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August 26, 2026International Journal of Quality & Reliability ManagementOpen Access

Sustainable healthcare lean management implementations in outpatient healthcare: a systematic literature review

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Authors

CPCaterina PozzanCPChiara PamichATAnna Tiso

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Overview

Systematic review reveals limited evidence and key barriers for sustainable lean management in outpatient healthcare, highlighting the need for comprehensive care quality frameworks.

Key Points

  • To evaluate healthcare lean management (HLM) implementations within low-complexity outpatient healthcare settings and identify factors supporting sustainable care quality.
  • Conducted a structured literature review examining HLM applications within primary and secondary low-complexity outpatient healthcare (LCOH).
  • Analyzed care quality goals, organizational practices, tools, outcomes, and reported sustainability barriers and facilitators.
  • Identified a scarcity of empirical evidence on HLM implementations in outpatient settings, particularly within European and public healthcare systems.
  • Found that existing implementations rarely address comprehensive dimensions of care quality, resulting in limited evidence on long-term sustainability.
  • Characterized organizational facilitators and barriers critical for maintaining continuous quality improvements outside hospital environments.

Cite This Study

Pozzan et al. (2026) studied this question.

synapsesocial.com/papers/6a8e9b58451774b83f3b4122https://doi.org/10.1108/ijqrm-02-2025-0062
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Synergizing Lean Healthcare and Industry 4.0 Technologies for Sustainable Healthcare Transformation: A Literature Review2026
  2. 2Lean Adoption in Healthcare: Between Promise and Practice2026
  3. 3The outcomes of Lean management in a large academic hospital in Finland in 2018–2023: a qualitative study2026
  4. 4Issues and challenges in the implementation of lean healthcare in hospitals: a systematic review2026
  5. 5A Systematic Review of Lean Implementation in Hospitals: Impact on Efficiency, Quality, Cost, and Satisfaction2025 · 11 citations