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Lean manufacturing (LM) is a leading philosophy used by organizations to become inevitable in the challenging market. However, prior research showed evidence that 90% failure rate of LM within 10 years of implementation, hence this study is to undertake a systematic literature review on the failure of LM implementation.

This study was conducted with the guidance by review protocol, research questions’ formulation, systematic searching based on identification, screening and eligibility using Scopus and Web of Science databases, quality appraisal, data exclusion and analysis.

Derived from 15 sub-themes, five main themes were discovered based on the thematic analysis to answer the research question on “What strategies should manufacturers do to prevent the failure of LM implementation?”, namely (1) leadership, (2) culture, (3) knowledge, (4) resources and (5) suppliers.

WoS and Scopus were employed in this review, despite there are 14 databases with the ability to search for potential articles in them. Mixed-Method Appraisal Tool (MMAT) was used to evaluate the quality control process, however using various quality assessment techniques helps to search for appropriate review objectives.

The primary emphasis of this study can be used as a reference by the manufacturers to ensure that LM implementation is a success story to gain a competitive advantage.

Despite a large body of literature on LM, there has been little attempt to review this study in a systematic approach, discover trends and generate thematic potential on the failure factors of LM, making it difficult for academics to replicate and interpret.

This study evaluates the knowledge structure of medical tourism within the geographical context of South East Asia. This region is one of the growing economic powerhouses in the world, and tourism activities have contributed a lot to its advancement.

Applying a science mapping technique using bibliometric analysis, the current and emerging themes and future trends are analyzed using bibliographic coupling and co-word analysis.

Findings show that current trends produced four themes: Fundamentals of medical tourism in Southeast Asia, determinants of tourist medical tourism visits, quality of medical and health service in Southeast Asia and impact of medical tourism on national economic growth. The future trends also produced four themes related to navigating excellence in medical tourism, medical tourism and economic growth, service quality in medical tourism services and accredited destinations in the globalized era of medical tourism.

This study is relevant to all stakeholders, operators and local communities in Southeast Asia tourism destinations to provide the best medical tourism with the best quality service and technologies.

This study fills the gap by performing a bibliometric approach to reviewing medical tourism in Southeast Asia using a science mapping technique. Crucial themes are produced through topological and temporal streams that provide critical insight for future developments in medical tourism in the region.