看板管理在医疗服务中应用的文献分析

Literature analysis of application of Kanban management in medical services

目的分析看板管理在国内外医疗服务管理中的应用现状,为我国精益医疗管理实践提供参考。方法采用文献计量学方法,在中国知网、万方数据库、维普中文期刊全文数据库、Springer Link、Embase和PubMed,以"看板""看板管理"为中文检索词,以"Kanban system""two-bin system"为英文检索词,检索2009年—2019年发表的文献,对发文量、发文机构、作者、被引频次、关键词、看板使用情况、看板被应用的改善区域进行统计描述与分析。结果共检索出219篇文献,最终纳入研究的14篇文献中,2015年—2019年发文量12篇,医院发文8篇,被引频次≥3次的文献有9篇,关键词基本呈现看板与医疗服务管理领域相关的主题结合,如质量控制与改进、病房服务、优质护理和流程评估,单独运用看板的文献11篇。看板在国外应用于医药供应链管理、病房床位管理、物料库存管理;在国内应用于药品管理、急诊抢救室患者管理、医务人员绩效管理、手术室器材管理、优质医疗服务管理。结论看板作为精益管理方式引入国内医疗领域较晚,目前研究发展不平衡;看板作为可视化管理工具,在医疗领域的应用有待扩展;看板作为精益改善工具,在提高医疗质量和提高患者满意度方面具有积极意义。建议研究者不应局限于现有应用性研究,可根据医院实际情况,结合不同的精益管理工具,研究不同医疗服务领域中看板的应用。

Objective To analyze the application status of Kanban management in medical service management at home and abroad and to provide a reference for lean medical management practice in China.Methods Using the bibliometric method,in China National Knowledge Infrastructure,Wanfang Database,CQVIP Journal Database,Springer Link,Embase and PubMed,we used"Kanban"and"Kanban management"as Chinese search terms,"Kanban system"and"two-bin system"as English search terms to search for literature published from 2009 to 2019.The number of articles published,institutions,authors,citation frequencies,key words,Kanban usage,and improved areas where Kanban was applied in were statistically described and analyzed.Results A total of 219 articles were retrieved.Of the 14 articles included in the study,12 articles were published from 2015 to 2019,8 articles were published by hospitals,and 9 articles were cited more than or equal to 3 times.The key words were basically the combinations of Kanban and related topics in the field of medical service management,such as quality control and improvement,ward service,high-quality care and process evaluation;11 articles used Kanban alone.Kanban was used in medicine supply chain management,ward bed management,and material inventory management abroad;and was used in medicine management,emergency room patient management,medical staff performance management,operating room equipment management,and high-quality medical service management in China.Conclusions Kanban as a lean management method was introduced into the domestic medical field late,and the current research development is not balanced.As a visual management tool,Kanban needs to be extended in the medical field.As a lean improvement tool,Kanban has positive significance in improving medical quality and patient satisfaction.It is suggested that researchers should not be limited to the existing applied research,and can study the application of Kanban in different medical service fields in combination with different lean management tools according to the actual situation of the hospital.