Liu, W; Chan, A P C; Chan, M W; Darko, A and Oppong, G D (2025) Key performance indicators for hospital planning and construction: A systematic review and meta-analysis. Engineering, Construction and Architectural Management, 32(5), pp. 3375-3406. ISSN 0969-9988
Abstract
Purpose: The successful implementation of hospital projects (HPs) tends to confront sundry challenges in the planning and construction (P&C) phases due to their complexity and particularity. Employing key performance indicators (KPIs) facilitates the monitoring of HPs to advance their successful delivery. This study aims to comprehensively investigate the KPIs for hospital planning and construction (HPC). Design/methodology/approach: The KPIs for HPC were identified through a systematic review. Then a comprehensive assessment of these KPIs was performed utilizing a meta-analysis method. In this process, basic statistical analysis, subgroup analysis, sensitive analysis and publication bias analysis were performed. Findings: Results indicate that all 27 KPIs identified from the literature are significant for executing HPs in P&C phases. Also, some unconventional performance indicators are crucial for implementing HPs, such as "Project monitoring effectiveness" and "Industry innovation and synergy," as their high significance is reflected in this study. Despite the fact that the findings of meta-analysis are more trustworthy than those of individual studies, a high heterogeneity still exists in the findings. It highlights the inherent uncertainty in the construction industry. Hence, this study applied subgroup analysis to explore the underlying factors causing the high level of heterogeneity and used sensitive analysis to assess the robustness of the findings. Originality/value: There is no consensus among the prior studies on KPIs for HPC specifically and their degree of significance. Additionally, few reviews in this field have focused on the reliability of the results. This study comprehensively assesses the KPIs for HPC and explores the variability and robustness of the results, which provides a multi-dimensional perspective for practitioners and the research community to investigate the performance of HPs during the P&C stages.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | hospital projects; industry innovation and synergy; key performance indicators; meta-analysis; planning and construction; project monitoring effectiveness; systematic review |
| Index terms: | implementation, synergy, bias, project monitoring, meta-analysis, performance indicator, methodology, subgroup, construction industry, systematic literature review, statistical analysis, monitoring, variability, practitioner, key performance indicator, complexity, publication, effectiveness |
| Subjects: | contractual arrangements, statistical analysis, partnership management, practitioner, control systems, research methods, project delivery, probability and distributions, research dissemination and communication, research evaluation and metrics, performance management, industry analysis, data science, systems engineering, research management |
| Topics: | Project Management, Research Practice, Roles and Professions, Stakeholder Management, Engineering Principles, Procurement, Quality Management, Site Management, Information Management |
| Descriptive scope: | 5 PCTEA |
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