Bonnie Poksinska

@liu.se

Logistics and Quality Management (LOGQ); Department of Management and Engineering (IEI)
Linköping University

Bonnie Poksinska


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https://researchid.co/bozpo01

RESEARCH INTERESTS

Operations management in healthcare
27

Scopus Publications

4269

Scholar Citations

21

Scholar h-index

25

Scholar i10-index

Scopus Publications

  • From hospital-centered care to home-centered care of older people: propositions for research and development
    Bonnie Poksinska, Malin Wiger
    Journal of Health Organization and Management, 2024
    PurposeProviding high-quality and cost-efficient care of older people is an important development priority for many health and social care systems in the world. This paper suggests a shift from acute, episodic and reactive hospital-centered care toward longitudinal, person-centered and proactive home-centered care. The purpose of this paper is to contribute to the knowledge of a comprehensive development strategy for designing and providing home-centered care of older people.Design/methodology/approachThe study design is based on qualitative research with an inductive approach. The authors study development initiatives at the national, regional and local levels of the Swedish health and social care system. The data collection methods included interviews (n = 54), meeting observations (n = 25) and document studies (n = 59).FindingsThe authors describe findings related to policy actions and system changes, attempts to achieve collaboration, integration and coordination, new forms of care offerings, characteristics of work settings at home and differences in patients' roles and participation at home and in the hospital.Practical implicationsThe authors suggest home-centered care as a solution for providing person-centered and integrated care of older people and give examples of how this can be achieved.Originality/valueThe authors outline five propositions for research and development related to national policies, service modularity as a solution for customized and coordinated care, developing human resources and infrastructure for home settings, expanding services that enable older people living at home and patient co-creation.
  • Cross-cultural comparability of customer satisfaction measurement – the case of mobile phone service providers
    Promporn Wangwacharakul, Silvia Márquez Medina, Bozena Bonnie Poksinska
    International Journal of Quality and Service Sciences, 2021
    Purpose Customers from different cultures might have different expectations and perceptions of quality, leading to different levels of satisfaction. Together with the construct and measurement equivalence issues of cross-cultural surveys, this raises the question of the comparability of customer satisfaction measurements across countries. The purpose of this study is to evaluate the survey method of anchoring vignettes as a tool for improving the comparability of customer satisfaction measurements across countries and to shed some light on cultural influences on customer satisfaction measurements. Design/methodology/approach Based on the models of American Customer Satisfaction Index and European Performance Satisfaction Index, the authors designed and conducted a survey using the method of anchoring vignettes to measure and compare customer satisfaction with mobile phone services in four countries – Costa Rica, Poland, Sweden and Thailand. The survey was carried out with young adults aged 20–30 years, who were mostly university students. Findings This study demonstrates how anchoring vignettes can be used to mitigate cultural bias in customer satisfaction surveys and to improve both construct and measurement equivalence of the questionnaire. The results show that different conclusions on cross-cultural benchmarking of customer satisfaction would be drawn when using a traditional survey compared to the anchoring vignettes method. Originality/value This paper evaluates the survey method of anchoring vignettes as a potential quantitative research method for studying customer satisfaction across countries. The results also contribute to customer satisfaction research as these shed some light onto how culture influences customer satisfaction measurements. The practical implication for firms and managers is that allocating resources among different countries based on traditional customer satisfaction surveys may be misleading.
  • What Is Lean Management in Health Care? Development of an Operational Definition for a Cochrane Systematic Review
    Thomas Rotter, Christopher Plishka, Adegboyega Lawal, Liz Harrison, Nazmi Sari, et al.
    Evaluation and the Health Professions, 2019
    Industrial improvement approaches such as Lean management are increasingly being adopted in health care. Synthesis is necessary to ensure these approaches are evidence based and requires operationalization of concepts to ensure all relevant studies are included. This article outlines the process utilized to develop an operational definition of Lean in health care. The literature search, screening, data extraction, and data synthesis processes followed the recommendations outlined by the Cochrane Collaboration. Development of the operational definition utilized the methods prescribed by Kinsman et al. and Wieland et al. This involved extracting characteristics of Lean, synthesizing similar components to establish an operational definition, applying this definition, and updating the definition to address shortcomings. We identified two defining characteristics of Lean health-care management: (1) Lean philosophy, consisting of Lean principles and continuous improvement, and (2) Lean activities, which include Lean assessment activities and Lean improvement activities. The resulting operational definition requires that an organization or subunit of an organization had integrated Lean philosophy into the organization’s mandate, guidelines, or policies and utilized at least one Lean assessment activity or Lean improvement activity. This operational definition of Lean management in health care will act as an objective screening criterion for our systematic review. To our knowledge, this is the first evidence-based operational definition of Lean management in health care.
  • The effects of cancer care pathways on waiting times
    Magdalena Smeds, Bozena Bonnie Poksinska
    International Journal of Quality and Service Sciences, 2019
    Purpose The Swedish health-care system currently implements cancer care pathways (CCPs) for better and more timely cancer diagnostics. The purpose of this paper is to elucidate and define “crowding out” effects associated with the CCP implementation. Design/methodology/approach A document study based on implementation reports and action plans from Swedish county councils (n = 21) and a case study in one county council were conducted. Qualitative data collection and analysis were used to acquire more knowledge about the “crowding out” effects associated with the CCP implementation. Findings Three effects discussed under “crowding out” were defined. The first effect, called the push-out effect, occurs when other patients have to wait for care longer in favour of CCP patients. Another effect is the inclusion effect, whereby “crowding out” is reduced for vulnerable patients due to the standardised procedures and criteria in the referral process. The final effect is the exclusion effect, where patients in need of cancer diagnostics are, for some reason, not referred to CCP. These patients are either not diagnosed at all or diagnosed outside CCP by a non-standard process, with the risk of longer waiting times. Originality/value “Crowding out” effects are an urgent topic related to CCP implementation. While these effects have been reported in international research studies, no shared definition has been established to describe them. The present paper creates a common base to measure the “crowding out” effects and support further development of CCPs to avoid the negative effects on waiting times.
  • Proactive healthcare for frail elderly persons: Study protocol for a prospective controlled primary care intervention in Sweden
    Jan Marcusson, Magnus Nord, Maria M Johansson, Jenny Alwin, Lars-Åke Levin, et al.
    BMJ Open, 2019
    IntroductionThe provision of healthcare services is not dedicated to promoting maintenance of function and does not target frail older persons at high risk of the main causes of morbidity and mortality. The aim of this study is to evaluate the effects of a proactive medical and social intervention in comparison with conventional care on a group of persons aged 75 and older selected by statistical prediction.Methods and analysisIn a pragmatic multicentre primary care setting (n=1600), a prediction model to find elderly (75+) persons at high risk of complex medical care or hospitalisation is used, followed by proactive medical and social care, in comparison with usual care. The study started in April 2017 with a run-in period until December 2017, followed by a 2-year continued intervention phase that will continue until the end of December 2019. The intervention includes several tools (multiprofessional team for rehabilitation, social support, medical care home visits and telephone support). Primary outcome measures are healthcare cost, number of hospital care episodes, hospital care days and mortality. Secondary outcome measures are number of outpatient visits, cost of social care and informal care, number of prescribed drugs, health-related quality of life, cost-effectiveness, sense of security, functional status and ability. We also study the care of elderly persons in a broader sense, by covering the perspectives of the patients, the professional staff and the management, and on a political level, by using semistructured interviews, qualitative methods and a questionnaire.Ethics and disseminationApproved by the regional ethical review board in Linköping (Dnr 2016/347-31). The results will be presented in scientific journals and scientific meetings during 2019–2022 and are planned to be used for the development of future care models.Trial registration numberNCT03180606.
  • Coexistence of the BRC Standard for Packaging and the Lean Manufacturing methodology
    Wiesław Urban, Emil Ratter, Promporn Wangwacharakul, Bonnie Poksinska
    Engineering Management in Production and Services, 2018
    This study aimed to explore the potential impact of the Lean Manufacturing methodology on the implementation and functioning of the BRC Standard for Packaging. The study highlighted many issues where the Lean Manufacturing concept supports and opposes the BRC Standard for Packaging. A framework for the coexistence of both approaches was determined. The study was of a conceptual nature; it adopted an analytical approach. The approach was based on in-depth consideration of each requirement in the BRC Standard for Packaging s and an assessment of the coherence with the Lean Manufacturing methodology. As a result, many conclusions, clues and challenges were found. The article indicates several areas, in which Lean Manufacturing supports the BRC Standard for Packaging, attributing a special positive role to Lean Tools & Techniques. Also, it indicates six areas, in which the BRC Standard for Packaging contradicts the Lean Manufacturing approach. A comprehensive analysis of the coexistence of both management systems allows a better understanding of challenges while implementing both of them in an organisation. The presented concept of the coexistence of both systems is valuable for management.
  • From successful to sustainable Lean production–the case of a Lean Prize Award Winner
    Bonnie Poksinska, Dag Swartling
    Total Quality Management and Business Excellence, 2018
    Many improvement programmes often fail to sustain over an extended period of time. Previous research suggests that a similar set of factors influence the success and sustainability of an improvement programme. The purpose of this paper is to make a distinction between the success and sustainability of improvement programmes, and to identify mechanisms that specifically contribute to the sustainability. In this paper, we study a sustainable improvement programme from the perspective of complexity theories that stress the importance of studying change as a dynamic process of interacting elements and events unfolding in time. We conducted a longitudinal, in-depth case study of a Swedish Lean Prize Award Winner where a Lean improvement programme was studied over 9 years. An improvement programme is successful if goals are achieved and the targeted problems are resolved. Furthermore, the first-order sustainability means the ability to sustain results and the second-order sustainability means the ability to keep an improvement programme alive. The lessons identified from complexity theories, such as destabilising the organisation, ensuring novelty and constant flow of change or self-organisation at the team level, are examples of mechanisms important to achieve the sustainability of the improvement programme.
  • Remanufacturing challenges and possible lean improvements
    Jelena Kurilova-Palisaitiene, Erik Sundin, Bonnie Poksinska
    Journal of Cleaner Production, 2018
  • Measuring quality in elderly care: possibilities and limitations of the vignette method
    Bozena Bonnie Poksinska, Peter Cronemyr
    Total Quality Management and Business Excellence, 2017
    Listening to citizens is seen as an important source of information about public service performance. In Sweden, to secure the quality of elderly care, the National Board of Health and Welfare conducts a yearly survey of in-home elderly care services and nursing homes. A central problem of the existing survey methodology is the interpersonal incomparability of survey responses due to differences in preferences and health conditions. One way to deal with this problem is to use the survey methodology with anchoring vignettes. The purpose of the paper is to investigate the possibilities and limitations of using anchoring vignettes as a general survey method and specifically to test the method for measuring elderly care quality. The vignettes were developed interactively with professionals working in elderly care and evaluated with 1600 users of in-home elderly care services and nursing homes. The results showed that anchoring vignettes reduce the impact of respondents’ personal characteristics on survey results. In general, anchoring vignettes give more robust answers that reduce the problem of incomparability. However, anchoring vignettes increase the complexity of the questionnaire and have limited value in elderly care. Our results indicate that the method might be applicable when using healthier and younger respondents.
  • Does Lean healthcare improve patient satisfaction? A mixed-method investigation into primary care
    Bozena Bonnie Poksinska, Malgorzata Fialkowska-Filipek, Jon Engström
    BMJ Quality and Safety, 2017
    Background Lean healthcare is claimed to contribute to improved patient satisfaction, but there is limited evidence to support this notion. This study investigates how primary-care centres working with Lean define and improve value from the patient's perspective, and how the application of Lean healthcare influences patient satisfaction. Methods This paper contains two qualitative case studies and a quantitative study based on results from the Swedish National Patient Survey. Through the case studies, we investigated how primary-care organisations realised the principle of defining and improving value from the patient's perspective. In the quantitative study, we compared results from the patient satisfaction survey for 23 primary-care centres working with Lean with a control group of 23 care centres not working with Lean. We also analysed changes in patient satisfaction over time. Results Our case studies reveal that Lean healthcare implementations primarily target efficiency and little attention is paid to the patient's perspective. The quantitative study shows no significantly better results in patient satisfaction for primary-care centres working with Lean healthcare compared with those not working with Lean. Further, care centres working with Lean show no significant improvements in patient satisfaction over time. Conclusions Lean healthcare implementations seem to have a limited impact on improving patient satisfaction. Care providers need to pay more attention to integrating the patient's perspective in the application of Lean healthcare. Value needs to be defined and value streams need to be improved based on both the knowledge and clinical expertise of care providers, and the preferences and needs of patients.
  • Using anchoring vignettes to study quality management across cultures
    Promporn Wangwacharakul, Bozena Bonnie Poksinska
    International Journal of Quality and Service Sciences, 2017
  • Lean healthcare: What is the contribution to quality of care?
    A. Mosadeghrad, E. Ferlie
    Management Innovations for Healthcare Organizations Adopt Abandon or Adapt, 2016
  • Practise what you preach: quality of education in education on quality
    Jostein Langstrand, Peter Cronemyr, Bozena Poksinska
    Total Quality Management and Business Excellence, 2015
  • The role of customers in the development of public organizations
    Jon Engström, Mattias Elg, Bozena Poksinska, Lars Witell, Hannah Snyder
    Sustainable Development in Organizations Studies on Innovative Practices, 2015
  • Dissemination strategy for Lean thinking in health care
    Petra Dannapfel, Bozena Poksinska, Kristin Thomas
    International Journal of Health Care Quality Assurance, 2014
  • Lean in healthcare from employees' perspectives
    Erik Drotz, Bozena Poksinska
    Journal of Health Organisation and Management, 2014
  • The daily work of Lean leaders - lessons from manufacturing and healthcare
    Bozena Poksinska, Dag Swartling, Erik Drotz
    Total Quality Management and Business Excellence, 2013
  • Co-creation and learning in health-care service development
    Mattias Elg, Jon Engström, Lars Witell, Bozena Poksinska
    Journal of Service Management, 2012
  • Solicited diaries as a means of involving patients in development of healthcare services
    Mattias Elg, Lars Witell, Bozena Poksinska, Jon Engström, Su Mi Dahlgaard‐Park, et al.
    International Journal of Quality and Service Sciences, 2011
  • The current state of lean implementation in health care: Literature review
    Bozena Poksinska
    Quality Management in Health Care, 2010
  • Quality improvement activities in Swedish industry: drivers, approaches, and outcomes
    Bozena Poksinska, Jostein Pettersen, Mattias Elg, Jörgen Eklund, Lars Witell
    International Journal of Quality and Service Sciences, 2010
  • When does ISO 9000 lead to improvements?
    Bozena Poksinska
    International Journal of Productivity and Quality Management, 2010
  • Does standardization have a negative impact on working conditions?
    Bozena Poksinska
    Human Factors and Ergonomics in Manufacturing, 2007
  • From compliance to value-added auditing - Experiences from Swedish ISO 9001:2000 certified organisations
    Bozena Poksinska, Jens Jörn Dahlgaard, Jörgen A. E. Eklund
    Total Quality Management and Business Excellence, 2006
  • ISO 9001:2000 in small organisations: Lost opportunities, benefits and influencing factors
    Bozena Poksinska, Jörgen A.E. Eklund, Jens Jörn Dahlgaard
    International Journal of Quality and Reliability Management, 2006
  • Implementing ISO 14000 in Sweden: Motives, benefits and comparisons with ISO 9000
    Bozena Poksinska, Jens Jörn Dahlgaard, Jörgen A.E. Eklund
    International Journal of Quality and Reliability Management, 2003
  • The state of ISO 9000 certification: A study of Swedish organizations
    Bozena Poksinska, Jens Jörn Dahlgaard, Marc Antoni
    TQM Magazine, 2002

RECENT SCHOLAR PUBLICATIONS

  • From hospital-centered care to home-centered care of older people: propositions for research and development
    B Poksinska, M Wiger
    Journal of Health Organization and Management 38 (9), 1-18 , 2024
    2024
    Citations: 6
  • Cross-cultural comparability of customer satisfaction measurement–the case of mobile phone service providers
    P Wangwacharakul, S Márquez Medina, BB Poksinska
    International Journal of quality and service sciences 13 (2), 236-252 , 2021
    2021
    Citations: 12
  • What is lean management in health care? Development of an operational definition for a Cochrane systematic review
    T Rotter, C Plishka, A Lawal, L Harrison, N Sari, D Goodridge, R Flynn, ...
    Evaluation & the health professions 42 (3), 366-390 , 2019
    2019
    Citations: 178
  • The effects of cancer care pathways on waiting times
    M Smeds, BB Poksinska
    International Journal of Quality and Service Sciences 11 (2), 204-216 , 2019
    2019
    Citations: 13
  • Proactive healthcare for frail elderly persons: study protocol for a prospective controlled primary care intervention in Sweden
    J Marcusson, M Nord, MM Johansson, J Alwin, LÅ Levin, P Dannapfel, ...
    BMJ open 9 (5), e027847 , 2019
    2019
    Citations: 36
  • The pros and cons of cancer care pathways from the health care professionals’ perspective
    B Poksinska, M Wiger, M Smeds
    26th EurOMA Conference Helsinki, Finland, June 17-19, 2019 , 2019
    2019
  • Key strategies to integrated care for older people in Sweden
    M Wiger, B Poksinska
    EurOMA Conference, Operations adding value to society 26 , 2019
    2019
  • Coexistence of the BRC Standard for Packaging and the Lean Manufacturing methodology
    W Urban, E Ratter, P Wangwacharakul, B Poksinska
    Engineering Management in Production and Services 10 (3), 51-61 , 2018
    2018
    Citations: 9
  • From successful to sustainable Lean production–the case of a Lean Prize Award Winner
    B Poksinska, D Swartling
    Total Quality Management & Business Excellence 29 (9-10), 996-1011 , 2018
    2018
    Citations: 36
  • Remanufacturing challenges and possible lean improvements
    J Kurilova-Palisaitiene, E Sundin, B Poksinska
    Journal of Cleaner Production 172, 3225-3236 , 2018
    2018
    Citations: 378
  • Using anchoring vignettes to study quality management across cultures
    P Wangwacharakul, BB Poksinska
    International Journal of Quality and Service Sciences 9 (3-4), 302-316 , 2017
    2017
    Citations: 1
  • Measuring quality in elderly care: possibilities and limitations of the vignette method
    BB Poksinska, P Cronemyr
    Total Quality Management & Business Excellence 28 (9-10), 1194-1207 , 2017
    2017
    Citations: 11
  • Does Lean healthcare improve patient satisfaction? A mixed-method investigation into primary care
    BB Poksinska, M Fialkowska-Filipek, J Engström
    BMJ Quality & Safety 26 (2), 95-103 , 2017
    2017
    Citations: 176
  • Lean improvements in remanufacturing: solving information flow challenges
    J Kurilova-Palisaitiene, E Sundin, B Poksińska
    20th QMOD conference, Copenhagen/Elsinore, Denmark and Helsingborg, Sweden … , 2017
    2017
  • Practise what you preach: quality of education in education on quality
    J Langstrand, P Cronemyr, B Poksinska
    Total Quality Management & Business Excellence 26 (11-12), 1202-1212 , 2015
    2015
    Citations: 59
  • Conditions for presenteeism and production in changing organizations
    K Ekberg, M Gustavsson, ACF Ståhl
    Sustainable Development in Organizations, 42-56 , 2015
    2015
    Citations: 2
  • The role of customers in the development of public organizations
    J Engström, M Elg, B Poksinska, L Witell, H Snyder
    Sustainable Development in Organizations, 93-108 , 2015
    2015
    Citations: 6
  • Lean healthcare: what is the contribution to quality of care?
    B Poksinska
    Management Innovations for Healthcare Organizations, 209-226 , 2015
    2015
    Citations: 5
  • Dissemination strategy for Lean thinking in health care
    P Dannapfel, B Poksinska, K Thomas
    International journal of health care quality assurance 27 (5), 391-404 , 2014
    2014
    Citations: 64
  • Lean in healthcare from employees’ perspectives
    E Drotz, B Poksinska
    Journal of health organization and management 28 (2), 177-195 , 2014
    2014
    Citations: 412

MOST CITED SCHOLAR PUBLICATIONS

  • The current state of Lean implementation in health care: literature review
    B Poksinska
    Quality management in healthcare 19 (4), 319-329 , 2010
    2010
    Citations: 664
  • Implementing ISO 14000 in Sweden: motives, benefits and comparisons with ISO 9000
    B Poksinska, J Jörn Dahlgaard, JAE Eklund
    International Journal of Quality & Reliability Management 20 (5), 585-606 , 2003
    2003
    Citations: 510
  • Lean in healthcare from employees’ perspectives
    E Drotz, B Poksinska
    Journal of health organization and management 28 (2), 177-195 , 2014
    2014
    Citations: 412
  • Remanufacturing challenges and possible lean improvements
    J Kurilova-Palisaitiene, E Sundin, B Poksinska
    Journal of Cleaner Production 172, 3225-3236 , 2018
    2018
    Citations: 378
  • Co‐creation and learning in health‐care service development
    M Elg, J Engström, L Witell, B Poksinska
    Journal of Service Management 23 (3), 328-343 , 2012
    2012
    Citations: 354
  • The state of ISO 9000 certification: a study of Swedish organizations
    B Poksinska, J Jörn Dahlgaard, M Antoni
    The TQM magazine 14 (5), 297-306 , 2002
    2002
    Citations: 345
  • The daily work of Lean leaders–lessons from manufacturing and healthcare
    B Poksinska, D Swartling, E Drotz
    Total Quality Management & Business Excellence 24 (7-8), 886-898 , 2013
    2013
    Citations: 322
  • ISO 9001: 2000 in small organisations: Lost opportunities, benefits and influencing factors
    B Poksinska, JAE Eklund, J Jörn Dahlgaard
    International journal of quality & reliability management 23 (5), 490-512 , 2006
    2006
    Citations: 282
  • What is lean management in health care? Development of an operational definition for a Cochrane systematic review
    T Rotter, C Plishka, A Lawal, L Harrison, N Sari, D Goodridge, R Flynn, ...
    Evaluation & the health professions 42 (3), 366-390 , 2019
    2019
    Citations: 178
  • Does Lean healthcare improve patient satisfaction? A mixed-method investigation into primary care
    BB Poksinska, M Fialkowska-Filipek, J Engström
    BMJ Quality & Safety 26 (2), 95-103 , 2017
    2017
    Citations: 176
  • From compliance to value-added auditing–experiences from Swedish ISO 9001: 2000 certified organisations
    B Poksinska, J Jörn Dahlgaard, JAE Eklund
    Total Quality Management & Business Excellence 17 (7), 879-892 , 2006
    2006
    Citations: 85
  • Dissemination strategy for Lean thinking in health care
    P Dannapfel, B Poksinska, K Thomas
    International journal of health care quality assurance 27 (5), 391-404 , 2014
    2014
    Citations: 64
  • When does ISO 9000 lead to improvements?
    B Poksinska
    International Journal of Productivity and Quality Management 5 (2), 124-136 , 2010
    2010
    Citations: 61
  • Practise what you preach: quality of education in education on quality
    J Langstrand, P Cronemyr, B Poksinska
    Total Quality Management & Business Excellence 26 (11-12), 1202-1212 , 2015
    2015
    Citations: 59
  • Solicited diaries as a means of involving patients in development of healthcare services
    M Elg, L Witell, B Poksinska, J Engström, S Mi Dahlgaard‐Park, ...
    International Journal of Quality and Service Sciences 3 (2), 128-145 , 2011
    2011
    Citations: 49
  • Does standardization have a negative impact on working conditions?
    B Poksinska
    Human Factors and Ergonomics in Manufacturing & Service Industries 17 (4 … , 2007
    2007
    Citations: 45
  • Management initiation of continuous improvement from a motivational perspective
    D Swartling, B Poksinska
    Journal of Applied Economics and Business Research 3 (2), 81-94 , 2013
    2013
    Citations: 40
  • Proactive healthcare for frail elderly persons: study protocol for a prospective controlled primary care intervention in Sweden
    J Marcusson, M Nord, MM Johansson, J Alwin, LÅ Levin, P Dannapfel, ...
    BMJ open 9 (5), e027847 , 2019
    2019
    Citations: 36
  • From successful to sustainable Lean production–the case of a Lean Prize Award Winner
    B Poksinska, D Swartling
    Total Quality Management & Business Excellence 29 (9-10), 996-1011 , 2018
    2018
    Citations: 36
  • Quality improvement activities in Swedish industry: drivers, approaches, and outcomes
    B Poksinska, J Pettersen, M Elg, J Eklund, L Witell
    International Journal of Quality and Service Sciences 2 (2), 206-216 , 2010
    2010
    Citations: 36