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Lean implementation at different levels in Swedish hospitals: the importance for working conditions and stress
KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.ORCID iD: 0000-0001-5879-2280
KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.ORCID iD: 0000-0002-8457-679X
KTH, School of Technology and Health (STH), Health Systems Engineering, Ergonomics.
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2015 (English)In: Journal of Human Factors and Ergonomics, Vol. 3, no 3-4, 235-253 p.Article in journal (Refereed) Published
Abstract [en]

Healthcare organisations in Sweden are reorienting toward horizontal organisation around care processes. This paper's aim was to investigate how implementation approaches for improvements of care processes in line with lean production (LP), at hospital strategic and operative levels, are associated with working conditions and stress-related health among the employees. Five hospitals working with improvements to care processes were studied using questionnaires to employees (n = 1,303) and interviews at strategic and operative levels at baseline and follow-up. The process redesign implementation strategies varied between the strategic and operative levels. There were associations between a higher degree of LP at operative level and increased work resources and decreased work demands. Physical, cognitive and mental stress-related symptoms were only weakly associated with strategic or operative LP initiatives. There was evidence of more beneficial or improved working conditions in relation to higher degree of LP at operative levels.

Place, publisher, year, edition, pages
InderScience Publishers, 2015. Vol. 3, no 3-4, 235-253 p.
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:kth:diva-179304DOI: 10.1504/IJHFE.2015.073001OAI: oai:DiVA.org:kth-179304DiVA: diva2:882438
Note

QC 20160118

Available from: 2015-12-15 Created: 2015-12-15 Last updated: 2016-04-12Bibliographically approved

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Dellve, LottaWilliamsson, AnnaStrömgren, MarcusHolden, RichardEriksson, Andrea
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