literature review for design of hospital building

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Architectural Evaluation of Healthcare Facilities: A Comprehensive Review and Implications for Building Design

The architectural design of healthcare institutions impacts patient experience and health outcomes. Facing challenges like demographic aging and evolving treatments, this study reviewed fourteen key publications on healthcare architecture. The insights gained have highlighted the need for qualitative methods to understand these environments. An integrated healthcare architecture framework (IHAF) was developed, integrating architectural guidelines, user experience, and sustainability. The IHAF emphasizes inclusive design, adaptability, patient-centricity, and staff well-being, focusing on eco-friendly practices and green spaces in healthcare facilities. Advocating a multidisciplinary design approach, the IHAF aims to create functional, sustainable, patient-focused environments. This research identifies the need for qualitative methods unique to the Slovenian healthcare context. It aims to inform architectural solutions for healthcare institutions, highlighting the role of design in o...

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Healthcare facility design is a complex endeavor that forces function to follow both form and quality. Healthcare facilities serve a wide range of functions from medical applications (i.e. diagnostic, treatment, emergency rooms, clinics, etc.) to functional programs (i.e. food services, housekeeping, waiting rooms, meeting areas, office space, etc.). Designers of a healthcare facility are required to look at every aspect of human life. These facilities are spaces people live (temporally for treatment) and work in, where they are born and die. With modern medicine’s reliance on technology and demanding building programs, designers of modern hospitals may view healthcare architecture as incompatible with the principles of sustainable design. However, sustainability is not only a moral obligation for the healthcare field, it is beneficial to the patient and fosters a healing environment. Sustainable practices should be adopted for future constructions and renovations of healthcare facilities. These practices will not only save money during the lifespan of most healthcare facilities, they will also make spaces more effective for healing.

Architectoni.ca, 2012

Sustainability is the important concepts in 20th century. Several definitions of sustainable development have been put forth, including the following common one: development that meets the needs of the present without compromising the ability of future generations to meet their own needs. Sustainability relies on high efficiency and the uninterrupted function of a continuing social, economic and ecological system in such a way that does not degrade and consume the resources used. Sustainable architecture is explained as a long term thought and action philosophy including the processes of building programming, usage, management throughout its economic life, destruction of the building or reuse. “The characteristics of sustainable design are its ability to integrate the life cycles of building systems with ecological systems in biosphere. The aim of this study is to reveal what design inputs can be driven in hospital buildings that differ in terms of design, application process and human environment relationships in use. When the continuously dense usage situations of hospitals are considered, the concept of “green hospital” is used to define the hospitals fulfilling at least one of the alternatives such as choosing environmental settlement design, buying nature friendly building materials and products, being environmentally sensitive during the construction of the hospital building and keeping this sensitivity going in service production process. Green hospital defines a facility which recycles, reuses the materials, reducing wastes and giving more clean air to the environment. This approach based on an environmentalist management understanding is seen under the headlines like management of waste and hazardous materials, water management, energy management and air emission regulating system and innovator environmental designs.

E3S Web of Conferences

The problems of necessity of sustainable and ecological approaches in architectural design of hospitals are raised in the research. The best international experience of designing and operating hospitals designed on the principles of sustainable development is considered. Examples and implementation examples of healthcare institutions integrating energy efficient technologies are analyzed and illustrated: natural ventilation, solar panels, rainwater collection, filtration and reuse of wastewater, greening of the roof and walls, sun protection, aerodynamic volumetric and spatial form. Studying and using the proven experience of the best examples of ecological hospital buildings, recognized and certified at the highest levels of the world institutions for the development of a sustainable future, will allow Ukraine to create the conditions for solving the crisis both in the sphere of health care and in the ecologically preserved environment of the country.

Online Journal of Art and Design, 2018

The design and construction of healthcare buildings are much more important and require a special organization, due to the fact that human life is in question. The architectural design and understanding of quality in healthcare buildings have changed over time, while in the beginning the architectural quality was being taken in the same sense as structural security and functional efficiency, afterwards aesthetic and cultural values, physical and psychological needs have been added to these values. Nowadays, when healthcare buildings are transformed into wellness centres, it has become compulsory to design these buildings to provide a healing environment. The purpose of this study is to improve the quality of healthcare buildings by evaluating the quality concept and its components in healthcare buildings in terms of patient-centred design, evidence-based design, healing architecture and to make recommendations for establishing healing healthcare institutions and to contribute to the works to be done in this regard.

International Journal of Sustainable Development and Planning

Technological progress has had negative effects as well as positive effects if it affects the life industry and the entire ecosystem significantly through the great consumption of natural resources, and here the construction sector in general and the health sector, in particular, have a role in this. From the perspective of keeping pace with technological development, responding to environmental changes, and paying attention to hospital environments (especially since the emergence of modern epidemics), and because the construction sector is the largest consumer of energy in the world, which made international organizations move towards creating a sustainable environment in the construction of hospital buildings by reducing energy consumption. This research focused on studying the components and principles of sustainable design for hospital buildings and the environmental, economic, health, and social benefits of sustainable development in the healthcare industry. In addition to the ...

IAI INTERNATIONAL ACADEMIC INSTITUTE, 2019

Increasing environmental problems due to overpopulation, and the negative impacts of these problems on living creatures have brought sustainability forward. Nowadays, when energy consumption is intensified, the exhaustion of fossil fuels which are used as resources has encouraged developing countries to use renewable energy sources. Especially in buildings such as hospitals, energy consumption, and waste management have been given significance. Hospitals are not only those that heal patients with disease, but also those used by staff, attendants and medical students, and are intended to protect their current health. As hospital buildings are associated with hygiene and health, these structures must meet those expectations. Hospitals are institutions that reinforce their energy consumption by having high amounts of energy and continuous waste production. Because of the fact that hospital buildings provide service for 7 days and 24 hours, they consume a large amount of energy and produce both chemical and domestic waste. It is known that this situation harms the environment much more than expected. In addition to energy consumption, there are chemicals that adversely affect human health in unsustainable structures. These chemicals are found in interior materials and furnitures as well as in construction materials. The presence of such harmful chemicals in hospitals contrasts with the aims of such structures which aim to provide health services. Those problems had created the need for "green hospitals" which are taking advantage of renewable energy sources, using environmentally friendly construction materials, planning waste management and providing green environments. Green hospital design includes the use of daylight, proper artificial lighting, vernacular architecture forms and materials, natural and non-toxic materials, good indoor air quality and ergonomics. These structures made with an environmentalist approach contribute to the good management of energy consumption, while reducing the stress on the patients with the elements such as air conditioning and lighting-which has an effect on healing patients. At the same time, depending on the innovative design concept by the green hospital design, hospital staff and visitors feels more comfortable inside the structure. The aim of this study is to describe the green hospital concepts and investigate the effects of green hospital elements into interior space. Acquired information is going to be used in case studies such as; USA/Colorado's first Leed certified hospital called Boulder Community Foothills Hospital and VKV American Hospital which had gained importance with the leadership of green hospital building structure in Turkey. Examples are going to be compared due to green building systems and their reflection to interior space.

The article deals with important issues of the ecological approach to the health care facilities design within the general world's attention to the problem of sustainable development of the urban environment. Taking as the example the innovative foreign experience of implemented projects of medical institutions, as well as design, competitive and conceptual proposals revealed the latest idea of coexistence and harmonization of natural and man-made worlds within the medical environment that meets the challenges and needs of the XXI century. It is the concept of the hospital-park, that synthetically combines the architectural environment, natural environment, as well as man-made oasis and creates the basis for emergent results both in the medical field and in the need for a neat attitude to our planet. The article reveals the possibilities of designing a hospital-park of different stories and in different initial conditions: in a dense urban environment with a minimum size of the ...

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Collection de l'Ecole française de Rome, 2005

Greening the Spirit, 2015

Dünya'da Türkçe Öğretimi, 2021

Les Sciences de l'éducation - Pour l'Ère nouvelle, 2008

Japanese journal of crop science, 1989

Journal of Nursing Ufpe Online, 2014

Journal of Ambient Intelligence and Humanized Computing

Deleted Journal, 2024

Nutrition, Metabolism and Cardiovascular Diseases, 2008

Carbohydrate Polymers, 2017

Ecology, 1986

Schizophrenia Bulletin, 1996

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A review of the research literature on evidence-based healthcare design

Affiliation.

• 1 College of Architecture, Texas A&M University, College station, TX 77843-3137, USA. [email protected]
• PMID: 21161908
• DOI: 10.1177/193758670800100306

Objective: This report surveys and evaluates the scientific research on evidence-based healthcare design and extracts its implications for designing better and safer hospitals.

Background: It builds on a literature review conducted by researchers in 2004.

Methods: Research teams conducted a new and more exhaustive search for rigorous empirical studies that link the design of hospital physical environments with healthcare outcomes. The review followed a two-step process, including an extensive search for existing literature and a screening of each identified study for the relevance and quality of evidence.

Results: This review found a growing body of rigorous studies to guide healthcare design, especially with respect to reducing the frequency of hospital-acquired infections. Results are organized according to three general types of outcomes: patient safety, other patient outcomes, and staff outcomes. The findings further support the importance of improving outcomes for a range of design characteristics or interventions, including single-bed rooms rather than multibed rooms, effective ventilation systems, a good acoustic environment, nature distractions and daylight, appropriate lighting, better ergonomic design, acuity-adaptable rooms, and improved floor layouts and work settings. Directions for future research are also identified.

Conclusions: The state of knowledge of evidence-based healthcare design has grown rapidly in recent years. The evidence indicates that well-designed physical settings play an important role in making hospitals safer and more healing for patients, and better places for staff to work.

Publication types

• Research Support, Non-U.S. Gov't
• Environment, Controlled*
• Evidence-Based Practice*
• Facility Design and Construction*
• Health Facility Environment*
• Infection Control
• Occupational Diseases / prevention & control
• Patient Safety*
• Quality of Health Care*