Repercussões obtidas nos serviços de saúde com a implantação do Lean Healthcare: revisão integrativa

Abstract

The aim was to identify which types of health services/sectors implemented Lean Healthcare and the repercussions obtained. This is an integrative review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses – PRISMA guideline. Searches were carried out in health electronic databases and portals, resulting in 24 articles published between the years 2012-2022. It was evident that the last five years presented 88% of the publications, including during the period of the COVID-19 pandemic. Of the health services that implemented Lean, 58.4% did not mention the type of administration, 25% had a private institutional profile and 16.6% were public. The predominance of implementation was in hospitals and university institutions, followed by primary care and laboratory. The most obvious repercussions were the reduction in waiting time, increased patient and professional team satisfaction. It is concluded that the Lean philosophy proved to be effective in different health care scenarios. The importance of longitudinal studies that present the maintenance of the results obtained is highlighted.