Pull processes in health care: a systematic literature review

Vega, Rafael Consentino de la; Pinto, Gustavo Oliveira; Ribeiro, Fatima Faria; Spiegel, Thaís

doi:10.1590/1806-9649-2022v29e1921

Brasil

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ORIGINAL ARTICLE • Gest. Prod. 29 • 2022 • https://doi.org/10.1590/1806-9649-2022v29e1921 linkcopy

Pull processes in health care: a systematic literature review

(PT-BR) - Processos puxados em saúde: uma revisão sistemática da literatura

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract:

The lean production paradigm was first adopted by the automobile industry and has been progressively adapted and adopted by several other sectors. Health services are, in general, co-created by users. This poses a logical challenge when applying one of the principles of the lean production paradigm: the establishment of pulled processes. This article investigates how pull processes have been adapted for lean production in healthcare (lean healthcare). A bibliometric analysis of 267 articles on lean healthcare research, published between 2004 and 2021, is presented in this article. A qualitative review of 233 articles is also presented. Most articles presented in this study were published after 2012, and publications and citations are primarily from the US, Brazil, and the UK. 39 articles pertain to an application of the concept, but most of the articles refer to pulling intermediate products, which are not subject to the aforementioned logical challenge. Only 8 articles effectively discuss the pulling of the flow of users. The main conclusion is that pulling has a distinct objective when applied to health care: the goal is not exactly the elimination of queues (the equivalents of intermediate stocks) but the elimination of idleness in downstream resources with limited capacity.

Keywords: Lean production; Lean healthcare; Pulled process; Kanban; Literature review; Bibliometrics

Author	Publications	Freq.	Citations	h index	Author	Publications	Freq.	Citations	h index
Tortorella GL	Augusto & Tortorella (2019), Borges et al. (2020), Fogliatto et al. (2019), Tlapa et al. (2020), Tortorella et al. (2015, 2017, 2019, 2020a, 2020b), Zepeda-Lugo et al. (2020)	10	84	20	Dinis-Carvalho J	Barretiri et al. (2021), Castanheira-Pinto et al. (2021), Lima et al. (2021)	3	0	11
Godinho F M	Bertani et al. (2019), Costa & Godinho (2016), Costa et al. (2017), Godinho et al. (2015), Henrique et al. (2016, 2021)	6	200	24	Gonçalves BS	Barretiri et al. (2021), Castanheira-Pinto et al. (2021), Lima et al. (2021)	3	0	2
Lima R	Barretiri et al. (2021), Castanheira-Pinto et al. (2021), Lima et al. (2021), Souza et al. (2019, 2020a, 2020b),	6	3	15	Guercini J	Barnabè et al. (2017, 2018, 2019)	3	17	3
White M	White et al. (2014a, 2014b, 2014c, 2017a, 2017b), White & Waldron (2014)	6	84	7	Guizzi G	Chiocca et al. (2012), Romano et al. (2013, 2015)	3	30	12
Butterworth T	White et al. (2014a, 2014b, 2014c, 2017a, 2017b)	5	75	15	Habidin N	Habidin (2017), Habidin et al. (2014, 2015)	3	33	11
Souza T	Lima et al. (2021), Souza et al. (2019, 2020a, 2020b), Vaccaro et al. (2015)	5	4	3	Jobin M	Dorval & Jobin (2019, 2021), Fournier & Jobin (2018)	3	7	5
Wells JSG	White et al. (2014a, 2014b, 2014c, 2017a, 2017b)	5	75	14	Kim C	Kim et al. (2005, 2006), Platchek & Kim (2012)	3	260	14
Anuar A	Anuar et al. (2018, 2019a, 2019b), Anuar & Sadek (2018)	4	5	3	Limon-Romero J	Tlapa et al. (2020), Zepeda-Lugo et al. (2018, 2020)	3	16	6
Anzanello MJ	Fogliatto et al. (2019, 2020), Tortorella et al. (2015, 2017)	4	50	17	Marodin G	Henrique et al. (2021), Tortorella et al. (2015, 2017)	3	41	17
Fogliatto FS	Fogliatto et al. (2019, 2020), Tortorella et al. (2015, 2017),	4	50	20	Reis A	Conceição et al. (2020), Reis et al. (2020), Santos et al. (2020)	3	4	3
Morrissette M	Morrissette (2009a, 2009b), Morrissette & Cassidy (2009a, 2009b)	4	2	1	Romano E	Chiocca et al. (2012), Romano et al. (2013, 2015)	3	30	12
Poksinska B	Drotz & Poksinska (2014), Poksinska (2016), Pokinska et al. (2017), Rotter et al. (2019)	4	148	14	Saad R	Anuar et al. (2018, 2019a, 2019b),	3	4	3
Rentes AF	Bertani et al. (2019), Costa et al. (2017), Godinho et al. (2015), Henrique et al. (2016)	4	104	6	Sadek D	Anuar et al. (2019a, 2019b), Anuar & Sadek (2018)	3	1	1
Sobek DK	Ghosh & Sobek (2006), Sobek & Jimmerson (2006), Sobek & Lang (2010), Sobek (2011)	4	26	15	Sarantopoulos A	Lot et al. (2018), Sarantopoulos et al. (2017), Siqueira et al. (2019)	3	13	1
Báez-López Y	Tlapa et al. (2020), Zepeda-Lugo et al. (2018, 2020)	3	16	6	Silva M	Coelho et al. (2013), Pinto et al. (2013), Silva et al. (2013)	3	28	11
Barnabè F	Barnabè et al. (2017, 2018, 2019)	3	17	6	Tlapa D	Tlapa et al. (2020), Zepeda-Lugo et al. (2018, 2020)	3	16	8
Bertani T	Bertani et al. (2019), Costa et al. (2017), Godinho et al. (2015)	3	51	2	Verbano C	Crema & Verbano (2017), Verbano et al. (2017, 2019).	3	10	17
Calado R	Coelho et al. (2013), Pinto et al. (2013), Silva et al. (2013)	3	28	4	Yusoff R	Anuar et al. (2018, 2019a, 2019b)	3	4	9
Chiocca D	Chiocca et al. (2012), Romano et al. (2013, 2015)	3	30	4	Zepeda-Lugo C	Tlapa et al. (2020), Zepeda-Lugo et al. (2018, 2020)	3	16	2
Demirli K	Alkaabi et al. (2019, 2021), Yu et al. (2015)	3	3	17

Author(s)	Title	Periodical	Citations	Citations per year
Souza (2009)	Trends and approaches in lean healthcare	Leadership In Health Services	350	26,92
Kim et al. (2006)	Lean health care: what can hospitals learn from a world-class automaker?	Journal of Hospital Medicine (Online)	249	15,56
Waring & Bishop (2010)	Lean healthcare: rhetoric, ritual and resistance	Social Science and Medicine	226	18,83
D'Andreamatteo et al. (2015)	Lean in healthcare: a comprehensive review	Health Policy	222	31,71
Dahlgaard et al. (2011)	Quality and lean health care: a system for assessing and improving the health of healthcare organizations	Total Quality Management and Business Excellence	166	15,09
Souza & Pidd (2011)	Exploring the barriers to lean health care implementation	Public Money and Management	126	11,45
Al-Balushi et al. (2014)	Readiness factors for lean implementation in healthcare settings - a literature review	Journal of Health, Organisation and Management	109	13,62
Costa & Godinho (2016)	Lean healthcare: review, classification and analysis of literature	Production Planning and Control	95	15,83
Drotz & Poksinska (2014)	Lean in healthcare from employees' perspectives	Journal of Health, Organisation and Management	95	11,88
McCann et al. (2015)	Casting the lean spell: the promotion, dilution and erosion of lean management in the NHS	Human Relations	62	8,86

Country	Total Publications	Total Citations	Average of Citations per Publication
United States	50	580	11,60
Brazil	50	364	7,28
United Kingdom	23	868	37,74
Italy	21	334	15,90
Canada	14	91	6,50
Spain	11	40	3,64
Malaysia	9	39	4,33
Portugal	9	11	1,22
Sweden	7	316	45,14
India	6	53	8,83
Ireland	6	82	13,67
Mexico	5	19	3,80
Czech Republic	5	2	0,40
Morocco	4	9	2,25
United Arab Emirates	3	13	4,33
Oman	3	111	37,00
Peru	3	0	0,00
Turkey	3	23	7,67

Country	Total Publications	Cumulative %
United States	60	18,8%
Brazil	57	36,6%
United Kingdom	30	45,9%
Italy	21	52,5%
Canada	19	58,4%
Spain	13	62,5%
Sweden	10	65,6%
Malaysia	9	68,4%
Portugal	9	71,3%
India	6	73,1%
Ireland	6	75,0%
Czech Republic	6	76,9%

Source	Publications	Total Citations	JCR 2019	CiteScore 2020	SJR 2020	h index 2020
Journal of Health Organization and Management	8	277	1,054	2,30	0,490	3
International Journal of Environmental Research and Public Health	5	13	2,849	3,40	0,747	46
International Journal of Supply Chain Management	5	6	-	1,00	0,585	5
Advances in Intelligent Systems and Computing	5	2	-	0,90	0,184	21
Production Planning and Control	4	174	3,605	8,20	1,331	13
International Journal of Health Care Quality Assurance	4	63	-	2,10	0,408	2
IFAC Proceedings Volumes (IFAC-PapersOnline)	4	37	-	2,10	0,308	4
BMC Health Services Research	4	22	1,987	3,50	1,098	9
Production	4	11	-	2,20	0,336	3
International Journal of Lean Six Sigma	4	8	2,511	5,20	0,578	6
Brazilian Journal of Operations & Production Management	4	0	-	-	-	-
Society for Health Systems Conference and Expo	4	0	-	-	-	-

Framing of the mention in the theoretical framework
Framework	Qty.	%	Section	Sub-framework	Qty.	%
No discussion or case	61	66,3%	-	PRI only	27	29,3%
				MTD only	23	25,0%
				PRI + MTD	11	12,0%
Discussion of the literature	13	14,1%	4.2	LTD only	7	7,6%
				PRI + LTD	4	4,3%
				PRI + MTD + LTD	2	2,2%
Case of literature	13	14,1%	4.3	LTC only	8	8,7%
				PRI + LTC	1	1,1%
				MTD + LTC	2	2,2%
				PRI + MTD + LTC	2	2,2%
Discussion and case of the literature	5	5,4%	4.2 e 4.3	LTD + LTC	2	2,2%
				PRI + LTD + LTC	2	2,2%
				MTD + LTD + LTC	1	1,1%

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Universidade Federal de São Carlos Departamento de Engenharia de Produção , Caixa Postal 676 , 13.565-905 São Carlos SP Brazil, Tel.: +55 16 3351 8471 - São Carlos - SP - Brazil
E-mail: gp@dep.ufscar.br

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[1] Source: Scopus. Processing by the authors (2021).