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Lean implementation at different levels in Swedish hospitals: the importance for working conditions and stress
University of Borås, Faculty of Caring Science, Work Life and Social Welfare. KTH – Royal Institute of Technology, School of Technology and Health, Stockholm, Sweden. (Arbetsliv och välfärd)
KTH – Royal Institute of Technology, School of Technology and Health, Stockholm, Sweden. (Lean och ledarskap)
KTH – Royal Institute of Technology, School of Technology and Health, Stockholm, Sweden. (Lean och ledarskap)
University of Indiana, US. (Lean och ledarskap)
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2015 (English)In: International Journal of Human Factors and Ergonomics, ISSN 2045-7804, E-ISSN 2045-7812, Vol. 3, no 3-4, p. 235-253Article in journal (Refereed) Published
Sustainable development
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Abstract [en]

Health care organizations in Sweden are recently reorienting toward horizontal organization around care processes.  The aim was to investigate how implementation approaches for improvements of care processes in line with lean production (LP), at strategic and operative levels, in hospitals are associated with the consequences for working conditions and stress-related health among the employees. Five hospitals working with improvements to care processes were tracked: questionnaires to employees (n=1326) 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 strategic or operative initiatives, approaches to degree of LP.

Place, publisher, year, edition, pages
2015. Vol. 3, no 3-4, p. 235-253
Keywords [en]
lean production; continuous improvements; work environment; job demands and resources; stress, health care workers
National Category
Medical and Health Sciences Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Människan i vården
Identifiers
URN: urn:nbn:se:hb:diva-8601DOI: 10.1504/IJHFE.2015.073001OAI: oai:DiVA.org:hb-8601DiVA, id: diva2:894685
Funder
Forte, Swedish Research Council for Health, Working Life and WelfareAFA InsuranceAvailable from: 2016-01-15 Created: 2016-01-15 Last updated: 2018-04-05Bibliographically approved

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Dellve, Lotta

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