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This textbook provides theory, relevant cases and inspiring stories, and “Tips and Secrets” on the three-step-approach, 5S-KAIZEN-TQM: 5S (Seiri, Seiton, Seiso, Seiketsu and Shitsuke), KAIZEN改善 (An evidence-based participatory problem solving), TQM (total quality management), which is used to improve hospital management under limited resources. This approach focus on a shift of goals from “Provider centred care” to Patient centred care”, from “Input oriented management” to “Outcome oriented management” and from “Top down approach” to “Participatory approach”. Readers can test the theory through the described cases and learn methods from the real experiences of pioneer hospital managers.