https://doi.org/10.24928/2024/0186

Built Environment Design Knowledge Framework Supportive of Resilient Healthcare

Natália Ransolin¹, Tarcísio Abreu Saurin², Carlos Torres Formoso³, Robyn ClayWilliams⁴ & Frances Rapport⁵

¹ Postdoctoral Research Fellow, Australian Institute of Health Innovation, Macquarie University, Sydney, Australia, [email protected], orcid.org/0000-0002-7128-8000
²Professor, Industrial Engineering Post-Graduation Program, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil, [email protected], orcid.org/0000-0003-2929-5888
³Professor, Civil Engineering Post-Graduation Program: Construction and Infrastructure, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil, [email protected], orcid.org/0000-0002-4772-3746
⁴Professor, Australian Institute of Health Innovation, Macquarie University, Sydney, Australia, robyn.clay [email protected], orcid.org/0000-0002-6107-7445
⁵ Honorary Professor, Australian Institute of Health Innovation, Macquarie University, Sydney, Australia, [email protected] orcid.org/0000-0002-4428-2826

Abstract

Although the evidence-based design (EBD) literature investigating the influence of the built environment (BE) on health services performance and outcomes is extensive, its contribution to resilient healthcare is scarce. This work presents a framework of BE design knowledge supportive of resilient healthcare. Firstly, a systematic literature review based on EBD, complexity, and resilience resulted in generic BE design knowledge that represented the role of BE in supporting resilient healthcare at different levels of abstraction. Next, the knowledge was used for thematic analysis in case studies in two teaching hospitals, tailored to workflows that occurred in the connecting areas to and from an intensive care and other hospital units of a large public hospital in Brazil and the surgical service of a private hospital in Australia. Joint findings allowed the development of a framework hierarchically composed of four meta-principles, seven principles, seven prescriptions, and 181 practical examples emphasizing a systems perspective that considers intra and inter-hospital workflows and areas. The resulting knowledge guides designers of both BE and operations phases during decision-making to support resilient health services. As a limitation, the framework was not applied during those phases, representing one of the main suggestions for future work.

Keywords

Evidence-based Design, Built environment, Complexity, Resilient Healthcare.

Files

Reference

Ransolin, N. , Saurin, T. A. , Formoso, C. T. , ClayWilliams, R. & Rapport, F. 2024. Built Environment Design Knowledge Framework Supportive of Resilient Healthcare, Proceedings of the 32nd Annual Conference of the International Group for Lean Construction (IGLC 32) , 60-71. doi.org/10.24928/2024/0186

Download: BibTeX | RIS Format