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Application of lean thinking in health careIn health care, value consists of a ‘bewildering array of valueconcepts,reflected in a plethora of quality measures and frameworks’[27], where different actors have different views ofvalue [28]. Oftentimes, improving value for one actor leadsto deterioration of value for another actor. To comparedifferent kinds of value and determine the optimal balance,general measures like QALY’s or willingness to pay can be used [27]. The premise in this line of reasoning is thatquality is an individual level concept (the doctor’s clinical valuevs the managers’ operational value).
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