Lean Healthcare for Home Healthcare Operations: Multi-Case Study in Colombia

William J. Guerrero; Nubia Velasco; Andrés F. Torres; Laura Duarte; Carlos Montoya; Andrea Lamprea

doi:10.1007/978-3-031-77723-3_32

Lean Healthcare for Home Healthcare Operations: Multi-Case Study in Colombia

Título traducido de la contribución: Lean Healthcare para operaciones de atención médica domiciliaria: estudio de varios casos en Colombia

William J. Guerrero
, Nubia Velasco
, Andrés F. Torres
, Laura Duarte
, Carlos Montoya
, Andrea Lamprea

Departamento de Ingeniería Industrial

Universidad de la Sabana
Universidad de los Andes Colombia
Fundación Santa Fe de Bogotá

Producción: Capítulo del libro/informe/acta de congreso › Capítulo en libro de investigación › revisión exhaustiva

Resumen

Esta investigación busca aplicar los principios de Lean Healthcare a la atención médica domiciliaria. El objetivo es identificar los desperdicios (muda en japonés) en la prestación de servicios de atención médica domiciliaria. Se realizó un estudio de casos múltiples con una serie de grupos focales con personal de atención médica y personal administrativo de tres instituciones de salud diferentes en Bogotá y Cali. En el estudio participaron enfermeras, médicos, terapeutas y personal administrativo. Se caracterizan ocho tipos de muda en la operación: tiempos de espera, transporte, inventario, movimientos, actividades de sobre procesamiento, defectos, actividades sin valor agregado y subutilización del personal. Los muda más frecuentes se asocian con la planificación de rutas para la operación y la programación de las visitas, las posturas corporales requeridas para examinar a los pacientes en el hogar y las dificultades para transportar equipos medianos y grandes. Los participantes tuvieron mayor dificultad para identificar el muda asociado con la subutilización del personal. Estos resultados permiten brindar información para mejorar los servicios de atención médica domiciliaria.

Título traducido de la contribución	Lean Healthcare para operaciones de atención médica domiciliaria: estudio de varios casos en Colombia
Idioma original	Inglés
Título de la publicación alojada	Lean Healthcare for Home Healthcare Operations: Multi-Case Study in Colombia
Páginas	347-355
Número de páginas	9
ISBN (versión digital)	978-3-031-77723-3
DOI	https://doi.org/10.1007/978-3-031-77723-3_32
Estado	Publicada - 2025

Serie de la publicación

Nombre	Lecture Notes in Production Engineering
Volumen	Part F566

ODS de las Naciones Unidas

Este resultado contribuye a los siguientes Objetivos de Desarrollo Sostenible

ODS 3: Salud y bienestar

Palabras clave

Sistemas de salud
Atención médica domiciliaria
Ingeniería de factores humanos
Atención médica eficiente
Operaciones eficientes

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10.1007/978-3-031-77723-3_32

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title = "Lean Healthcare for Home Healthcare Operations: Multi-Case Study in Colombia",

abstract = "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 Bogot{\'a} 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. ",

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Lean Healthcare for Home Healthcare Operations: Multi-Case Study in Colombia. / Guerrero, William J.; Velasco, Nubia; Torres, Andrés F. et al.
Lean Healthcare for Home Healthcare Operations: Multi-Case Study in Colombia. 2025. p. 347-355 (Lecture Notes in Production Engineering; Vol. Part F566).

Producción: Capítulo del libro/informe/acta de congreso › Capítulo en libro de investigación › revisión exhaustiva

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Lean Healthcare for Home Healthcare Operations: Multi-Case Study in Colombia

Resumen

Serie de la publicación

ODS de las Naciones Unidas

Palabras clave

Acceder al documento

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