Research Article
Volume 3 Issue 3 - 2021
Lean-Management in Prevention of the Disease of Employees-Men in the Shipbuilding Industry
Shapovalova Darya Alekseevna1, Shapovalova Marina Aleksandrovna2, Kashkarova Irina Alekseevna3* and Mamedov Ibragim Gamidulaevich4
1Student in Medicine, Astrakhan State Medical University Ministry of Health of the Russian Federation, Astrakhan, Russia
2Doctor of Medical Sciences, Professor, Head of the Department of Economics and Health Management with a Course of Postgraduate Education, Astrakhan State Medical University Ministry of Health of the Russian Federation, Astrakhan, Russia
3Senior Lecturer of the Department of Economics and Health Management with a Course of Postgraduate Education, Astrakhan State Medical University Ministry of Health of the Russian Federation, Astrakhan, Russia
4Assistant of the Department of Economics and Health Management with a Course of Postgraduate Education, Astrakhan State Medical University Ministry of Health of the Russian Federation, Astrakhan, Russia
*Corresponding Author: Kashkarova Irina Alekseevna, Senior Lecturer of the Department of Economics and Health Management with a Course of Postgraduate Education of the Federal State Educational Establishment of Astrakhan State Medical University of the Ministry of Health of the Russian Federation, Astrakhan, Russia.
Received: February 10, 2020; Published: February 06, 2021




Abstract

Introduction: The paper presents the contribution of the principles of lean management to the system of preventive measures aimed at reducing the incidence of male workers of shipbuilding and ship repair enterprises in the Astrakhan region. The proven high level of value of Lean-medicine in increasing the economic efficiency of a medical organization is not the only advantage and the basis for its use in healthcare practice. No less valuable is the study of the medical effectiveness of using the principles of Lean-management in the implementation of preventive measures aimed at reducing the impact of professional risk factors on the health status of workers in the shipbuilding industry.

Objective: Implementation of Lean-management principles in marine and industrial medicine as an effective medical and social investment aimed at reducing the incidence rate and the number of days of temporary disability.

Methods: Data for analysis were extracted from medical histories of inpatients and medical records of outpatients of the Russian Southern District Medical Center for the period 2015 - 2017. We applied meth­ods of an expert examinations and mathematical modeling.

Results: An analytical model for assessing the influence of the principles of Lean-management on the effectiveness of the organization of medical care for male workers in shipbuilding and ship repair was built. A persistent reduction in the risk of developing professionally caused diseases by 25 - 30% and an increase in patient satisfaction with the quality of medical care provided was established. The implementation of the principles of Lean-management in the work of the clinic helped to significantly reduce the strength of the correlation between the factors of production hazards and the health of workers.

Conclusion: The introduction of the Lean-management principles in the work of the clinic allowed not only to optimize the work of this medical organization, increase staff satisfaction, reduce morbidity and the number of days of temporary disability, reduce financial costs, but also maintain the personnel potential in shipbuilding and ship repair enterprises in the Astrakhan region. 

Keywords: Prevention; Risk; Incidence; Lean-Management; Employees-Men in the Shipbuilding Industry

References

  1. Federal project “Lean Polyclinic”. Application of lean manufacturing methods in medical organizations. Opening projects for improvements. Guidelines - Moscow (2017).
  2. Khubriev RU., et al. “Problemyi sotsialnoy gigienyi”. Zdravoohraneniya I Istorii Meditsinyi1 (2017): 4-7.
  3. O Roslyi., et al. “Assessment and management of risk to the working population's health in the occupational medicine system”. Gig. Sanit. 3 (2007): 44-46.
  4. Mamedov IG and Shapovalova MA. “Management of determinants of Morbidity of Workers of Shipbuilding And Ship-Repairing Enterprises”. Zdravoohranenie Rossiyskoy Federatsii6 (2018): 316-322.
  5. Popova AY. “The state of working conditions and occupational morbidity in the Russian Federation”. Meditsina Truda i Ekologiya Cheloveka 3 (2015): 7-13.
  6. Sayenko SA., et al. “Predictive estimates of the need for medical care and the influence of working conditions on the formation of the production-related morbidity in the personnel of the nuclear shipbuilding and ship repair enterprise”. Meditsina Truda i Promyishlennaya Ekologiya 9 (2017): 168-169.
  7. Sorokin GA and Suslov VL. “Assessment of the harmfulness of working conditions at the shipyard in terms of indicators of the Health risks of shipbuilders”. Sudostroenie 1 (2017): 57-59.
  8. Sorokin GA. “Profession and health in shipbuilding”. Sudostroenie 1 (2017): 23-29.
  9. Shapovalova MA., et al. “Analysis of the technology of studying the health of the able-bodied population in the scientific practice of the health organization”. Byulleten Natsionalnogo nauchno-issledovatelskogo instituta obschestvennogo zdorovya imeni N.A. Semashko 4 (2016): 126-137.
  10. Gurina MА. “Creating an effective system of quality management in health care organizations through the implementation of technology lean production”. Vestnik VGUIT4 (2017): 378-384.
  11. Kostenko N. “Working conditions and occupational morbidity in some economic activities of Russian Federation in 2004-2013”. Meditsina Truda i Promyishlennaya Ekologiya 4 (2015): 43-45.
  12. Nikitina VN., et al. “Modern marine radio-electronic means. Аktualnyie problemyi gigienyi truda. Morskie intellektualnyie tehnologii”. Spetsvyipusk (2010): 42-45.
  13. Shapovalova MA., et al. “Lean medicine as a lean manufacturing branch variant. Glavnyy vrach: Khozyaystvo i pravo 5 (2015): 24-29.
Citation: Kashkarova Irina Alekseevna., et al. “Lean-Management in Prevention of the Disease of Employees-Men in the Shipbuilding Industry”. EC Nursing and Healthcare 3.3 (2021): 01-06.

PubMed Indexed Article


EC Pharmacology and Toxicology
LC-UV-MS and MS/MS Characterize Glutathione Reactivity with Different Isomers (2,2' and 2,4' vs. 4,4') of Methylene Diphenyl-Diisocyanate.

PMID: 31143884 [PubMed]

PMCID: PMC6536005


EC Pharmacology and Toxicology
Alzheimer's Pathogenesis, Metal-Mediated Redox Stress, and Potential Nanotheranostics.

PMID: 31565701 [PubMed]

PMCID: PMC6764777


EC Neurology
Differences in Rate of Cognitive Decline and Caregiver Burden between Alzheimer's Disease and Vascular Dementia: a Retrospective Study.

PMID: 27747317 [PubMed]

PMCID: PMC5065347


EC Pharmacology and Toxicology
Will Blockchain Technology Transform Healthcare and Biomedical Sciences?

PMID: 31460519 [PubMed]

PMCID: PMC6711478


EC Pharmacology and Toxicology
Is it a Prime Time for AI-powered Virtual Drug Screening?

PMID: 30215059 [PubMed]

PMCID: PMC6133253


EC Psychology and Psychiatry
Analysis of Evidence for the Combination of Pro-dopamine Regulator (KB220PAM) and Naltrexone to Prevent Opioid Use Disorder Relapse.

PMID: 30417173 [PubMed]

PMCID: PMC6226033


EC Anaesthesia
Arrest Under Anesthesia - What was the Culprit? A Case Report.

PMID: 30264037 [PubMed]

PMCID: PMC6155992


EC Orthopaedics
Distraction Implantation. A New Technique in Total Joint Arthroplasty and Direct Skeletal Attachment.

PMID: 30198026 [PubMed]

PMCID: PMC6124505


EC Pulmonology and Respiratory Medicine
Prevalence and factors associated with self-reported chronic obstructive pulmonary disease among adults aged 40-79: the National Health and Nutrition Examination Survey (NHANES) 2007-2012.

PMID: 30294723 [PubMed]

PMCID: PMC6169793


EC Dental Science
Important Dental Fiber-Reinforced Composite Molding Compound Breakthroughs

PMID: 29285526 [PubMed]

PMCID: PMC5743211


EC Microbiology
Prevalence of Intestinal Parasites Among HIV Infected and HIV Uninfected Patients Treated at the 1o De Maio Health Centre in Maputo, Mozambique

PMID: 29911204 [PubMed]

PMCID: PMC5999047


EC Microbiology
Macrophages and the Viral Dissemination Super Highway

PMID: 26949751 [PubMed]

PMCID: PMC4774560


EC Microbiology
The Microbiome, Antibiotics, and Health of the Pediatric Population.

PMID: 27390782 [PubMed]

PMCID: PMC4933318


EC Microbiology
Reactive Oxygen Species in HIV Infection

PMID: 28580453 [PubMed]

PMCID: PMC5450819


EC Microbiology
A Review of the CD4 T Cell Contribution to Lung Infection, Inflammation and Repair with a Focus on Wheeze and Asthma in the Pediatric Population

PMID: 26280024 [PubMed]

PMCID: PMC4533840


EC Neurology
Identifying Key Symptoms Differentiating Myalgic Encephalomyelitis and Chronic Fatigue Syndrome from Multiple Sclerosis

PMID: 28066845 [PubMed]

PMCID: PMC5214344


EC Pharmacology and Toxicology
Paradigm Shift is the Normal State of Pharmacology

PMID: 28936490 [PubMed]

PMCID: PMC5604476


EC Neurology
Examining those Meeting IOM Criteria Versus IOM Plus Fibromyalgia

PMID: 28713879 [PubMed]

PMCID: PMC5510658


EC Neurology
Unilateral Frontosphenoid Craniosynostosis: Case Report and a Review of the Literature

PMID: 28133641 [PubMed]

PMCID: PMC5267489


EC Ophthalmology
OCT-Angiography for Non-Invasive Monitoring of Neuronal and Vascular Structure in Mouse Retina: Implication for Characterization of Retinal Neurovascular Coupling

PMID: 29333536 [PubMed]

PMCID: PMC5766278


EC Neurology
Longer Duration of Downslope Treadmill Walking Induces Depression of H-Reflexes Measured during Standing and Walking.

PMID: 31032493 [PubMed]

PMCID: PMC6483108


EC Microbiology
Onchocerciasis in Mozambique: An Unknown Condition for Health Professionals.

PMID: 30957099 [PubMed]

PMCID: PMC6448571


EC Nutrition
Food Insecurity among Households with and without Podoconiosis in East and West Gojjam, Ethiopia.

PMID: 30101228 [PubMed]

PMCID: PMC6086333


EC Ophthalmology
REVIEW. +2 to +3 D. Reading Glasses to Prevent Myopia.

PMID: 31080964 [PubMed]

PMCID: PMC6508883


EC Gynaecology
Biomechanical Mapping of the Female Pelvic Floor: Uterine Prolapse Versus Normal Conditions.

PMID: 31093608 [PubMed]

PMCID: PMC6513001


EC Dental Science
Fiber-Reinforced Composites: A Breakthrough in Practical Clinical Applications with Advanced Wear Resistance for Dental Materials.

PMID: 31552397 [PubMed]

PMCID: PMC6758937


EC Microbiology
Neurocysticercosis in Child Bearing Women: An Overlooked Condition in Mozambique and a Potentially Missed Diagnosis in Women Presenting with Eclampsia.

PMID: 31681909 [PubMed]

PMCID: PMC6824723


EC Microbiology
Molecular Detection of Leptospira spp. in Rodents Trapped in the Mozambique Island City, Nampula Province, Mozambique.

PMID: 31681910 [PubMed]

PMCID: PMC6824726


EC Neurology
Endoplasmic Reticulum-Mitochondrial Cross-Talk in Neurodegenerative and Eye Diseases.

PMID: 31528859 [PubMed]

PMCID: PMC6746603


EC Psychology and Psychiatry
Can Chronic Consumption of Caffeine by Increasing D2/D3 Receptors Offer Benefit to Carriers of the DRD2 A1 Allele in Cocaine Abuse?

PMID: 31276119 [PubMed]

PMCID: PMC6604646


EC Anaesthesia
Real Time Locating Systems and sustainability of Perioperative Efficiency of Anesthesiologists.

PMID: 31406965 [PubMed]

PMCID: PMC6690616


EC Pharmacology and Toxicology
A Pilot STEM Curriculum Designed to Teach High School Students Concepts in Biochemical Engineering and Pharmacology.

PMID: 31517314 [PubMed]

PMCID: PMC6741290


EC Pharmacology and Toxicology
Toxic Mechanisms Underlying Motor Activity Changes Induced by a Mixture of Lead, Arsenic and Manganese.

PMID: 31633124 [PubMed]

PMCID: PMC6800226


EC Neurology
Research Volunteers' Attitudes Toward Chronic Fatigue Syndrome and Myalgic Encephalomyelitis.

PMID: 29662969 [PubMed]

PMCID: PMC5898812


EC Pharmacology and Toxicology
Hyperbaric Oxygen Therapy for Alzheimer's Disease.

PMID: 30215058 [PubMed]

PMCID: PMC6133268


News and Events


December Issue Release

We always feel pleasure to share our updates with you all. Here, notifying you that we have successfully released the December issue of respective journals and the latest articles can be viewed on the current issue pages.

Submission Deadline for Upcoming Issue

ECronicon delightfully welcomes all the authors around the globe for effective collaboration with an article submission for the upcoming issue of respective journals. Submissions are accepted on/before December 20, 2021.

Certificate of Publication

ECronicon honors with a "Publication Certificate" to the corresponding author by including the names of co-authors as a token of appreciation for publishing the work with our respective journals.

Best Article of the Issue

Editors of respective journals will always be very much interested in electing one Best Article after each issue release. The authors of the selected article will be honored with a "Best Article of the Issue" certificate.

Certifying for Review

ECronicon certifies the Editors for their first review done towards the assigned article of the respective journals.

Latest Articles

The latest articles will be updated immediately on the articles in press page of the respective journals.

Immediate Assistance

The prime motto of this team is to clarify all the queries without any delay or hesitation to avoid the inconvenience. For immediate assistance on your queries please don't hesitate to drop an email to editor@ecronicon.uk