Jenei István

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István Jenei: Lean transformation of hospital processes – Structuring foreign and Hungarian experiences, PhD Dissertation, Corvinus University of Budapest, Doctoral School in Business Administration technical system whose main objective is to eliminate waste by concurrently reducing or minimizing supplier, customer, and internal variability” (Shah - Ward, 2007, p.791.). The logic of the dissertation and the interrelationship of the individual chapters are shown in Figure 2. Figure 2: Topics of the dissertation and their interrelationships Publications on „Lean Healthcare” 4 Basic Studies Health Care Context: Challenges, Features, Vision 20 Hospital Case Studies (17 Sources, 17 Hospitals) Case Study: Zala County Hospital Research Framework (12 Factor-categories of Lean) Source: Figure made by the Author. Structured Description of Experiences in Lean Hospital Processes Awailable in Hungary and Abroad - 13 - Lean TQM
István Jenei: Lean transformation of hospital processes – Structuring foreign and Hungarian experiences, PhD Dissertation, Corvinus University of Budapest, Doctoral School in Business Administration The fields in the upper right and bottom left corners of the figure represent the context of the research, presented in Chapters 1 and 2 of the study. These are the following: • Lean management, which has become best practice in the mass production of motorcars and electronic products by now (Lewis, 2000; Karlsson. – Ahlstrom, 1996). Chapter 1 gives a brief description of the origin of Lean; the development of the Toyota Production System (TPS) and the current interpretation of lean management. Whether TQM is part of Lean or a system on its own is a topic of dispute even among experts. Chapter 1 interprets this relationship as well, which will be relevant in the discussion of the case of Zala County Hospital. The chapter ends with the vision of lean health care outlined by Womack – Jones. • Chapter 2 tackles another issue of relevance for the research: the distinctive characteristics of health care as opposed to production. Then it shows the main challenges faced by the system and its institutions through the example of the health care provision systems of some advanced countries. These two major factor groups indicate the frame of reference of the research; they mark out its limits and options. This is symbolically represented in the figure by the biggest ellipse and the arrows starting from the two factor groups. Chapter 3.1. explains the research question in detail, and also the considerations regarding the research methodology. The backbone of the methodology, which was adjusted to the research question, was provided by case studies on the lean transformation of hospital processes in the international literature, and by the study of the case of a Hungarian hospital. To process this material, I had to prepare a framework of analysis, i.e. a preliminary code system. I produced the code system which was to serve as the analytical framework of my work through the open coding of four summary writings chosen from the relevant technical literature. The derivation of the research framework from the four main sources is symbolically represented in the figure by the curved arrow. The framework creating process and the framework itself is described in the remaining subchapters of Chapter 3. - 14 -
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Jenei István

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