract
The overarching aim of this thesis is to evaluate Lean implementation in the
English NHS. Against a background of financial austerity measures and the
ostensible widespread adoption of Lean in the UK public sector, and particularly
by healthcare organisations, the objective is to understand how Lean is being
implemented by NHS hospital Trusts, and whether there is any quantitative
evidence that Lean implementation is improving hospital performance. Adopting
Pettigrew and Whipp’s (1991) framework of strategic change, this thesis aims to
present theoretically sound and practically useful research through an exploration
of the context, process and content of Lean implementation by English hospital
Trusts. In order to achieve this, the research employs a mixed methods research
design incorporating document analysis3, quantitative analysis and case study
analysis to afford an insight into the implementation of Lean from multiple
viewpoints and facilitate the development of new insights relating to the
phenomena of Lean implementation in English hospital Trusts.
The research provides a contribution to knowledge in three key areas: firstly
through the identification and validation of a typology of approaches to Lean
implementation by English hospital Trusts i.e. a characterisation of the method of
Lean implementation; secondly through quantitative analysis and discussion of
the potential link between Lean implementation and increased performance; and
thirdly a set of propositions that provide a narrative and logic to explain the
influence of contextual factors upon the process of Lean implementation in
English hospitals.
Item Type: | Thesis (PhD) | ||||
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Subjects: | R Medicine > R Medicine (General) | ||||
Library of Congress Subject Headings (LCSH): | Lean manufacturing, Health services administration -- England, Great Britain. National Health Service -- Administration | ||||
Official Date: | April 2012 | ||||
Dates: |
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Institution: | University of Warwick | ||||
Theses Department: | Warwick Business School | ||||
Thesis Type: | PhD | ||||
Publication Status: | Unpublished | ||||
Supervisor(s)/Advisor: | Radnor, Z. J. (Zoe J.) ; Robinson, Stewart, 1964- | ||||
Extent: | 2 v. (310, 328 leaves) : ill., charts. | ||||
Language: | eng |
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