Comparative analysis of hospital environments in Australia and China using the space syntax approach

Purpose: Spatial arrangement of hospital environments has been proven to have impacts on hospital users such as wayfinding, privacy and operational efficiency. Many studies examined the spatial quality of hospitals, but there is a lack of comparative research between Chinese and Australian hospitals. Hospitals in both countries have salient features that are worth to learn and can inform hospital stakeholders internationally on design decisions. The purpose of this paper is to evaluate and compare the spatial quality of hospitals from both countries using space syntax approach and field observation. Design/methodology/approach: This study uses space syntax analysis and observation to provide qualitative and quantitative data. Illustrative case studies from both countries are selected for comparison. The main benchmarks involved in measuring the spatial qualities, such as step depth and visual connectivity, are analysed using Depthmap X before comparing with the results from observation. Findings: For Chinese hospitals to be more human-centred, public space design and facility management need additional attention. Australian hospitals could learn from Hospital D on how to design highly centralised nursing stations that cope with a high patient flow. Global policy and decision-makers should consider the potential inconsistency between initial design intention and practical use. Originality/value: Practical implications were made based on the results for bettering hospital environments. It is hoped that the methodology presented in this research is of significance to the enhancement of global healthcare environment research.