Den övergripande avsikten med denna uppsats är att försöka ge en nyanserad bild av organisationsreceptet Lean Production. Vidare försöker jag utröna vilka potentiella vinster och risker som kan tänkas uppträda i samband med implementeringen av Lean Healthcare på Universitetssjukhuset i Lund. Utgångspunkten för denna analys är Region Skånes verksamhetsmål gällande personal, patienter och ekonomi. Analysen visar att det inte är helt okontroversiellt eller oproblematiskt att anpassa och införa produktionssystemet. Allvarligast verkar konsekvenserna kunna bli för tillgodoseendet av personalmålen, medan det ser mindre problematiskt ut gällande de ekonomiska målen och patientmålen.

Cancer was the second most common cause of death in Sweden in 2011. As the number of beds in hospitals decreases, numerous severely ill patients receive care at home. This results in family members performing important parts of the caring process. The aim of this study was to describe the caregivers' support needs from healthcare professionals when caring for an adult relative with cancer. A literature review was performed, in which results from empirical studies were reviewed and summarized.

IT is often seen as a solution to many problems concerning effectiveness in organizations. Information systems within the healthcare sector is often viewed as medical devices rather than just systems or services. These medical devices are thoroughly regulated by laws, standards and certifications. In this study I participated in an innovative project that aimed to bring new life and use to the old fashioned patient journal by giving it a visual representation through the use of an avatar. I aimed to study the effects of regulators connected with the patient journal as a source of information for the innovative project.

The study is based on a new approach on how Swedish healthcare is supposed to be controlled and organized. There is a renowned administration problem within Swedish healthcare, which seems to be an obstacle to exploit the resources to the fullest. The latest venture within the healthcare system is patient involvement, where the patients become co-producers of their own care, which aims to both improve and make healthcare more efficient. A few wards in Sweden have implemented this new approach whereupon the study intends to discuss the effectiveness and efficiency in some of these.The study is restricted to three wards, whereof two of these are inpatient wards and the other one is an outpatient ward, within the medical clinic in Jönköping County Council, which has implemented the patient involvement approach in their daily work. The methodology for this study is qualitative in its nature where a time study of personnel time allocation and supplementary interviews with managing nurses on the wards have been conducted.

The purpose of this thesis is to discuss how an instrument originally developed for measuring changes toward lean thinking inservice organizations in general should be adjusted in order to be of use in service organizations within the healthcare sector, andin hospital organizations in specific. The adjustments are suggested based on difficulties specifically arising when implementinglean within the healthcare sector.Thesis starting point is a pre-existing lean assessment instrument developed for service organizations in general. The thesis appliesa qualitative method and integrates literature from the health care sector and lean production movement with the expertise of tenacademics and practitioners in order to find difficulties associated with the implementation of lean within the healthcare sector.These difficulties then lie as the substratum for the adjustments suggested to be made on the instrument.The thesis finds that lean, as a philosophy, does not differ between service organizations in general and service organizationswithin healthcare settings. However, due to deficits in the general understanding of lean some adaptions on the instrument mustbe made. First, some words associated with production must be changed to words associated with healthcare.

Research show evidence for benefits of breastfeeding and that infant-feeding-plans are supportive. Family-centered care is the theoretical framework. Family support is crucial for successful breastfeeding. It is important that society creates opportunities for mothers to breastfeed and contribute information and support by healthcare professionals. The aim of this study was to evaluate how the midwives and child healthcare nurses found that the newest breastfeeding strategy influenced their breastfeeding- and rearing support in the County of Jönköping.

In the year of 2009 the conditions for managing primary healthcare in the region of Västra Götalandchanged. The decision was taken by the regional assembly and resulted in that the citizens since thenhave had the opportunity to choose which health care provider they preferto stay with. Along with thisdecision a new market for private health careproviders was established, which resulted inincreasedcompetition between the providers.In order to manage the competition, the health care providers arenow forced to be more efficient in their operations andalso to beeven more focused on their patients.Backa Läkarhusgruppen is an example of a private healthcare provider in the region of Västra Götaland.In the same way it is also an example of anorganizationin need of analysing their operations to seehowit can be further optimized to meet patient needs and expectations.The aim of this study is to analyse Backa Läkarhusgruppen?s organization and its operationsin the hopeoffinding suggestions whichwill improve the patient flow.To allocate and solve the problems thatBacka Läkarhus suffer from,an approach inspired by Lean Healthcare is used throughout the report.Some of themost significant problems that were identified within the organization are:?The synchronization of demand and capacity is inadequate.?Absence of standardized routines.?Absence of present leadership.To be able to improve the patient flow Backa Läkarhus needs to handle these identified problem areas.By synchronizing the staffing level in relation to the trends in demand a reduction in the patient?swaiting times and throughput time will be possible. Creating clear responsibilities and routines for thestaff will contribute to a higher degree of patient focus and thus lead to a more efficient patient flow.

Senior citizens require a healthy oral cavity and healthy teeth in order to eat, speak and preserve their well-being. With age we know that the incidence and prevalence of diseases and symptoms originating from the oral cavity are more common compared to younger age groups. Senior citizens are the fastest growing population on earth, thus the need of healthcare providers with knowledge and skills in oral healthcare are in great demand.  The purpose of this thesis is to identify oral healthcare interventions and educational interventions which have been shown to improve oral health of residents over 65 years of age.  A literature review was conducted in which 15 scientific articles were scrutinized. Databases used were PubMed, Cinahl and Scopus. The results imply that good oral healthcare not only improve the oral health of senior citizens, but also prevents the occurrence of other diseases such as pneumonia and  improve the overall quality of life.

The role of Art in Healthcare and its requirements through a study of Diagnostic Center (DC), a Hospital with Art and Architecture integrated.Issues: Who selected Art for DC and on what foundations? How are Art and Architecture integrated, and what is the established knowledge of Art in Healthcare?Studies of reference material, theses, research articles and interviews. Hermeneutic and discourse analyses were used.Theorists: Barthes, Bourdieu, Foucault, Arnheim, Sjögren, Rasmussen.Results: A regional group selected local Art, mainly nonfigurative, and integrated it early in the architectural process. A stimulating non-traditional hospital environment with a modern design and two artists created work specifically for the environment.Art affects our Health and Caring Sciences is a scientific field that is studying how art affects patients and staff. It is relatively new but it is growing into a vast field of research, learning more about Art's effect on Health..

Background: In Sweden the healthcare has moved from the homes to the hospitals, as the system has developed. Parents were not allowed to visit their children when they were hospitalised in the past. It was noticed in the beginning of the 20th century that it might be harmful for the children to be left without parents at the hospital. Today it is considered a fact that the parents should stay with their hospitalised children and the healthcare is based on a family-centered care. Aim: The aim of this literature study was to elucidate parents experience when having hospitalised children.

During the later part of the 20th century the amount of children and adolescents in Sweden who reported psychosomatic illness have greatly increased. The main reason is estimated to relate to weak resources in school and school healthcare. Increased resources do not always have to encompass investments for school and school healthcare. Other resources play an important part as well. A child?s domestic situation serves as one of those resources where fundamental knowledge and values are set.

This paper?s purpose is to examine a Swedish missionary activity from a human rights perspective. As a scope I have chosen the Swedish evangelical mission to Congo-Brazzaville, from its establishment in 1909 to the congolese church's self-determination in 1961. I consider certain elements of the missionary activity that affect human rights, to discover wether the activity was in order with modern day human rights standards or not. During these years, Congo was part of the French colony Equatorial Africa, so the missionaries? part in the colonial discourse is taken into consideration.

IN THIS THESIS WE EXAMINE LEAN IN HEALTHCARE, IN PARTICULAR WE LOOK AT THE PERCEIVED CHANGES BY THE PEOPLE WORKING IN THE PROCESS AS WELL AS THE ONES WORKING WITH MORE ADMINISTRATIVE TASKS. WE ALSO ASK OURSELVES IF THESE CHANGES ARE SUSTAINABLE. OUR STUDY IS DONE ON THREE CLINICS (LOCATED IN SÖDERTÄLJE, LANDSKRONA AND MALMÖ). THE STUDY IS PERFORMED THROUGH DEEP-INTERVIEWS WITH A FEW KEY PEOPLE IN THE DIFFERENT CLINICS. FURTHER A SURVEY IS SUBMITTED TO EACH OF THE THREE CLINICS TO GET A BROADER INSIGHT OF THE PERSONNEL'S VIEW ON THE CHANGES.

This thesis examines the problems related to IT in the Swedish healthcare system, specifically the drug searching part of the electronic healthcare systems used in Sweden. The question formulation is divided into two questions: What parameters and functions are of greatest importance when performing a search on drugs, and how should these be presented in a graphical user interface? Thus the purpose is to answer these questions through developing a design concept, in the form of a prototype, which describes how a drug search can be carried out.The entry point is a central quality checked drug database that is managed and owned by Swedish county councils and regions. The problem is attacked through user-centered methods where interviews of physicians and developers, in conjunction with observations, are used to give an overview of the problem area as well as to specify a requirements specification for the prototype that this thesis aims to develop. The thesis result is a requirements specification in combination with a prototype that exemplifies how drug searching can be performed, the prototype is based the requirements gathered from the interviews with the user group of physicians..

This study aims to evaluate the value relevance of Piotroski?s (2000) nine fundamental signals. In order to do this, the signals are tested on the OMX Nordic Exchange Stockholm between the years 2003 and 2009. The hypotheses of the study are whether the signals are value relevant and if the value relevance has changed. To test this, a Chi-square test and a regression are used.