RAHMAWATI, Nur Andini (2020) Evaluasi Penerapan Manajemen Lean Hospital dengan Metode 5R ditinjau dari Kondisi Lingkungan Kerja, Keefektifan Biaya, Persepsi, Respon dan Harapan Karyawan di RSIA Adina Wonosobo. Skripsi thesis, Universitas Jenderal Soedirman.

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Abstract

Background: Lean hospital is a well-recognized management approach to improve the quality of hospital services by empowering employees through the 5R method consisting of ringkas, rapi, resik, rawat and rajin. However, research on the impact of this method on employee’s wellbeing, cost-effectiveness and work environment in middle-income country such as Indonesia, remains unclear. Objective: To evaluate the implementation of lean hospital management with the 5R method in terms of working environment conditions, cost-effectiveness, perceptions, responses, and expectations of employees at Adina Mother and Child (MC) Hospital. Method: A qualitative study with a single case study design. The data was then analyzed using thematic analysis. Results: Employees did not understand the concept of Rawat and Rajin from 5R although most employees' perceptions were in the same degree in regards to the lean hospital concept. Aside from that, employees were able to identify problems and encourage a positive attitude and behavior changes in the work environment. Moreover, the implementation of this method also reduced hospital operational costs. Conclusion: Despite the non-optimal implementation of lean hospital management, the lean’s 5R method utilization promoted changes in the work environment, employees’ roles, positive attitude, and behavior responses. This method also showed an indication of cost-effectiveness at Adina MC Hospital in Indonesia.

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