Jenei István

István Jenei: Lean transformation of hospital processes – Structuring foreign and Hungarian experiences,
PhD Dissertation, Corvinus University of Budapest, Doctoral School in Business Administration
Figure 6: Intra-health care economic relationships
Patient
(consumer)
Money
(direct)
Service
Third party
(financier)
Health care service
providers
Money
(tax, contribution,
Insurance
Request
insurance fee) Money (by service
or budget)
Source: Orosz, 2003, p.202.
2.3.3. Health care institutions as professional service provider
organisations
Professional services (generally speaking) are provided by highly qualified staff
whose professional knowledge and skills are honoured. This service trait, has several
consequences:
• The “professional” commands special knowledge; his performance can
only be judged by another "expert" of the field, not by outsiders (Mills et
al., 1983).
• Individual responsibility is decisive (Mills et al., 1983). Owing to the
special knowledge/skills required, there is no team responsibility.
Consequently, it is difficult to adapt team work, one of the essential tenets
of Lean, to this area.
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