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Lean and process-orienting health care: linking and disentangling activities
University of Gothenburg, School of Public Administration, Gothenburg, Sweden.
University West, School of Business, Economics and IT, Division of Business Administration.ORCID iD: 0000-0001-8860-6944
2017 (English)In: Qualitative Research in Accounting & Management/Emerald, ISSN 1176-6093, E-ISSN 1758-7654, Vol. 4, no 4, p. 390-406Article in journal (Refereed) Published
Abstract [en]

Purpose

One of the latest trends within public administration and healthcare organizations (HCOs) is process orientation, often in the shape of Lean management. The purpose of this study is to expand our understanding of process orientation of HCOs and the more specific aim is to investigate what measures are taken to re-frame the HCOs to include the process dimension.

Design/methodology/approach

This empirical study is based on 67 interviews and 20 meeting observations.

Findings

The main observation in this study is that introducing process-oriented management solutions is about disconnecting and cutting-off existing links. The authors see how attempts are made to cut-off links to the logic of functional specialization, the autonomy of the professional worker, equal treatment of patients and other objectives.

Originality/value

This study adds to and expands previous studies that have problematized the use of Lean-inspired ways of organizing in the public sector.

Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2017. Vol. 4, no 4, p. 390-406
Keywords [en]
Management, Lean, Health care, Disentanglement, Process orientation
National Category
Business Administration
Research subject
SOCIAL SCIENCE, Business administration
Identifiers
URN: urn:nbn:se:hv:diva-11899DOI: 10.1108/QRAM-03-2017-0019ISI: 000416583800003Scopus ID: 2-s2.0-85035358245OAI: oai:DiVA.org:hv-11899DiVA, id: diva2:1164286
Available from: 2017-12-11 Created: 2017-12-11 Last updated: 2017-12-19Bibliographically approved

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Siverbo, Sven

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