Document Type : بحث

Authors

10.34009/aujeas.2023.182303

Abstract

This paper aims to investigate Lean Six Sigma methodology that consist of (identification stage, measurement stage, analysis stage, improvement stage, and control stage) and their effect on the healthcare services quality consist of (safety, equity, efficiency, effectiveness, patient-centered, timely). A hypothetical model has been proposed, followed by a set of hypotheses that were subjected to multiple tests to ensure the proposed method’s validity. Where the questionnaire served as the data gathering tool in this study. The descriptive analytical approach has been used as an appropriate approach to reinforce and strengthen these concepts and the hospitals in the city of Mosul were represented by (The Republican Teaching Hospital, Al-Khansa Teaching Hospital, Al-Salam Teaching Hospital, Ibn Al-Atheer Hospital, Mosul General Hospital, Ibn Sina Teaching Hospital) as a field research for this paper. Where the (450) surveys forms were distributed by the researchers from which (419) valid forms were extracted and given to the responders (doctors, pharmacists, health professionals, and nursing staff) the statistical program AMOS V.25 examined the data, and several findings were obtained. There is a positive and significant effect of the Lean Six Sigma methodology in the quality of health service This indicates that the Lean Six Sigma methodology is the best choice in the health services environment to deal with patients and provide safe care to them. This methodology improves service quality and customer satisfaction by reducing operating costs and increasing business revenues. Moreover, the research also provided a set of recommendations, including the need to concentrate on the infrastructure in health organizations to ensure safe, appropriate, practical, effective, timely, and patient-centered health services.

Keywords

  1. جمعة، الطيب. (2014). قياس مؤشرات جودة الخدمات الصحية من منظور المرضى دراسة استطلاعية لعينة من مرضى المستشفى الجامعي بمدينة باتنة–الجزائر
  1. Laureani, A. and Antony, J. (2010),"Reducing employees' turnover in transactional services: a Lean ة Six Sigma case study", International Journal of Productivity and Performance Management, 59 Iss 7
  2. Spasojevic Brkic, V. K. and Tomic, B., (2016),،Employees factors importance in Lean Six Sigma concept’, Emerald Insight 61 No. 1.
  3. Salah S., Rahim A., Carretero, J. (2010). “The integration of six sigma and lean management”. International Journal of Lean Six Sigma, Vol. 1 No. 3.
  4. George, M. L. (2003). Lean six sigma for service–Conquer complexity and achieve major cost reductions in less than a year. New York.
  5. Antony, J., Downey‐Ennis, K., Antony, F., & Seow, C. (2007). Can Six Sigma be the “cure” for our “ailing” NHS?. Leadership in Health Services. Emerald. Vol. 31 No. 4.
  6. Chen, M. and Lyu, J. (2009), ‘A Lean Six-Sigma approach to touch panel quality improvement’, Journal of Production Planning & Control, Vol. 20 No. 5.
  7. Loubnan, G. (2018), Lean Six Sigma's Impact on Reducing Length of Stay and Readmission in a Pediatric Hospital: A Quantitative Study Dissertation Manuscript, Northcentral University,
  8. Muganyi, p., Madanhire, I. and Mbohwa, C. (2018), "Business survival and market performance through lean six sigma in the chemical manufacturing industry", International Journal of Lean Six Sigma, Vol. 22 No. 4.
  9. Shokri, A., Waring, T. and Nabhani, F. (2016), “Investigating the readiness of people in manufacturing SMEs to embark on Lean Six Sigma projects: an empirical study in the German manufacturing sector”, International Journal of Operations and Production Management, Vol. 22 No. 4.
  10. Gijo, E. V., Palod, R., & Antony, J. (2018). Lean Six Sigma approach in an Indian auto ancillary conglomerate: a case study. Production Planning & Control, Vol. 29 No. 9.
  11. Salah, S. and Rahim, A.(2019),’An Integrated Company-Wide Management System Combining Lean Six Sigma with Process Improvement’, Springer Nature Switzerland. Vol. 19 No. 3.
  12. Mandelbaum, J., Hermes, A., Parker, D., & Williams, H. (2017). Value engineering synergies with lean six sigma: combining methodologies for enhanced results. CRC Press
  13. Chaurasia, B., Garg, D., & Agarwal, A. (2017). Lean Six Sigma application in healthcare of patients. International Journal of Intelligent Enterprise, Vol. 4 No. 3.
  14. George, A., Joseph, A. M., Kolencherry, S., Kodath, V. V., Menaka, K., Duraisingh, B., ... & Shivakumar, T. (2018). Application of Six Sigma DMAIC methodology to reduce medication errors in a major trauma care centre in India. Indian Journal of Pharmacy Practice, Vol. 11 No. 4.
  15. Ahmed, S. (2019). Integrating DMAIC approach of Lean Six Sigma and theory of constraints toward quality improvement in healthcare. Reviews on environmental health, 34 No. 4.
  16. Rathilall, R., & Singh, S. (2018). A Lean Six Sigma framework to enhance the competitiveness in selected automotive component manufacturing organisations. South African journal of economic and management sciences, Vol. 21 No. 1.
  17. Huber, M., Knottnerus, J. A., Green, L., Horst, H. v. d., Jadad, A. R., Kromhout, D., … Smid, H. (2011). How should we define health? BMJ, Vol. 343 No. 2.
  18. Donabedian, A. (2002). An introduction to quality assurance in health care. Oxford University Press.
  19. Busse, R., Klazinga, N., Panteli, D., Quentin, W., & World Health Organization. (2019). Improving healthcare quality in Europe: characteristics, effectiveness and implementation of different strategies. World Health Organization. Regional Office for Europe
  20. Institute of Medicine (US). Division of Health Care Services, Institute of Medicine (US). Committee to Design a Strategy for Quality Review, Assurance in Medicare, & United States. Health Care Financing Administration. (1990). Medicare: a strategy for quality assurance, volume ii: sources and methods (Vol. 2). National Academy Press.
  21. EC (2010). EU Actions on Patient Safety and Quality of Healthcare. European Commission, Healthcare Systems Unit. Madrid: European Commission.
  22. Kristensen, P. K., Søgaard, R., Thillemann, T. M., Søballe, K., & Johnsen, S. P. (2019). High quality of care did not imply increased hospital spending—nationwide cohort study among hip fracture patients. International Journal for Quality in Health Care, Vol. 31 No. 4
  23. Atterton, C. B. (2021). Quality Care in unequal Landscapes. The Meanings of Quality Healthcare in Humanitarian Settings. The University of Manchester (United Kingdom).
  24. Herzer, K. R., & Pronovost, P. J. (2021). Ensuring quality in the era of virtual care. JAMA, Vol. 325 No. 5.
  25. Tunçalp, Ӧ., Were, W. M., MacLennan, C. (2015). Quality of care for pregnant women and newborns—the WHO vision. BJOG: an international journal of obstetrics, Vol. 122 No. 8.
  26. Schwendimann R et al. (2018). The occurrence, types, consequences and preventability of inhospital adverse events – a scoping review. BMC Health Services Research, 18 No. 1.
  27. Braveman, P., Arkin, E., Orleans, T., Proctor, D., Acker, J., & Plough, A. (2018). What is health equity?. Behavioral Science & Policy, Vol. 4 No. 1.
  28. Patel, A. (2017). Equity and Efficiency. In Mental Health Economics,Springer, Cham. Vol. 31 No. 4.
  29. Oliver A, Mossialos E. (2004) Equity of access to health care: outlining the foundations for action. J Epidemiol Community Health. Vol. 58 No. 4.
  30. Institute of Medicine. (2001). Crossing the quality chasm: A new health care system for the 21st century. Washington, DC: National Academy Press.
  31. World Health Organization. (2010). The world health report: health systems financing: the path to universal coverage: executive summary (No. WHO/IER/WHR/10.1). World Health Organization.
  32. Da Graca, B., Fleming, N. S., & Ballard, D. J. (2020). Improving the Efficiency of Care. In The Patient and Health Care System: Perspectives on High-Quality Care , Springer, Cham. Vol. 31 No. 4.
  33. Senitan, M., Alhaiti, A. H., & Gillespie, J. (2019). Improving integrated care for chronic non-communicable diseases: A focus on quality referral factors. International Journal of Healthcare Management, Vol. 12 No. 2.
  34. O’Donnell, B. A. (2018). Quality improvement, or quality care: an ethnographic study of frontline National Health Service staff engagement with a quality improvement initiative (Doctoral dissertation, University of the West of Scotland).‏
  35. Araujo, C. A., Siqueira, M. M., & Malik, A. M. (2020). Hospital accreditation impact on healthcare quality dimensions: a systematic review. International Journal for Quality in Health Care, 32 No. 8.
  36. Aldousari, A. (2015). Influence of national culture on the social construction of health care quality. University of Surrey (United Kingdom).
  37. Harder, S. J., & Chu, E. S. (2020). Timeliness of care. In The Patient and Health Care System: Perspectives on High-Quality Care, Springer, Cham. 109 No. 4.
  38. Herzer, K. R., & Pronovost, P. J. (2021). Ensuring quality in the era of virtual care. JAMA, Vol. 325 No. 5.
  39. Bhat, S., Gijo, E. V., & Jnanesh, N. A. (2014). Application of Lean Six Sigma methodology in the registration process of a hospital. International Journal of Productivity and Performance Management, 63(5), 613-643.
  40. Antony, J., Rodgers, B., & Cudney, E. A. (2017). Lean Six Sigma for public sector organizations: is it a myth or reality?. International Journal of Quality & Reliability Management.
  41. Solar, O., & Irwin, A. (2007). A conceptual framework for action on the social determinants of health: discussion paper for the Commission on Social Determinants of Health. Geneva: World Health Organization.
  42. Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E ,(2010), Multivariate data analysis. Englewood Cliffs: Prentice Hall, 7th ed,