Shibeika, A; Davies, R and Gray, C (2009) Care pathways and the built environment: Conceptual framework for understanding. In: Dainty, A R J (ed.) Proceedings of 25th Annual ARCOM Conference, 7-9 September 2009, Nottingham, UK.
Abstract
The 'Care Pathways' is a relatively recent health care management concept that seeks to make explicit the process of caring for patients. Care pathways appear central to the UK government's National Healthcare Service reforms. However, published reports of care pathways do not adequately incorporate the nature of the built environment infrastructure within and through which most care is delivered. Aligning care pathways issues with buildings' spatial system elements, we realised that the information embedded in care pathways can and arguably should be able to inform architects thinking when considering a building's spatial system. Briefing is identified as the interface where care pathways issues are discussed, and their consequences in the infrastructure tested and formulated. To understand how design requirements to encapsulate care pathways concepts is captured and assessed during the briefing process, scoping study designed with the aim to investigate the mechanisms of specification and evaluation of care pathways in current briefing practices. The study showed that Care Pathways as a term does not exist in current briefing documents. Also it revealed that delivery architects are not involved in the health care planning process furthermore they are not well informed of the outcomes of the health care planning process. As we recognised that care pathways have the potential to inform briefing if represented innovatively and in an understandable way to both health care clients and designers, we are proposing modelling as an approach to understand care pathways to capture the spatial requirements of health care facilities.
| Item Type: | Conference Paper (Paper) |
|---|---|
| Uncontrolled Keywords: | briefing; care pathways |
| Index terms: | designer, conceptual framework, documents, specification, planning process, built environment infrastructure, built environment, health care, architect, modelling, briefing, health care facility |
| Subjects: | infrastructure and transport systems, public and environmental health, profession, analytical methods, contractual condition, professional development, construction type, scope management, project controls, theoretical framing |
| Topics: | Health and Safety, Contract Administration, Information Management, Time Control, Urban Studies, Project Management, Construction Technology, Roles and Professions, Research Practice, Engineering Principles |
| Descriptive scope: | 3 PCA |
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