ArticleBMC health services research2025
Sustainable care quality improvement: a scoping literature review of performance measurement in lean healthcare implementations.
Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
5 citing papers in PubMed.
- Redefining Dry Eye Disease Management: Emerging Pharmacologic and Device-Based Therapies in the Era of Precision Care: A Narrative Review.Ophthalmology and therapy · 2026Review
- Bridging organizational boundaries in complex care pathways: lessons from a Lean and Safety Management approach.BMC health services research · 2026Article
- Barriers to Lean & Safety Management Implementation in Primary Care Settings: Insights from an Unsuccessful Case.Risk management and healthcare policy · 2026Article
- Improving vaccination coverage among 24-month-old children in the ASL Napoli 3 Sud: a M.A.S.T.E.R. approach to transformation, evaluation and strategic redesign.Frontiers in public health · 2026Article
- A review of lead times and determinant factors in public optometry services in South Africa.Health SA = SA Gesondheid · 2026Review
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe phenomenon of demographic changes and the aging population requires Territorial Ambulatory Healthcare (TAH) to provide increasingly high-quality and sustainable care to a growing number of individuals with chronic diseases. In this context, Healthcare Lean Management (HLM) can support sustainable care quality, increasing patient satisfaction and process performance. According to the literature, a significant barrier to sustainability is the limitation of monitoring systems for process performance. For this reason, this study aims to provide a comprehensive overview of the most pursued improvement objectives, performance measurement indicators, and data collection tools and techniques of HLM implementations within TAH.
methodsFollowing the PRISMA protocol, a scoping literature review was conducted to investigate the linkages among improvement objectives, performance measurement indicators, and data collection tools and techniques.
resultsThe current study provides valuable insights into the performance measurement indicators that should be adopted according to the specific improvement objectives. It highlights that measuring and monitoring are essential activities but often overlooked in HLM projects, negatively affecting the effectiveness of this managerial approach in terms of sustainability over time.
conclusionsThe final results demonstrate how research about performance measurement systems in HLM projects is still in its early stages, both from a theoretical and empirical perspective. The current research enriches the knowledge about the theme and provides managerial support to the journey of territorial care services toward sustainable care quality.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.