The Effects of Lean Management Program on Waiting Time and Service Quality at the Out-Patient Nephrology Clinic in a Tertiary Hospital
Keywords:
Lean management program, Waiting time, Quality of serviceAbstract
This research was a quasi-experimental study with two-group pretest posttest-design. The objective of this study was to study the effects of lean management program on waiting time and service quality. The sample group consisted of 60 patients with stage 3 chronic kidney disease that were divided into experimental group and control group with 30 respondents each, by using a purposive sampling. The tools used in this research were: 1) Lean Management Program, and 2) The tools used for collecting data that are time record form for patient services and service quality questionnaires. The content validity was verified by five experts and the content validity index was 0.92. The reliability was determined by Cronbach’s alpha coefficient that was 0.96. Data were analyzed using descriptive statistic, The results showed that. The mean waiting time of the experimental group patients after using the lean management program was significantly less than the control group patients who received conventional services (p < .05). The mean service quality in the experimental group after using the lean management program (x̅ = 4.25, SD = .515) was significantly higher than those in the control group that received traditional services (x̅ = 3.70, SD = 148) (p < .05). The results showed that the lean management program has an effect on the waiting time and service quality therefore nursing administrators can apply this program to develop other services.
References
Omkar M, & Sudha P. Reducing Waiting Time in Outpatient Services: Six Sigma Approach. The International Journal of Business & Management.2016;4(8):280-91.
Parsu P, Valarie A. Z, & Leonard L B. Conceptual Model of Service Quality and its Implication for Future Research (SERVQUAL). Journal of Marketing.1985;49(4):41-50.
James P W, & Daniel T J. Lean thinking: Banish waste and create wealth in your corporation. London: Free.2003;48(11):1144-50.
Peter S, Scott S, David R, Catherine M, Eric D C. Using lean methodology to improve productivity in a hospital oncology pharmacy. Am J Health Syst Pharm. 2014 Sep 1;71(17): 1491-8. doi: 10.2146/ajhp130436. PMID: 25147174.
Sumaira S. Factors Associated Patient Waiting Time at Outpatient Department in Allied Hospital Faisalabad. Journal of Biology, Agriculture and Healthcare.2017;7(17):14-20.
Paphataya N, Piyathida T, Wongdyan P, Suchai S. Effects of lean thinking implementation to service time at peritoneal dialysis sa-ngenilwarangur, Siriraj Hotpital Kuakarun Journal of Nursing.2016;23(2):104-19. (in Thai)
Uraiwan W. Implementation of Lean Concept in Healthcare Service Sector for Reducing Waste System: A Case Study of Radiotherapy Department Tertiary Hospital. Naresuan University Journal: Science and Technology. 2016;24(3):75-85. (in Thai)
Manasda K. Application of Lean Six Sigma in Outpatient Department of Samakkee Primary Care Unit, Mahasarakham Hospital. Mahasarakham Hospital Journal.2019;16(3): 109-15. (in Thai)
Chan H, Lo S, Lee L, Lo W, Yu W, Ho S, Yeung R, Chan J. Lean techniques for the improvement of patients’ flow in emergency department. World J Emerg Med. 2014;5(1):24-8. doi: 10.5847/wjem.j.issn.1920-8642.2014.01.004
Puntipa P, Aree C, Penjun S. The Development of a Diabetic Clinic Service Model by Applying Lean Concept at Chaoprayayomraj Regional Hospital, Suphan Buri Province. Journal of The Royal Thai Army Nurses.2017;18(1):28-9. (in Thai)
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