Utilizing Innovation to Develop a Lean Management System for Medical Instruments and Equipment in Response to Thailand's Strategic Plan for Becoming an International Medical Hub

Main Article Content

Duddao Srisumran
Taksaya Sangayotin

Abstract

The objectives of this research are to 1) study the impacts of medical technology usage, 2) study the promotion of technological innovation in developing a lean management system for medical instrument and equipment sterilization, 3) study the waste reduction through innovation, 4) study the use of innovation in developing lean management systems, and 5) study guidelines for using innovation to develop lean management systems for medical instruments and equipment, in response to Thailand's strategic plan to become an international health center. This research employed a qualitative approach with 25 key informants directly involved in the field. Research instruments included in-depth interviews, focus group discussions, and content analysis.


The research findings revealed that: 1) The impacts of medical technology usage affect personnel, service delivery, academic development, and medical ethics; 2) Regarding innovation promotion, technology was utilized in collecting and delivering contaminated medical instruments, cleaning medical instruments, wrapping medical instruments, sterilization, verifying sterilization efficiency, storing sterilized medical instruments, and distributing sterilized medical instruments; 3) Waste reduction findings showed that innovation helped reduce waste in producing defects, overproduction, waiting time, excessive inventory, unnecessary transportation and movement, inefficient processes, and unnecessary body movements; 4) When lean management was implemented, comparing the ratio of revenue minus total cost to labor cost showed an increasing trend in returns; and 5) There are four guidelines for using innovation to develop lean management systems: 1) utilizing medical innovations and technologies, 2) developing and improving sterilization systems, 3) reducing waste in hospital service processes, and 4) using innovation (IT) to develop lean management systems.

Article Details

Section
Research Article

References

Aliyev, J. (2024). Innovation Management in the Digital Age: Practices, Challenges, and Future Directions. Retrieved from https://dx.doi.org/10.2139/ssrn.4772225

Anuwat Suksamanphanich, Natnicha Chotpittayanon, & Poolsak Koseeyaporn. (2023). The development of effectiveness in the operation of secondary care and above under the lean thinking management (in Thai). Journal of Public Administration, 6(1), 99–108.

Strategy and Planning Division, Office of the Permanent Secretary, Ministry of Public Health. (2016). Twenty-Year National Strategic Plan for Public Health (in Thai). Retrieved from https://waa.inter.nstda.or.th/stks/pub/2017/20171117-MinistryofPublicHealth.pdf

Cadden, T., Millar, K. Treacy, R. and Humphreys, P. (2020). The mediating influence of organisational cultural practices in successful lean management implementation. International Journal of Production Economics, 229, 107744. doi:10.1016/j.ijpe.2020.107744

Chayapa Yoiepho. (2020). The development of a diabetic clinic service by applying Lean Concept at Phayakkaphumphisai Hospital, Mahasarakham Province (in Thai). Mahasarakham Hospital Journal, 17(3), 54–63.

Ganokgarn Jirasirilerd, & Natawut Ponsri. (2023). Application of lean manufacturing system to reduce production process time: A case study of fermented rice noodle factory (in Thai). Thai Industrial Engineering Network Journal, 9(1), 21–28.

Liker, J. K. (2004). Toyota Way: 14 Management Principles from the World's Greatest Manufacturer. New York, NY: McGraw-Hill.

Klein, L. L., Vieira, K. M., Feltrin, T. S., Pissutti, M., and Ercolani, L. D. (2022). The influence of lean management practices on process effectiveness: A quantitative study in a public institution. Sage Open, 12(1). doi:10.1177/21582440221088837

Mae Suai Public Health Office. (2023). Policy and Strategy of Mae Suai Public Health Office, Fiscal Year 2023 (in Thai). Retrieved from https://www.maesuaihospital.com/uploads/ita/ita-72504.pdf

Marsilio, M. & Pisarra, M. (2021). Lean management in health care: a review of reviews of socio-technical components for effective impact. Journal of Health Organization and Management, 35(4), 475–491.

Moyano-Fuentes, J., Maqueira-Marín, J. M., Martínez-Jurado, P. J., and Sacristán-Díaz, M. (2021). Extending lean management along the supply chain: impact on efficiency. Journal of Manufacturing Technology Management, 32(1), 63–84.

Nongyao Saengkham. (2023). Improving the Central Sterile Supply Department (CSSD) service process using the LEAN concept (in Thai). Lanna Journal Health Promotion & Enivironment Health, 13, 1–16.

NUPI. (2023, November 20). Customer loyalty in the digital age: Online and offline integration. Retrieved from https://www.linkedin.com/pulse/customer-loyalty-digital-age-online-offline-integration-nupipay-1rkof

Ononiwu, M. I., Onwuzulike, O. C., & Shitu, K. (2024). The role of digital business transformation in enhancing organizational agility. World Journal of Advanced Research and Reviews, 23(3), 285–308.

Parida, V., Oghazi, P., Cedergren, S., (2016). A study of how ICT capabilities can influence dynamic capabilities. Journal of Enterprise Information Management, 29(2), 179–201.

Parker, S. K., Williams, H. M., & Turner, N. (2006). Modeling the antecedents of proactive behavior at work. Journal of Applied Psychology, 91(3), 636–652.

National Strategy Committee. (2016). Draft of the 20-Year National Strategic Framework (2017-2036) (Summary) (in Thai). Retrieved from https://research.pn.psu.ac.th/main/file/vijai62/yutsart/62.2.4.pdf

Taksaya Sangayotin. (2021). Potential development for competitiveness enhancement of community enterprises in Thailand [Special Issue 2]. International Journal of Entrepreneurship, 25, 1–9.

Yuwono, M. A., & Ellitan, L. (2024). The interplay of innovation strategy and dynamic capabilities in achieving competitive advantage: the moderating role of environmental dynamism. Proceeding of International Conference on Economic Issues (ICONES 2024), 1(1), 704–719.

Nuntharat Suntimaneerat. (2019, February 10). Looking to the future of Thai medicine with a doctor passionate about technology, IT, AI, and the science of Health Informatics (in Thai). Retrived from https://becommon.co/world/thai-health-informatic/

Supitcha Saengchot. (2017). Naval Health Care System. Bangkok, Thailand: Naval Medical Department.

Bamrasnaradura Infectious Diseases Institute. (2020). Guideline for the prevention and control of infection in the hospitals (in Thai). Bangkok, Thailand: Aksorn Graphic and Design Publishing.