Mehdi Itrat, Al Bahrani Bassim J
Department of Medical Oncology, National Oncology Center, The Royal Hospital, Muscat, Sultanate of Oman. E-mail.
Saudi Med J. 2017 Jul;38(7):691-698. doi: 10.15537/smj.2017.7.17712.
Lean, as it applies to business, has come to signify simplicity, swift response, and efficiency. The concept is to do more with less; namely, to use resources in the most productive way possible through the elimination of all types of waste. The Lean approach can be applied to any field, including healthcare, in which the exponential growth of costs is widespread. Hospitals began experimenting with Lean healthcare in 1990s. Equal accessibility to healthcare is consistent with the tenets of social justice and a society's duty to ensure basic healthcare to everyone. However, the gap between a state's constitutional responsibility and resource availability is widening, creating a need for an evolution in healthcare provision based on relevance, objectivity, and impartiality. Health-services providers must juggle limited resources to ensure even-handed healthcare availability to all in the era of cost explosion.
精益，应用于商业领域时，已意味着简洁、快速响应和高效。其理念是以更少投入实现更多产出；也就是说，通过消除各类浪费，以最有效的方式利用资源。精益方法可应用于任何领域，包括医疗保健领域，该领域成本呈指数级增长的现象普遍存在。医院在20世纪90年代开始尝试精益医疗保健。医疗保健的平等可及性符合社会正义的原则以及社会确保每个人都能获得基本医疗保健的责任。然而，一个州的宪法责任与资源可用性之间的差距正在扩大，这就需要在基于相关性、客观性和公正性的医疗保健提供方面进行变革。在成本爆炸的时代，医疗服务提供者必须在有限资源之间进行权衡，以确保为所有人提供公平的医疗保健服务。
