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Jenei István

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<strong>István</strong> <strong>Jenei</strong>: Lean transformation of hospital processes – Structuring foreign and Hungarian experiences,<br />

PhD Dissertation, Corvinus University of Budapest, Doctoral School in Business Administration<br />

1983, the author was present at a special forum organised with the participation of many<br />

theoretical and practical experts interested in the topic. One of the significant<br />

achievements of the forum was that it provided a valid definition of the interrelationship<br />

of TQC (later on TQM) and JIT/lean, viz. that "they were mutually supportive co-<br />

equals” (Schonberger, 2007. p.408.).<br />

Essentially the same position is shared by Dahlgaard – Dahlgaard (2006), who<br />

emphasise that lean management supports the general theses of TQM. Shimokava and<br />

Fujimoto (2009), on the other hand, speak of the role played by TQM within the Toyota<br />

Production System.<br />

In what follows, I shall use the results of two research projects to specify the<br />

relationship of the two systems, which I shall compare with the findings of the Shah-<br />

Ward (2007) research described in Section 1.3.<br />

The first research, the findings of which I shall represent considers the<br />

relationship of TQM and lean in two dimensions, production practices and performance<br />

(Flynn et al., 1995). The article defines the typical practices of each of the two systems<br />

and examines their respective and combined performances. What is important for our<br />

purposes here is the practices associated with the systems. Flynn, Sakakibara and<br />

Schroeder identified three classes of practice: JIT-specific practice, TQM-specific<br />

practice and so-called “infrastructural” practice, which essentially means the<br />

intersection of TQM and JIT practice. The attribute “infrastructural” was inspired by the<br />

common features of the practices concerned: according to the authors they represent the<br />

basis of both systems. The classification of the various practices by Flynn et al. (1995)<br />

is shown in the second column of Table 1.<br />

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