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Advancing evidence-based healthcare facility design: a systematic literature review

Author

Listed:
  • Farouq Halawa

    (Binghamton University)

  • Sreenath Chalil Madathil

    (The University of Texas at El Paso)

  • Alice Gittler

    (EwingCole)

  • Mohammad T. Khasawneh

    (Binghamton University)

Abstract

Healthcare facility design is a complex process that brings together diverse stakeholders and ideally aligns operational, environmental, experiential, clinical, and organizational objectives. The challenges inherent in facility design arise from the dynamic and complex nature of healthcare itself, and the growing accountability to the quadruple aims of enhancing patient experience, improving population health, reducing costs, and improving staff work life. Many healthcare systems and design practitioners are adopting an evidence-based approach to facility design, defined broadly as basing decisions about the built environment on credible and rigorous research and linking facility design to quality outcomes. Studies focused on architectural options and concepts in the evidence-based design literature have largely employed observation, surveys, post-occupancy study, space syntax analysis, or have been retrospective in nature. Fewer studies have explored layout optimization frameworks, healthcare layout modeling, applications of artificial intelligence, and layout robustness. These operations research/operations management approaches are highly valuable methods to inform healthcare facility design process in its earliest stages and measure performance in quantitative terms, yet they are currently underutilized. A primary objective of this paper is to begin to bridge this gap. This systematic review summarizes 65 evidence-based research studies related to facility layout and planning concepts published from 2008 through 2018, and categorizes them by methodology, area of focus, typology, and metrics of interest. The review identifies gaps in the existing literature and proposes solutions to advance evidence-based healthcare facility design. This work is the first of its kind to review the facility design literature across the disciplines of evidence-based healthcare design research, healthcare systems engineering, and operations research/operations management. The review suggests areas for future study that will enhance evidence-based healthcare facility designs through the integration of operations research and management science methods.

Suggested Citation

  • Farouq Halawa & Sreenath Chalil Madathil & Alice Gittler & Mohammad T. Khasawneh, 2020. "Advancing evidence-based healthcare facility design: a systematic literature review," Health Care Management Science, Springer, vol. 23(3), pages 453-480, September.
    • Handle: RePEc:kap:hcarem:v:23:y:2020:i:3:d:10.1007_s10729-020-09506-4
    DOI: 10.1007/s10729-020-09506-4
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    References listed on IDEAS

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    Cited by:

    1. Hassan Alassafi & Khalid S. Al-Gahtani & Abdulmohsen S. Almohsen, 2023. "Medical Gas Systems Maintainability Risks in Healthcare Facilities: A Design Optimization Approach," Sustainability, MDPI, vol. 15(12), pages 1-16, June.
    2. Zarrin, Mansour, 2022. "Inferring causal networks of health care resilience and safety performance indicators: A two-stage fuzzy cognitive map approach," Socio-Economic Planning Sciences, Elsevier, vol. 84(C).
    3. David D. Cho & Kurt M. Bretthauer & Jan Schoenfelder, 2023. "Patient-to-nurse ratios: Balancing quality, nurse turnover, and cost," Health Care Management Science, Springer, vol. 26(4), pages 807-826, December.
    4. Xiaoyu Li & Jingxi Peng & Dongying Li & Robert D. Brown, 2023. "A Framework for Evidence-Based Landscape Architecture: Cooling a Hot Urban Climate through Design," Sustainability, MDPI, vol. 15(3), pages 1-18, January.

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