Avaliação da Viabilidade Econômico-Financeira da Produção sob Demanda com Abordagem Lean Healthcare em Clínicas: Revisão Sistemática Utilizando o Método PRISMA
Keywords:
Lean Healthcare, viabilidade econômico-financeira, clínicas, produção sob demanda e revisão sistemática (PRISMA).Abstract
This study presents a systematic review of the application of Lean Healthcare in clinics and health centers, focusing on economic and financial feasibility. The main objective is to analyze, using the PRISMA method, how lean principles influence efficiency and economic sustainability in these environments. The methodology was based on the PRISMA protocol, with searches in scientific databases between 2015 and 2025, resulting in 20 articles selected and classified using the InOrdinatio method. The results show that Lean Healthcare contributes to continuous improvement, eliminating waste, and increasing and improving the patient experience. It is concluded that Lean Healthcare is a promising strategy for healthcare management.
References
Hines, P., Holweg, M., & Rich, N. (2004). Learning to evolve. International Journal of Operations & Production Management, 24(10), 994–1011. https://doi.org/10.1108/01443570410558049
Shah, R., & Ward, P. T. (2002). Lean manufacturing: Context, practice bundles, and performance. Journal of Operations Management, 21(2), 129–149. https://doi.org/10.1016/S0272-6963(02)00108-0
Fitzsimmons, M. J., Fitzsimmons, J. A., & Bordoloi, S. (2022). Service management: Operations, strategy, information technology. McGraw-Hill Higher Education. https://isbnsearch.org/isbn/9781264098354
Jones, D. T., & Womack, J. P. (2013). Lean thinking: Banish waste and create wealth in your corporation. Simon & Schuster, Limited. https://isbnsearch.org/isbn/9781471111006
Lean Institute Brasil. (2014). Consultoria em gestão empresarial. http://www.lean.org.br
Akmal, A., Greatbanks, R., & Heldsinger, N. (2020). Understanding resistance in lean implementation in healthcare environments: An institutional logics perspective. Production Planning & Control, 1–15. https://doi.org/10.1080/09537287.2020.1823510
Papadopoulos, T., Radnor, Z., & Merali, Y. (2011). The role of actor associations in understanding the implementation of Lean thinking in healthcare. International Journal of Operations & Production Management, 31(2), 167–191. https://doi.org/10.1108/01443571111104755
Marolla, G., Rosa, A., & Giuliani, F. (2021). Addressing critical failure factors and barriers in implementing Lean Six Sigma in Italian public hospitals. International Journal of Lean Six Sigma. https://doi.org/10.1108/IJLSS-01-2021-0018
Rogers, A., & Ierapetritou, M. (2015). Feasibility and flexibility analysis of black-box processes part 2: Surrogate-based flexibility analysis. Chemical Engineering Science, 137, 1005–1013. https://doi.org/10.1016/j.ces.2015.06.026
Pagani, R. N., Kovaleski, J. L., & Resende, L. M. (2015). Methodi Ordinatio: A proposed methodology to select and rank relevant scientific papers encompassing the impact factor, number of citation, and year of publication. Scientometrics, 105(3), 2109–2135. https://doi.org/10.1007/s11192-015-1744-x
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & PRISMA Group. (2010). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. International Journal of Surgery, 8(5), 336–341. https://doi.org/10.1016/j.ijsu.2010.02.007
Tay, H. L. (2016). Lean improvement practices: Lessons from healthcare service delivery chains. IFAC-PapersOnLine, 49(12), 1158–1163. https://doi.org/10.1016/j.ifacol.2016.07.660
Russell, K. W., Mone, M. C., Sweeney, R. B., Chung, J. Y., Robinson, C. C., & Scaife, E. R. (2014). Optimal utilization of a breast care advanced practice clinician. The American Journal of Surgery, 208(6), 1054–1059. https://doi.org/10.1016/j.amjsurg.2014.09.007
Vegting, I. L., van Beneden, M., Kramer, M. H., Thijs, A., Kostense, P. J., & Nanayakkara, P. W. (2012). How to save costs by reducing unnecessary testing: Lean thinking in clinical practice. European Journal of Internal Medicine, 23(1), 70–75. https://doi.org/10.1016/j.ejim.2011.07.003
Merguerian, P. A., et al. (2015). Optimizing value utilizing Toyota Kata methodology in a multidisciplinary clinic. Journal of Pediatric Urology, 11(4), 228.e1–228.e6. https://doi.org/10.1016/j.jpurol.2015.05.010
Drei, S. M., & Ignácio, P. S. de A. (2022). Lean Healthcare applied systematically in the accommodation of medical clinic's beds in a medium-sized hospital. IFAC-PapersOnLine, 55(10), 910–915. https://doi.org/10.1016/j.ifacol.2022.09.418
Al-Zain, Y., Al-Ali, H., Jamal, D., & El-Khalil, R. (2019). Implementing Lean Six Sigma in a Kuwaiti private hospital. International Journal of Health Care Quality Assurance, 32(2), 431–446. https://doi.org/10.1108/IJHCQA-04-2018-0099
Rosa, A., Giuliani, F., Marolla, G., & Radaelli, G. (2023). Lean Six Sigma to reduce the acute myocardial infarction mortality rate: A single center study. The TQM Journal, 35(9), 25–41. https://doi.org/10.1108/TQM-03-2022-0082
Sales, M., & de Castro, R. (2021). Value-based lean implementation in a surgical unit: The impact of the methodology. The TQM Journal. https://doi.org/10.1108/TQM-10-2020-0249
Heijink, A., van den Heuvel, J., & Schoonhoven, M. (2021). Increasing efficiency in healthcare: A showcase in an orthopedic outpatient clinic. International Journal of Lean Six Sigma. https://doi.org/10.1108/IJLSS-01-2021-0017
Kanabar, B., Rafiq, M., Alwan, A., & Musa, A. (2024). The impact and challenges of the implementation of 5S methodology in healthcare settings: A systematic review. Cureus. https://doi.org/10.7759/cureus.64634
Lee, P., Fitzsimons, J., Majeed, A., & Sketris, I. (2019). Using lean thinking to improve hypertension in a community health centre: A quality improvement report. BMJ Open Quality, 8(1), e000373. https://doi.org/10.1136/bmjoq-2018-000373
Kanamori, S., Shibanuma, A., Jimba, M. (2015). Implementation of 5S management method for lean healthcare at a health center in Senegal: A qualitative study of staff perception. Global Health Action, 8(1), 27256. https://doi.org/10.3402/gha.v8.27256
Davis, A. S., Aref, A., Holt, M., & Lee, B. W. (2015). Utilization of portable radios to improve ophthalmology clinic efficiency in an academic setting. Journal of Medical Systems, 40(3). https://doi.org/10.1007/s10916-015-0417-x
Sabry, A. (2014). Factors critical to the success of Six-Sigma quality program and their influence on performance indicators in some of Lebanese hospitals. Arab Economic and Business Journal, 9(2), 93–114. https://doi.org/10.1016/j.aebj.2014.07.001
Mehdi, I., & Al Bahrani, B. (2017). Are we prepared to implement a Lean philosophy within cancer-care service in Oman? Saudi Medical Journal, 38(7), 691–698. https://doi.org/10.15537/smj.2017.7.17712
Antoniadou, M. (2024). Integrating Lean Management and Circular Economy for sustainable dentistry. Sustainability, 16(22), 10047. https://doi.org/10.3390/su162210047
Smith, C., Wood, S., & Beauvais, B. (2011). Thinking lean: Implementing DMAIC methods to improve efficiency within a cystic fibrosis clinic. Journal for Healthcare Quality, 33(2), 37–46. https://doi.org/10.1111/j.1945-1474.2010.00130.x
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Mfutu Sidonia Joel, Walton Pereira Coutinho
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Authors who publish in the Annals of Data Analysis retain
the copyright of their work and agree to license it under a Creative Commons Attribution-
NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license.
