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Bricks and Morals-Hospital Buildings, Do No Harm.
1American College of Healthcare Architects, Fellow, Harvard Medical School Center for Bioethics, 4 Longfellow Place 1604, Boston, MA, 02114, USA. diana.anderson@dochitect.com.
Journal of General Internal Medicine
|October 27, 2018
Summary
Evidence-based design in healthcare has grown significantly, using research to improve patient outcomes. Good architectural design can prevent illness and enhance care quality.
Area of Science:
- Healthcare Design
- Evidence-Based Practice
- Architectural Research
Background:
- The field of evidence-based design in healthcare has expanded over the past 30 years.
- Early research demonstrated that nature views improved patient recovery, stimulating further studies.
- Architectural decisions in healthcare are increasingly informed by scientific evidence.
Purpose of the Study:
- To explore the integration of engineering and hard sciences into healthcare design.
- To highlight the shift towards involving clinicians in the design process using design-thinking.
- To discuss the ethical considerations of hospital architecture in relation to current standards.
Main Methods:
- Review of historical precedents in therapeutic architecture.
- Analysis of the cross-pollination between architectural and clinical practices.
- Examination of design-thinking methodologies applied to healthcare.
Main Results:
- Evidence-based design has matured, influencing healthcare facility development.
- Clinician involvement and architectural research-based practice are increasing.
- Ethical discussions are needed regarding hospital design and population health.
Conclusions:
- Good hospital architecture, informed by research, can serve as a preventative tool.
- Design interventions can enhance patient quality of care and address health challenges like dementia.
- The integration of clinical insights into architectural design holds significant potential.
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