Abstrakt:
The lean concept is now seen to be a form of revolution for quality, effective and efficient means to healthcare delivery, but there are critics on the likelihood of applying the concept in public services context of which the public healthcare is no exception and hence the need for this study. This thesis aims to examine the application of change management and the lean concept in public healthcare services, identify units or departments the lean concept is applied, the lean tools applied, the successes achieved as well as the challenges encountered. For the purpose of this research and in order to achieve the aim of the thesis, content analyses of published articles on lean in public-sector healthcare from Google Scholar database were selected based on a purposive sampling approach. The findings from this study have shown the lean concept effectiveness in improving the Public-sector healthcare delivery. Kaizen, VSM, Six Sigma, 5S, and JIT are the most widely used lean tools and techniques, the emergency, the surgery, and laboratory units are the most common areas lean is applied in the healthcare system. Reduction in lead time, reduction in waiting time, and reductions in the cost of operations are performance outcomes mostly derived.
