"As health care struggles to meet increasing demands with limited resources, Lean has become a popular management approach. It has mainly been studied in relation to health care performance. The empirical evidence as to how Lean affects the psychosocial work environment has been contradictory."
Interactions between lean management and the psychosocial work environment in a hospital setting - a multi-method study
W Ulhassan, U von Thiele Schwarz, J Thor, H Westerlund
BMC Health Services Research 2014, 14:480
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