Análise da aplicação dos princípios e práticas da produção enxuta em organizações de saúde uma revisão sistemática da literatura

Abstract

The knowledge that involves the lean production system, originally developed in the industrial sector, presents numerous aspects of application to other sectors through the principles and practices. The health sector is one of its direct applicators of the knowledge arising from the Japanese work philosophy. With this, this research aims to carry out an analysis of the principles and practices of lean production applied in health organizations, usually called Lean Healthcare, through a Systematic Literature Review (RSL). For the development of this research, it was necessary to list the limiting elements, which are: (a) consultation in a database with articles published in English: Web of Science, PubMed and Scopus; (b) articles published between January 2012 and June 2022; (c) articles that reinforced the applicability of Lean Healthcare, thus focusing on descriptive empirical works. Thus, after using the filters, 50 articles were raised that formed the portfolio studied in this work. The results were initially expressed through the general concepts of the publications, such as year of publication and nationality. It is possible to visualize a number of publications on the topic growing in the last 5 years, as it was also observed that many Lean principles are directly addressed and applied through techniques, such as the case of Value Stream Mapping (MFV), which was used in approximately 54% of the analyzed publications. In addition, the most addressed services of health organizations were listed, as well as the main difficulties faced in the process of implementing such a philosophy. It can be concluded from the research that the lean philosophy, through its principles and practices, is directly inserted in health organizations, being used in several sectors and services of the segment, presenting a tendency of growth in the number of applications of such techniques seen the benefits identified in the companies.