Table 1 Literature review summary table... | Emerald Publishing

Table 1

Literature review summary table

Main elements in the literature	Brief description
Lean healthcare	The premise of Lean principles in healthcare is to reduce costs and improve service delivery
	Lean includes three main principles: standardised work processes; ongoing accountability and oversight; and connection between leadership and frontline workers to drive daily continuous improvement
	Research highlights both the benefits as well as the challenges of adopting Lean principles in healthcare
Hybrids in public healthcare	Medical-hybrids can have non-clinical and clinical roles and hold positions of top, middle and frontline managers. In their role, medical-hybrids perform their medical practice/duty whilst also contributing to the implementation of organisational policies and practices. Research highlights reluctance among medical professionals to take up hybrid roles with doctors reluctant to be viewed as followers and/or leaders
Medical-manager duality	Doctors play an important role in the quality of patient care and they can leverage this “on-the-ground’ knowledge in their managerial responsibilities in the healthcare system. When able to balance their day-to-day client-facing role with a managerial role, doctors can influence change that is grounded in clinical practice
The transition to a hybrid role Internal tension Transitions Hybrid identity construction	At a micro-level, research highlights the factors that make the transition of doctors and medical professionals into a hybrid role difficult. The medical-hybrid role involves individuals who operate as both clinicians and managers. Research shows the following factors as impacting individuals in such roles Different logics, values and perceptions are present among hybrid clinicians Having a two-way role as both professional and manager leads to challenges Individual and intra-professional challenges, as well as social interactions are present

Main elements in the literature	Brief description
Lean healthcare	The premise of Lean principles in healthcare is to reduce costs and improve service delivery
	Lean includes three main principles: standardised work processes; ongoing accountability and oversight; and connection between leadership and frontline workers to drive daily continuous improvement
	Research highlights both the benefits as well as the challenges of adopting Lean principles in healthcare
Hybrids in public healthcare	Medical-hybrids can have non-clinical and clinical roles and hold positions of top, middle and frontline managers. In their role, medical-hybrids perform their medical practice/duty whilst also contributing to the implementation of organisational policies and practices. Research highlights reluctance among medical professionals to take up hybrid roles with doctors reluctant to be viewed as followers and/or leaders
Medical-manager duality	Doctors play an important role in the quality of patient care and they can leverage this “on-the-ground’ knowledge in their managerial responsibilities in the healthcare system. When able to balance their day-to-day client-facing role with a managerial role, doctors can influence change that is grounded in clinical practice
The transition to a hybrid role Internal tension Transitions Hybrid identity construction	At a micro-level, research highlights the factors that make the transition of doctors and medical professionals into a hybrid role difficult. The medical-hybrid role involves individuals who operate as both clinicians and managers. Research shows the following factors as impacting individuals in such roles Different logics, values and perceptions are present among hybrid clinicians Having a two-way role as both professional and manager leads to challenges Individual and intra-professional challenges, as well as social interactions are present

Source(s): Authors’ work