Abstract

Lean is a set of operating philosophies and methods that help create a maximum value for patients by reducing waste and waits. It emphasizes the consideration of the customer’s needs, employee involvement and continuous improvement. The aim of this study was of Factors Affecting Lean management in public hospitals in Kohgiluyeh and Boyerahmad and Bushehr provinces. Methods: This research was and applied and comparative-descriptive study. with using 60 questions questionnaire, the validity of the content of the method developed by the researchers and expert judgment and Cronbach's alpha and test-retest reliability of the method was discussed, the opinions of 500 primary health care practitioners were collected. then a two-stage exploratory and confirmatory factor analysis and structural equation modeling with use of statistical software SPSS21 and AMOS20 carried out to review and modify the conceptual model. Results: Exploratory factor analysis identified six factors of human, technology, management, processes, and relational that explain 58/5 percent of the total variance. Confirmatory factor analysis also showed that among identified factors, technology factor with 0/953 coefficient have greatest impact and management factor with 0/615 coefficient have lowest impact on the pattern of lean management in public hospitals to improve the quality of services. Conclusions: The factors affecting the deployment of lean management in public hospitals and appropriate strategy for using the lean management to improve the delivery of primary health care and reduce waste. The results, represent guidelines for using effective implementation of lean management to increase efficiency and ability to compete in the global market offers.