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Lean healthcare: a science mapping of current progress and future research avenues

Nawanir G, Fauzi MA

J Health Organ Manag, 2024 Dec 10.
PMID: 39652095 DOI: 10.1108/JHOM-04-2024-0167

PURPOSE: This study intends to reveal the existing research stream and predict future research avenues for lean healthcare (LH). This paper analyzes the progress of LH research and identifies key trends, research gaps and future directions. By mapping the knowledge structure, the study offers insights into the effects of LH on healthcare efficiency, patient care and organizational performance.
DESIGN/METHODOLOGY/APPROACH: The review used the bibliometric approach, involving 319 journal articles retrieved from the Web of Science database. Two science mapping approaches (i.e. bibliographic coupling and co-word analysis) were performed to investigate the current knowledge structure and future research direction in LH.
FINDINGS: The current research trend in LH focuses on developing frameworks and strategic implementation by considering critical determinants and decision-making strategies. In the future, the research on LH will emphasize the holistic frameworks and efficient strategies for healthcare excellence, along with strategies to overcome barriers to its implementation.
RESEARCH LIMITATIONS/IMPLICATIONS: This study will benefit researchers and practitioners by advancing their understanding and applying LH principles.
ORIGINALITY/VALUE: This study provides valuable practical implications for healthcare managers to navigate the complexities of lean implementation, optimize processes and drive sustainable improvements in the healthcare context.
Sustainability of biodegradable plastics: a review on social, economic, and environmental factors

Moshood TD, Nawanir G, Mahmud F

Crit Rev Biotechnol, 2021 Sep 16.
PMID: 34530658 DOI: 10.1080/07388551.2021.1973954

In line with the recent economic growth, especially in developing countries, human concern for the environment has increased over time. This paradigm shift has influenced many developing countries to pay more attention to the issues related to the use of synthetic plastics. Both industry and consumers are intrigued to discover the: economic characteristics, environmental consequences, and social attitudes to the benefits of biodegradable plastics. Biodegradable plastics are useful in packaging, agriculture, gastronomy, consumer electronics, and the automotive industry. This paper seeks to explain the prospects of biodegradable plastics regarding social, economic, and environmental sustainability and recognizes the latest advances in enzyme-based biodegradation of plastics in order to reduce plastics' negative effects and to make the environment safe. A multi-disciplinary strategy is a unique approach, with studies carried out across the triple bottom line (TBL) approach on three distinct sustainability concepts (economic characteristics, environmental consequences, and social attitudes). These three subjects were carefully chosen for their respective targets. This paper has used ATLAS.ti 9 software tools to thoroughly analyze the literature to save, identify, and assess this study's data. Therefore, the research showed that the environmental component was the most critical factor with the economic second and social third. We review bio-based and biodegradable polymers and highlight the value of biodegradable end-of-life management.

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