Lean Healthcare Model to Enhance Patient Service Performance in a Peruvian Rehabilitation SME

Aliaga C.P.C.; Baldeon M.M.P.; Flores J.C.Q. · Advances in Transdisciplinary Engineering (2026) · DOI: 10.3233/atde260763

Resumen

Outpatient rehabilitation SMEs in emerging economies often struggle with long waiting times, administrative duplication, and workflow variability that weaken patient service performance. Existing Lean Healthcare studies focus mainly on large hospitals, leaving limited evidence for resource-constrained rehabilitation settings. This study addresses this gap by implementing an integrated Lean Healthcare model in a Peruvian rehabilitation SME, combining a digital Kanban system for admission with Standardized Work for therapy. A hybrid validation approach, pilot implementation supported by statistical analysis and discrete-event simulation, confirmed significant improvements. Admission time decreased by 59%, therapy time by 14.2%, and total time in the system from 104 to 84 minutes, while throughput increased from 75 to 90 patients and satisfaction rose to 61.9%. These findings demonstrate the feasibility and impact of Lean Healthcare in outpatient SMEs and encourage new research into scalable, evidence-based models for strengthening patient-centered services in emerging economies.

Instituciones: Universidad de Lima