Wilson, G (2013) An integrated decision support model for the sustainable refurbishment of hospitals and healthcare facilities: Developing a prototype. PhD thesis, Robert Gordon University, UK.
Abstract
The National Health Service (NHS) is recognised as the largest public sector institution in Europe. This presents significant challenges in regards to operation and maintenance of the diverse built estate, and the ever-evolving clinical models of care. The economic downturn, and strict policy of austerity in the UK, presents limitations and challenges in capital investment. The majority of healthcare facilities which will be used throughout the 21st century, have already been built. This demands that solutions be found in the areas of asset maintenance and refurbishment. These challenges are complicated further, by the institutional and statutory requirements of the NHS to meet demanding sustainability targets. This in turn, is underpinned by exacting assessment methodologies and rating systems, and critically, an institutional 'duty' to pursue and evidence that 'value for money' has been achieved as far as reasonably practicable. The existing estate management tools were assessed by a process of triangulation, and the relevant decisionmakers and stakeholders from both the NHS and the Design Teams and Constructors were identified. The original contribution demonstrates the development of a novel decision . . . (continues)
| Item Type: | Thesis (Doctoral) |
|---|---|
| Thesis advisor: | Kishk, M |
| Uncontrolled Keywords: | sustainability; value for money; healthcare; capital investment; investment; operation and maintenance; policy; refurbishment; stakeholders; Europe; UK |
| Index terms: | decision support, capital investment, public sector, methodology, triangulation, evidence, austerity, health service, duty, Europe, prototype, design team, operation and maintenance, value-for-money |
| Subjects: | evaluation and assessment methods, contractual role, maintenance engineering, research methods, administrative law, physical geography and landforms, evaluation, research design and methodology, modelling and simulation, economic analysis, decision analysis, public and environmental health, professional practice |
| Topics: | Research Practice, Legal Issues, Value Management, Health and Safety, Design Practice, Engineering Principles, Risk Management, Geographical Context, Contract Administration, Business Strategy |
| Descriptive scope: | 4 PCTA |
N.B. Descriptive scope is a count of how many of the five facets of empirical research are indicated by the words used in title, abstract and keywords. It is not intended as a judgement on the research; merely a count of the kind of word we would expect to indicate Phenomenon, Concepts, Theoretical framing, Empirical techniques, Analytical techniques. If all five are present, then a code of “5 PCTEA” will indicate this. If you feel the coding for this record is questionable, we welcome discussion around the terms we matched or the way we categorized them. The facet you would expect may not be coded, or a facet may be coded inappropriately. This can also bear on a larger question, of which facets should be treated as defining in construction management research. Please get in touch, and we will look at it. More details here