标题：Can a Healthcare “Lean Sweep” Deliver on What Matters to Patients?; Comment on “Improving Wait Times to Care for Individuals with Multimorbidities and Complex Conditions Using Value Stream Mapping”
期刊名称：International Journal of Health Policy and Management
电子版ISSN：2322-5939
出版年度：2015
卷号：4
期号：11
页码：783-785
DOI：10.15171/ijhpm.2015.140
语种：English
出版社：Kerman University of Medical Sciences
其他摘要：Disconnects and defects in care – such as duplication, poor integration between services or avoidable adverse events – are costly to the health system and potentially harmful to patients and families. For patients living with multiple chronic conditions, such disconnects can be particularly detrimental. Lean is an approach to optimizing value by reducing waste (eg, duplication and defects) and containing costs (eg, improving integration of services) as well as focusing on what matters to patients. Lean works particularly well to optimize existing processes and services. However, as the burden of chronic illness and frailty overtake episodic care needs, health systems require far greater complex, adaptive change. Such change ought to take into account outcomes in population health in addition to care experiences and costs (together, comprising the Triple Aim); and involve patients and families in co-designing new models of care that better address complex, longer-term health needs.
其他关键词：Wait Times ; Multimorbidities ; Lean Methodologies ; Patient Experience ; Chronic Care ; Triple Aim
