TY - CHAP
T1 - Lean Healthcare for Home Healthcare Operations: Multi-Case Study in Colombia
AU - Guerrero, William J.
AU - Velasco, Nubia
AU - Torres, Andrés F.
AU - Duarte, Laura
AU - Montoya, Carlos
AU - Lamprea, Andrea
N1 - Publisher Copyright:
© The Author(s), under exclusive license to Springer Nature Switzerland AG 2025.
PY - 2025
Y1 - 2025
N2 - This research aims to apply Lean Healthcare principles to home healthcare. The objective is to identify the wastes (muda in Japanese) in the delivery of home healthcare services. A multi-case study with a series of focus groups with healthcare staff and administrative personnel from three different healthcare institutions in Bogotá and Cali was performed. Nurses, physicians, therapists and administrative staff participated in the study. The eight types of muda are characterized in the operation: waiting times, transportation, inventory, movements, overprocessing activities, defects, non-value-added activities, and underutilization of staff. The most frequent muda are associated to the planning of routes for the operation and scheduling the visits, the body postures required to examine patients in a home setting, and the difficulties to transport medium and large equipment. Participant struggled the most with identifying muda associated with underutilization of staff. These results allow to provide insights for better home healthcare services.
AB - This research aims to apply Lean Healthcare principles to home healthcare. The objective is to identify the wastes (muda in Japanese) in the delivery of home healthcare services. A multi-case study with a series of focus groups with healthcare staff and administrative personnel from three different healthcare institutions in Bogotá and Cali was performed. Nurses, physicians, therapists and administrative staff participated in the study. The eight types of muda are characterized in the operation: waiting times, transportation, inventory, movements, overprocessing activities, defects, non-value-added activities, and underutilization of staff. The most frequent muda are associated to the planning of routes for the operation and scheduling the visits, the body postures required to examine patients in a home setting, and the difficulties to transport medium and large equipment. Participant struggled the most with identifying muda associated with underutilization of staff. These results allow to provide insights for better home healthcare services.
KW - Health systems
KW - Home healthcare
KW - Human factors engineering
KW - Lean healthcare
KW - Lean operations
KW - Sistemas de salud
KW - Atención médica domiciliaria
KW - Ingeniería de factores humanos
KW - Atención médica eficiente
KW - Operaciones eficientes
UR - https://doi.org/10.1007/978-3-031-77723-3_32
UR - https://www.mendeley.com/catalogue/0a9da02d-2937-3936-8094-bf64650ee1b4/
UR - https://www.scopus.com/pages/publications/105009219729
U2 - 10.1007/978-3-031-77723-3_32
DO - 10.1007/978-3-031-77723-3_32
M3 - Chapter
SN - 978-3-031-77722-6
T3 - Lecture Notes in Production Engineering
SP - 347
EP - 355
BT - Lean Healthcare for Home Healthcare Operations: Multi-Case Study in Colombia
ER -
