Winch Sarah, Henderson Amanda J
School of Medicine, University of Queensland, Brisbane, QLD, Australia.
Med J Aust. 2009 Jul 6;191(1):28-9. doi: 10.5694/j.1326-5377.2009.tb02670.x.
The uncritical adoption of production-line manufacturing practices (such as "lean thinking") into work design processes in hospitals creates a fundamental tension between the production of health care and protection of the patient. There is scant evidence that re-engineering health care services in line with industrial models increases their efficiency. Indeed, reducing the richness of health care practice to impoverished snippets of work may add to the problems of hospital misadventure and inefficiency rather than solve them.
在医院的工作设计流程中不加批判地采用生产线制造实践（如“精益思维”），会在医疗服务的提供与患者保护之间造成根本性的矛盾。几乎没有证据表明，按照工业模式对医疗服务进行重新设计能提高其效率。事实上，将丰富的医疗实践简化为贫乏的工作片段，可能会加剧而非解决医院医疗事故和效率低下的问题。
