Williams Sharon, Radnor Zoe
College of Human and Health Sciences, Swansea University , Swansea, UK.
University of Leicester , Leicester, UK.
Int J Health Care Qual Assur. 2018 Aug 13;31(7):810-821. doi: 10.1108/IJHCQA-07-2017-0132.
Globally, healthcare managers continue to struggle with increasing demands for their services being delivered with limited or shrinking resources. It is, therefore, clear that systems, processes and practices need to change to meet these challenges. The purpose of this paper is to assess how integrating two improvement technologies, Lean and integrated care pathways (ICP) might help.
DESIGN/METHODOLOGY/APPROACH: Lean and ICP in healthcare provide a platform to develop conceptual frameworks for integrating two approaches.
A conceptual integrated framework is provided to assist care pathway designers and implementers to consider the synergistic benefits of combining approaches to improvement.
RESEARCH LIMITATIONS/IMPLICATIONS: The authors provide a conceptual framework that requires empirically testing.
This research provides a conceptual framework to aid practitioners to improve healthcare design and delivery.
ORIGINALITY/VALUE: For the first time, the authors bring together two approaches to improving patient care pathway design and consider how these are linked in relation to improving healthcare delivery.
在全球范围内，医疗保健管理者仍在努力应对资源有限或不断缩减的情况下对其服务需求不断增加的问题。因此，很明显，系统、流程和做法需要改变以应对这些挑战。本文的目的是评估整合两种改进技术——精益和综合护理路径（ICP）——可能会有怎样的帮助。
设计/方法/途径：医疗保健领域的精益和ICP提供了一个平台，用于开发整合两种方法的概念框架。
提供了一个概念性的整合框架，以帮助护理路径设计者和实施者考虑结合改进方法的协同效益。
研究局限性/启示：作者提供了一个需要实证检验的概念框架。
本研究提供了一个概念框架，以帮助从业者改进医疗保健设计和服务提供。
原创性/价值：作者首次将两种改进患者护理路径设计的方法结合在一起，并考虑它们在改善医疗保健服务提供方面是如何联系的。
