Aplicación del método Lean Healthcare en hospitales. Evidencia global y perspectiva peruana
Palabras clave:
Lean Healthcare, modernización hospitalaria, calidad asistencial, mejora de procesos, gestión pública, (Tesauro UNESCO).
Resumen
El estudio analiza la producción científica relacionada con la aplicación del método Lean Healthcare para la mejora continua de calidad en los hospitales. El objetivo de la investigación fue examinar el potencial del método Lean Healthcare como herramienta de modernización del sistema de hospitales públicos en Perú. Se realizó una búsqueda bibliográfica con trabajos investigativos en bases de datos de revistas indexadas que hacen referencia a a avances en eficiencia operativa, seguridad del usuario y gobernanza hospitalaria. Se obtuvieron datos de diversos países que confirman la viabilidad del modelo Lean Healthcare. A nivel nacional, diversos estudios han mostrado resultados satisfactorios en la gestión ambulatoria y en la percepción de la calidad del servicio. La evidencia sugiere que el modelo surge como una herramienta estratégica para la transformación institucional en concordancia con las metas de desarrollo sostenible y las directrices nacionales destinadas a optimizar la gestión pública de salud.
Descargas
La descarga de datos todavía no está disponible.
Citas
Alvarado-Siete, L., Gomez-Mejia, L. M., Collao-Diaz, M., Quiroz-Flores, J., & Flores-Perez, A. (2022). Service management model based on Lean and Kaizen tools to improve the level of satisfaction in health sector companies. En Proceedings of the 2022 9th International Conference on Industrial Engineering and Applications (WCSE 2022 Spring Event) (pp. 1385–1392). Sanya, China. https://acortar.link/IFVmpK
Åhlin, P., Almström, P., & Wänström, C. (2023). Solutions for improved hospital-wide patient flows: A qualitative interview study of leading healthcare providers. BMC Health Services Research, 23(1), 17. https://doi.org/10.1186/s12913-022-09015-w
Bellido-Boza, L., Villarreal-Zegarra, D., & Valdivia-Miranda, P. (2025). Human resources and healthcare infrastructure in Peru: A cross-sectional analysis from 2018 to 2024. Medrxiv, The preprint server for Health Sciences. https://doi.org/10.1101/2025.01.01.25319872
Burga Meza, M. (2023). Lean Healthcare y tiempo de espera en pacientes de emergencia de un Hospital Nacional, Perú-2023. [Tesis de licenciatura, Universidad Privada Norbert Wiener]. Repositorio de la Universidad Privada Norbert Wiener. https://hdl.handle.net/20.500.13053/10541
Cardoso, W. (2020). O mapeamento do fluxo de valor como ferramenta do Lean Healthcare para enxergar desperdícios e pontos de melhoria: o caso do pronto atendimento de um hospital universitário. Revista De Gestão Em Sistemas De Saúde, 9(2), 360–380. https://acortar.link/gm1gAD
Chen, M., Guan, Q., & Zhuang, J. (2024). Patient-centered Lean Healthcare management from a humanistic perspective. BMC Health Services Research, 24, 1261. https://doi.org/10.1186/s12913-024-11755-w
Donabedian, A. (1988). The quality of care—How can it be assessed? JAMA, 260(12), 1743–1748. https://doi.org/10.1001/jama.260.12.1743
Fernández Gómez, V. J., Morales Salazar, P., & Yache Cuenca, E. J. (2025). Método Lean Healthcare en la mejora de calidad de consulta ambulatoria en un hospital público de la Región La Libertad [Tesis doctoral, Universidad César Vallejo]. Universidad César Vallejo.
Fournier, P. L., Jobin, M. H., Lapointe, L., & Bahl, L. (2021). Lean implementation in healthcare: offsetting Physicians’ resistance to change. Production Planning & Control, 34(6), 493–505. https://doi.org/10.1080/09537287.2021.1938730
Hagger, M. S., Polet, J., Lintunen, T., Ullrich-French, S., Hamilton, K., Rebar, A. L., Hein, V., Hagger, D., Hardcastle, S. J., & Chan, D. K. C. (2020). Predicting intention to participate in self-management behaviors in patients with familial hypercholesterolemia: A cross-national study. Social Science & Medicine, 242, 112591. https://doi.org/10.1016/j.socscimed.2019.112591
Kunnen, Y.S., Roemeling, O.P. & Smailhodzic, E. (2023) What are barriers and facilitators in sustaining lean management in healthcare? A qualitative literature review. BMC Health Serv Res, 23, 958. https://doi.org/10.1186/s12913-023-09978-4
Mahmoud, Z., Angelé-Halgand, N., Churruca, K., Ellis, L. A., & Braithwaite, J. (2021). The impact of lean management on frontline healthcare professionals: a scoping review of the literature. BMC health services research, 21, 383. https://doi.org/10.1186/s12913-021-06344-0
Marsilio, M., Berta, W., & Ramondetti, L. (2022). Lean adoption, implementation, and outcomes in public hospitals: An international benchmarking study comparing the US and Italy. BMC Health Services Research, 22, 122. https://doi.org/10.1186/s12913-022-07473-w
McDermott, O., Antony, J., Bhat, S., Jayaraman, R., Rosa, A., Marolla, G., & Parida, R. (2022). Lean Six Sigma in healthcare: A systematic literature review on motivations and benefits. Processes, 10(10), 1910. https://doi.org/10.3390/pr10101910
Mi, D., Li, Y., Zhang, K., Huang, C., Shan, W., & Zhang, J. (2023). Exploring intelligent hospital management mode based on artificial intelligence. Frontiers in public health, 11, 1182329. https://doi.org/10.3389/fpubh.2023.1182329
Ministerio de Salud del Perú [MINSA]. (2022). Plan estratégico multisectorial al 2030 de la Política Nacional Multisectorial de Salud “Perú, país saludable”. https://acortar.link/bRItuV
Morales Olivares, F. J. (2022). Rediseño del proceso de gestión del área de logística y farmacia en la clínica RedSalud Providencia. [Trabajo de pregrado, Universidad de Chile]. Respositorio https://repositorio.uchile.cl/handle/2250/187623
Mukherjee, N. (2023). Quality Improvement in Critical Care Areas using the Lean Six Sigma approach. Indian Journal of Public Health Research & Development, 14(2), 90–96. https://acortar.link/xa7oYc
Ninavilca, Y. F. C., Rivera-Torcillas, W. F., & Silva-Sánchez, O. (2023). Application of Lean Office and Artificial Intelligence to optimize hospital management for improving efficiency and quality of services in Peru. Journal of Scientific and Technological Research Industrial, 6(2), 13-17. https://doi.org/10.47422/jstri.v6i2.64
Parasuraman, A., Zeithaml, V. A., & Berry, L. L. (1988). SERVQUAL: A multiple-item scale for measuring consumer perceptions of service quality. Journal of Retailing, 64(1), 12–40. https://acortar.link/Db4mJV
Peimbert-García, R. E., Meave Gutiérrez-Mendoza, L., & García-Reyes, H. (2021). Applying Lean Healthcare to Improve the Discharge Process in a Mexican Academic Medical Center. Sustainability, 13(19), 10911. https://doi.org/10.3390/su131910911
Radnor, Z., Holweg, M., & Waring, J. (2012). Lean in healthcare: The unfilled promise? Social Science & Medicine, 242, 112591. https://doi.org/10.1016/j.socscimed.2011.02.011
Rathi, R., Vakharia, A., & Shadab, M. (2022). Lean six sigma in the healthcare sector: A systematic literature review. Materials today. Proceedings, 50, 773-781. https://doi.org/10.1016/j.matpr.2021.05.534
Rooslanda, E., & Ayuningtyas, D. (2023). Implementation of Lean Management for hospital service quality improvement: Literature review. Journal of Social Research, 2(8), 2488-2496. https://doi.org/10.55324/josr.v2i8.1232
Rosa, A., Marolla, G., Lega, F., & Manfredi, F. (2021). Lean adoption in hospitals: the role of contextual factors and introduction strategy. BMC health services research, 21(1), 889. https://doi.org/10.1186/s12913-021-06885-4
Schretlen, S., Hoefsmit, P., Kats, S., van Merode, G., Maessen, J., & Zandbergen, R. (2021). Reducing surgical cancellations: a successful application of Lean Six Sigma in healthcare. BMJ open quality, 10(3), e001342. https://doi.org/10.1136/bmjoq-2021-001342
Smith, I. M. (2023). Building lean improvement sckills at scale: an evaluation of a massive open online course in the English NHS. BMJ open quality, 12(4), e002357. https://doi.org/10.1136/bmjoq-2023-002357
Veres, C., Stoian, M., & Szabo, D.-A. (2025). The role of leadership in Lean Healthcare transformation: A mixed-methods study. Journal of the Knowledge Economy. https://doi.org/10.1007/s13132-025-02661-5
Wang, J., Lv, H., Chen, M., Liu, C., Ren, W., Jiang, H., & Zhang, L. (2025). A systematic review of Lean implementation in hospitals: Impact on efficiency, quality, cost, and satisfaction. International Journal of Health Policy and Management, 14(1), 1–17. https://doi.org/10.34172/ijhpm.8974
Womack, J. P., & Jones, D. T. (1997). Lean Thinking—Banish Waste and Create Wealth in your Corporation. Journal of the Operational Research Society, 48(11), 1148. https://doi.org/10.1057/palgrave.jors.2600967
Zevallos-Aquije, A., Salas-Castro, R., Carvallo-Munar, E., & Cardenas-Rengifo, L. (2021). Combined Model Based on Lean Healthcare and BPA to Reduce Waiting Times in Public Health Entities. En Y. Iano, O. Saotome, G. Kemper, A. Mendes, & G. Gomes (Eds.), Proceedings of the 6th Brazilian Technology Symposium (BTSym’20). (pp. 378-384). Springer International Publishing. https://doi.org/10.1007/978-3-030-75680-2_42
Zimmermann, G. D. S., & Bohomol, E. (2023). Lean Six Sigma methodology to improve the discharge process in a Brazilian intensive care unit. Revista brasileira de enfermagem, 76(3), e20220538. https://doi.org/10.1590/0034-7167-2022-0538
Zyl-Cillié, V., van Dun, D., & Meijer, H. (2024). Toward a roadmap for sustainable lean adoption in hospitals: A Delphi study. BMC Health Services Research, 24, 1088. https://doi.org/10.1186/s12913-024-11529-4
Åhlin, P., Almström, P., & Wänström, C. (2023). Solutions for improved hospital-wide patient flows: A qualitative interview study of leading healthcare providers. BMC Health Services Research, 23(1), 17. https://doi.org/10.1186/s12913-022-09015-w
Bellido-Boza, L., Villarreal-Zegarra, D., & Valdivia-Miranda, P. (2025). Human resources and healthcare infrastructure in Peru: A cross-sectional analysis from 2018 to 2024. Medrxiv, The preprint server for Health Sciences. https://doi.org/10.1101/2025.01.01.25319872
Burga Meza, M. (2023). Lean Healthcare y tiempo de espera en pacientes de emergencia de un Hospital Nacional, Perú-2023. [Tesis de licenciatura, Universidad Privada Norbert Wiener]. Repositorio de la Universidad Privada Norbert Wiener. https://hdl.handle.net/20.500.13053/10541
Cardoso, W. (2020). O mapeamento do fluxo de valor como ferramenta do Lean Healthcare para enxergar desperdícios e pontos de melhoria: o caso do pronto atendimento de um hospital universitário. Revista De Gestão Em Sistemas De Saúde, 9(2), 360–380. https://acortar.link/gm1gAD
Chen, M., Guan, Q., & Zhuang, J. (2024). Patient-centered Lean Healthcare management from a humanistic perspective. BMC Health Services Research, 24, 1261. https://doi.org/10.1186/s12913-024-11755-w
Donabedian, A. (1988). The quality of care—How can it be assessed? JAMA, 260(12), 1743–1748. https://doi.org/10.1001/jama.260.12.1743
Fernández Gómez, V. J., Morales Salazar, P., & Yache Cuenca, E. J. (2025). Método Lean Healthcare en la mejora de calidad de consulta ambulatoria en un hospital público de la Región La Libertad [Tesis doctoral, Universidad César Vallejo]. Universidad César Vallejo.
Fournier, P. L., Jobin, M. H., Lapointe, L., & Bahl, L. (2021). Lean implementation in healthcare: offsetting Physicians’ resistance to change. Production Planning & Control, 34(6), 493–505. https://doi.org/10.1080/09537287.2021.1938730
Hagger, M. S., Polet, J., Lintunen, T., Ullrich-French, S., Hamilton, K., Rebar, A. L., Hein, V., Hagger, D., Hardcastle, S. J., & Chan, D. K. C. (2020). Predicting intention to participate in self-management behaviors in patients with familial hypercholesterolemia: A cross-national study. Social Science & Medicine, 242, 112591. https://doi.org/10.1016/j.socscimed.2019.112591
Kunnen, Y.S., Roemeling, O.P. & Smailhodzic, E. (2023) What are barriers and facilitators in sustaining lean management in healthcare? A qualitative literature review. BMC Health Serv Res, 23, 958. https://doi.org/10.1186/s12913-023-09978-4
Mahmoud, Z., Angelé-Halgand, N., Churruca, K., Ellis, L. A., & Braithwaite, J. (2021). The impact of lean management on frontline healthcare professionals: a scoping review of the literature. BMC health services research, 21, 383. https://doi.org/10.1186/s12913-021-06344-0
Marsilio, M., Berta, W., & Ramondetti, L. (2022). Lean adoption, implementation, and outcomes in public hospitals: An international benchmarking study comparing the US and Italy. BMC Health Services Research, 22, 122. https://doi.org/10.1186/s12913-022-07473-w
McDermott, O., Antony, J., Bhat, S., Jayaraman, R., Rosa, A., Marolla, G., & Parida, R. (2022). Lean Six Sigma in healthcare: A systematic literature review on motivations and benefits. Processes, 10(10), 1910. https://doi.org/10.3390/pr10101910
Mi, D., Li, Y., Zhang, K., Huang, C., Shan, W., & Zhang, J. (2023). Exploring intelligent hospital management mode based on artificial intelligence. Frontiers in public health, 11, 1182329. https://doi.org/10.3389/fpubh.2023.1182329
Ministerio de Salud del Perú [MINSA]. (2022). Plan estratégico multisectorial al 2030 de la Política Nacional Multisectorial de Salud “Perú, país saludable”. https://acortar.link/bRItuV
Morales Olivares, F. J. (2022). Rediseño del proceso de gestión del área de logística y farmacia en la clínica RedSalud Providencia. [Trabajo de pregrado, Universidad de Chile]. Respositorio https://repositorio.uchile.cl/handle/2250/187623
Mukherjee, N. (2023). Quality Improvement in Critical Care Areas using the Lean Six Sigma approach. Indian Journal of Public Health Research & Development, 14(2), 90–96. https://acortar.link/xa7oYc
Ninavilca, Y. F. C., Rivera-Torcillas, W. F., & Silva-Sánchez, O. (2023). Application of Lean Office and Artificial Intelligence to optimize hospital management for improving efficiency and quality of services in Peru. Journal of Scientific and Technological Research Industrial, 6(2), 13-17. https://doi.org/10.47422/jstri.v6i2.64
Parasuraman, A., Zeithaml, V. A., & Berry, L. L. (1988). SERVQUAL: A multiple-item scale for measuring consumer perceptions of service quality. Journal of Retailing, 64(1), 12–40. https://acortar.link/Db4mJV
Peimbert-García, R. E., Meave Gutiérrez-Mendoza, L., & García-Reyes, H. (2021). Applying Lean Healthcare to Improve the Discharge Process in a Mexican Academic Medical Center. Sustainability, 13(19), 10911. https://doi.org/10.3390/su131910911
Radnor, Z., Holweg, M., & Waring, J. (2012). Lean in healthcare: The unfilled promise? Social Science & Medicine, 242, 112591. https://doi.org/10.1016/j.socscimed.2011.02.011
Rathi, R., Vakharia, A., & Shadab, M. (2022). Lean six sigma in the healthcare sector: A systematic literature review. Materials today. Proceedings, 50, 773-781. https://doi.org/10.1016/j.matpr.2021.05.534
Rooslanda, E., & Ayuningtyas, D. (2023). Implementation of Lean Management for hospital service quality improvement: Literature review. Journal of Social Research, 2(8), 2488-2496. https://doi.org/10.55324/josr.v2i8.1232
Rosa, A., Marolla, G., Lega, F., & Manfredi, F. (2021). Lean adoption in hospitals: the role of contextual factors and introduction strategy. BMC health services research, 21(1), 889. https://doi.org/10.1186/s12913-021-06885-4
Schretlen, S., Hoefsmit, P., Kats, S., van Merode, G., Maessen, J., & Zandbergen, R. (2021). Reducing surgical cancellations: a successful application of Lean Six Sigma in healthcare. BMJ open quality, 10(3), e001342. https://doi.org/10.1136/bmjoq-2021-001342
Smith, I. M. (2023). Building lean improvement sckills at scale: an evaluation of a massive open online course in the English NHS. BMJ open quality, 12(4), e002357. https://doi.org/10.1136/bmjoq-2023-002357
Veres, C., Stoian, M., & Szabo, D.-A. (2025). The role of leadership in Lean Healthcare transformation: A mixed-methods study. Journal of the Knowledge Economy. https://doi.org/10.1007/s13132-025-02661-5
Wang, J., Lv, H., Chen, M., Liu, C., Ren, W., Jiang, H., & Zhang, L. (2025). A systematic review of Lean implementation in hospitals: Impact on efficiency, quality, cost, and satisfaction. International Journal of Health Policy and Management, 14(1), 1–17. https://doi.org/10.34172/ijhpm.8974
Womack, J. P., & Jones, D. T. (1997). Lean Thinking—Banish Waste and Create Wealth in your Corporation. Journal of the Operational Research Society, 48(11), 1148. https://doi.org/10.1057/palgrave.jors.2600967
Zevallos-Aquije, A., Salas-Castro, R., Carvallo-Munar, E., & Cardenas-Rengifo, L. (2021). Combined Model Based on Lean Healthcare and BPA to Reduce Waiting Times in Public Health Entities. En Y. Iano, O. Saotome, G. Kemper, A. Mendes, & G. Gomes (Eds.), Proceedings of the 6th Brazilian Technology Symposium (BTSym’20). (pp. 378-384). Springer International Publishing. https://doi.org/10.1007/978-3-030-75680-2_42
Zimmermann, G. D. S., & Bohomol, E. (2023). Lean Six Sigma methodology to improve the discharge process in a Brazilian intensive care unit. Revista brasileira de enfermagem, 76(3), e20220538. https://doi.org/10.1590/0034-7167-2022-0538
Zyl-Cillié, V., van Dun, D., & Meijer, H. (2024). Toward a roadmap for sustainable lean adoption in hospitals: A Delphi study. BMC Health Services Research, 24, 1088. https://doi.org/10.1186/s12913-024-11529-4
Publicado
2025-10-19
Cómo citar
Fernández-Gómez, V. J. (2025). Aplicación del método Lean Healthcare en hospitales. Evidencia global y perspectiva peruana. Gestio Et Productio. Revista Electrónica De Ciencias Gerenciales , 7(13), 352-368. https://doi.org/10.35381/gep.v6i11.471
Sección
De Investigación
Derechos de autor 2025 Víctor Javier Fernández-Gómez
Esta obra está bajo licencia internacional Creative Commons Reconocimiento-NoComercial-CompartirIgual 4.0.
CC BY-NC-SA : Esta licencia permite a los reutilizadores distribuir, remezclar, adaptar y construir sobre el material en cualquier medio o formato solo con fines no comerciales, y solo siempre y cuando se dé la atribución al creador. Si remezcla, adapta o construye sobre el material, debe licenciar el material modificado bajo términos idénticos.
URL de OAI-PMH: https://iieakoinonia.org/ojs3/index.php/gestioep/oai
