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Scoping Review: Association of Inpatient Hospital Design Features With Patients' Clinical Outcomes.

Esther Jiin Oh1,2, Alice J Liu3, LaTeesa James4

  • 1Department of Surgery, University of Michigan, Ann Arbor, MI, USA.

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Hospital design features impact patient outcomes. This review found improvements in study methods over time, showing patient clinical outcomes can effectively evaluate hospital design elements.

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clinical outcomesevidence-based designhospital architecturehospital designpatient outcomes

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Area of Science:

  • Healthcare Design Research
  • Clinical Outcomes Analysis
  • Evidence Synthesis

Background:

  • Growing literature links hospital design to patient outcomes.
  • Limited evaluation of study scope and quality on specific design features.
  • Need for comprehensive analysis of hospital design's impact on inpatient care.

Purpose of the Study:

  • To identify associations between inpatient hospital design features and patient clinical outcomes.
  • To assess changes in these associations over time.
  • To evaluate the scope and quality of existing research.

Main Methods:

  • Systematic review of primary research articles (1980-2021).
  • Searched multiple databases including Medline, Embase, and Web of Science.
  • Independent data extraction and arbitration by authors.

Main Results:

  • 46 articles analyzed, focusing on single rooms, windows, lighting, noise, and ventilation.
  • 43% of studies lacked methods for residual confounding, but recent studies show improvement (68%).
  • Positive association studies received significantly more citations.

Conclusions:

  • Empirical patient clinical outcomes offer a feasible method for evaluating hospital design.
  • Incremental improvements in research methodologies are evident.
  • Further research should focus on robust methods to confirm design-outcome links.