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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 />

3. Methodological tools and the<br />

framework of the research<br />

This chapter reviews the research methodology and the development of the code<br />

system which was used as a framework for the analysis of the cases. Finally, it presents<br />

the elements of the code system in detail.<br />

3.1. Definition of the research objective and<br />

methodology<br />

The section begins with an explanation of why the synthesis of previous<br />

experience was chosen as research topic, and then it describes the research<br />

methodology.<br />

3.1.1. Definition of the research objective<br />

The research of Brandao de Souza (2009) has been unique to this day in that it<br />

provides a systematic exposition and classification of scientific articles on Lean in<br />

health care. He found 95 relevant articles in the technical literature accessible in the<br />

biggest databases (closing date: August 2008; see Figure 7). As shown in the figure, the<br />

first articles on Lean in health care appeared in the scientific reviews in 2002; then their<br />

number rose exponentially until 2006. In 2007, it stagnated (the year 2008 was not a<br />

complete year). The author studied the geographic origin of the articles: the great<br />

majority originated from the US (57%); the second largest segment was that of British<br />

publications. The number of the latter rose significantly in 2008. 29% of articles<br />

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