The Effect of Lean Approach on Hospital Service Quality and Inpatient Satisfaction
##plugins.themes.academic_pro.article.main##
Abstract
Measurement of the service quality is very important, especially to improve service quality and get loyal customers in a private hospital using a lean service approach. This research aims to determine the effect of a lean service approach based on variables including overproduction, waiting time, transportation, excess processing, inventory, motion and satisfaction defects. This study used a quantitative method approach with a cross-sectional design. The population were treated in the inpatient ward of Malahayati Hospital, Medan. The sample size was 110 patients, determined by Rao formula. The sampling technique was a purposive sampling technique with inclusion criteria of patients who were hospitalized for more than three days on March 2021. Data obtained were analyzed with the logistic regression tests. The results showed all variable have significant effect on the inpatient satisfaction including over production (p = 0.019), followed by waiting time (p = 0.012), transportation (p = 0.011), excess processing (p = 0.017), inventory (p = 0.010), motion (p = 0.015), and satisfaction defects (p = 0.010). Based on multivariate analysis concluded that hospital service quality affects inpatient satisfaction based on the waste inventory (4.567 times) as the highest and waste transportation (2.786 times) as the lowest. This study has strongly suggested that the hospital management should maintain over production waste and other waste variables in order to improve the service quality.
##plugins.themes.academic_pro.article.details##
References
Agiwahyuanto, F. et al. (2021) ‘Satisfaction Index of Employees on Service Quality through Quality Leadership at Three Hospitals B-Type, Central Java Province’, Unnes Journal of Public Health, 10(1), pp. 78–85. doi: 10.15294/ujph.v10i1.36806.
Ahmed, S. (2018) ‘Effect of Lean Six Sigma on quality performance in Malaysian hospitals’, International Journal of Health Care Quality Assurance, 31(8), pp. 973–987. doi: 10.1108/IJHCQA-07-2017-0138.
Armadiantoro, H. (2017). Identifikasi Waste Pada Gudang Farmasi Instalasi Farmasi Rumah Sakit Bedah Surabaya Dengan Pendekatan Lean Management Serta Usulan Perbaikan Dengan Root Cause Analysis [Universitas Airlangga]. https://repository.unair.ac.id/63772
Atikah, N. et al. (2021) ‘Identifikasi waste: DOWNTIME pada pelayanan resep rawat jalan di instalasi farmasi Rumah Sakit Islam Siti Hajar Mataram’, Scientific Journal of Pharmacy, 17(2), pp. 107–114.
Atmojo, A., Purnomo, I. P. and Muljono, S. (2018) ‘The Influence of Organizational Culture on Inpatient Staff Performance of QIM Hospital’, Unnes Journal of Public Health, 7(1), pp. 25–29. doi: 10.15294/ujph.v7i1.19213.
Hallam, C. R. A. and Contreras, C. (2018) ‘Lean healthcare: scale, scope and sustainability’, International Journal of Health Care Quality Assurance, 31(7), pp. 684–696. doi: 10.1108/IJHCQA-02-2017-0023.
Kharismawati, A. and Herliansyah, M. K. (2016) ‘Implementasi Lean Healthcare pada Pasien BPJS Rawat Jalan Di Rumah Sakit Bethesda Yogyakarta’, Seminar Nasional Teknik Industri Universitas Gadjah Mada 2016, pp. 10–19.
Kusdarmadji, Pribadi, F. and Permana, I. (2021) ‘Implementation of Lean Management To Reduce Waste in Hemodialization Installation’, 15(2), pp. 166–170.
Lestari, S. A., Suryawati, C. and Sugiarto, J. (2020) ‘Analisis Waste dengan Model Lean Hospital pada Pelayanan Poli Rawat Jalan’, Jurnal Kesehatan, 8(1), pp. 16–25. doi: 10.25047/j-kes.v8i1.133.
Mark Graban, J. T. (2018) Lean Hospitals: Improving Quality, Patient Safety, and Employee Engagement. 3rd edn. New York: Productivity Press. doi: https://doi.org/10.4324/9781315380827.
Pini, A. et al. (2014) ‘Assessment of patient satisfaction of the quality of health care provided by outpatient services of an oncology hospital’, Global journal of health science, 6(5), pp. 196–203. doi: 10.5539/gjhs.v6n5p196.
Souza, D. L. et al. (2021) ‘A systematic review on lean applications’ in emergency departments’, Healthcare (Switzerland), 9(6), pp. 1–19. doi: 10.3390/healthcare9060763.
Vashi, A. (2019) ‘Applying Lean Principles to Reduce Wait Times in a VA Emergency Department’, Military Medicine, 184(1). doi: 10.1093/milmed/usy165.
Vega, L. N. and Setiawan, K. (2018) ‘Pendekatan lean healthcare untuk meminimalkan operational waste di rumah sakit hermina jatinegara ledhis nadya vega’, 12(2012), pp. 2018–2020.
Wirawan, A. and Yunita, V. (2018) ‘Analisis Kepuasan Pelayanan Pasien Pada Instalasi Rawat Jalan Di Rumah Sakit Rumah Sakit Umum Daerah Embung Fatimah Batam Dengan Pendekatan Lean Service Dan Service Perfomance’, Journal of Applied Business Administration, 1(2), pp. 194–208. doi: 10.30871/jaba.v1i2.608.
Zepeda-Lugo, C. (2020) ‘Assessing the impact of lean healthcare on inpatient care: A systematic review’, International Journal of Environmental Research and Public Health, pp. 1–24. doi: 10.3390/ijerph17155609.