Il lean thinking tra efficienza, efficacia e valore nell’azienda pubblica: il caso dell’azienda ospedaliera universitaria senese

Anteprima

Il contributo discute le potenzialità e le condizioni di applicabilità del Lean Thinking (LT) all’interno delle amministrazioni pubbliche (AP), presentando uno specifico caso in ambito sanitario. Le finalità perseguite con il lavoro sono due: a) mostrare come sia possibile applicare i principi e gli strumenti tipici del LT in settori di produzione di servizi pubblici; b) contribuire allo sviluppo di un framework teorico che possa essere di ausilio ai fini dell’individuazione e comprensione dei principali elementi di successo per una positiva e sostenibile implementazione dei principi e degli strumenti Lean nelle AP, con specifico riferimento al settore della Sanità analizzato in questo lavoro e in un’ottica di generazione di “valore pubblico”.

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This article focuses on the adoption of Lean Thinking (LT) in the public sector by presenting a specific case study of a health-care organisation. The objective pursued by this paper is two-fold: a) to show how LT principles and tools can be applied to public services; and b) to contribute to the development of a theoretical framework for the identification of key success factors in the useful and sustainable implementation of LT tools and principles in the public sector, with specific respect to health care and to the generation of “public value”.

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Key words: Lean thinking, Public management, Operations management, Health-care organizations

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