Analysis of the Outcome Generating Process of 5S-KAIZEN-TQM*1 Approach in Hospitals*2

(1) Logic of outcome generation by adoption of the 5S-KAIZEN-TQM Approach at hospitals The field survey found that despite the severe shortages of resources at each hospital, outcomes were observed, such as a reduction in the waiting time of patients, decrease in excessive inventory, and increase in the number of approved applications for medical insurance deductions. In light of this outcome generation situation, the following logic model was developed, taking a variety of elements into consideration, such as the health policy of each country, the hospital’s location (capital, rural area), management system (national, regional, semi-private), size (large hospital, medium-sized hospital, health center, health post), and socioeconomic situations (Figure 1).  Analysis results