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August 7, 2026HealthcareOpen Access

Lean Adoption in Healthcare: Between Promise and Practice

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Authors

JGJarosław GarskiDWDariusz Walkowiak

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Overview

Systematic review identifies barriers to lean management adoption in healthcare, suggesting integrated solutions for improvement.

Key Points

  • This study aims to identify systemic barriers that limit the sustainable adoption of lean management in healthcare organizations.
  • Conducted a systematic literature review following PRISMA 2020 guidelines.
  • Searched Scopus, Emerald Insight, PubMed/MEDLINE, and Google Scholar for peer-reviewed articles from 2015 to 2025.
  • Synthesized data on measurement frameworks, influencing factors, and barriers to develop an explanatory model.
  • Identified three thematic clusters: Measurement–Accountability Gap, Tools–Philosophy Disconnect, and Complexity–Resistance Cycle.
  • Demonstrated that these clusters are interconnected, reinforcing each other as barriers to lean adoption.
  • Proposed an integrated conceptual model to guide healthcare leaders in fostering sustainable lean management initiatives.

Cite This Study

Garski et al. (2026) studied this question.

synapsesocial.com/papers/6a758c1b847ab6d26c01fef9https://doi.org/10.3390/healthcare14152403
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