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Method to Understand Value Generation in Healthcare Built Environments Based on the Means-End Chain Approach.

Giulie Anna Baldissera Leitte-Teixeira1, Carlos Torres Formoso1, Patricia Tzortzopoulos2

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This study introduces the i3 method to understand how healthcare built environments (HBEs) create value by linking physical attributes to service needs. It reveals opportunities for enhancing value through better design and adaptability.

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Area of Science:

  • Healthcare Management
  • Architecture and Design
  • Health Services Research

Background:

  • Healthcare Built Environments (HBEs) are critical for value generation and service experience.
  • Effective HBEs must align with operational needs and user requirements.
  • The interdependence between physical space and service delivery in HBEs requires deeper investigation.

Purpose of the Study:

  • To propose a novel method for understanding value generation in HBEs.
  • To examine the relationship between built environment attributes and healthcare service delivery.
  • To incorporate multiple user group perspectives in value assessment.

Main Methods:

  • Employed Design Science Research methodology.
  • Conducted two empirical studies in distinct hospital settings.
  • Integrated laddering technique (means-end chain model) with design documents, stakeholder interviews, and observations.

Main Results:

  • Developed the i3 method, a new approach for analyzing HBE value generation.
  • Generated hierarchical value maps illustrating connections between HBE attributes and services.
  • Identified key relationships, including the necessity for HBE adaptability to evolving service demands.

Conclusions:

  • Analyzing HBE-service interactions is crucial for enhancing value.
  • The i3 method provides a structured framework for design decision-making.
  • Findings underscore the importance of adaptable HBEs for sustained value and service responsiveness.