Design re-use: Critical application of healthcare building design evidence

Wanigarathna, N; Sherratt, F; Price, A and Austin, S (2019) Design re-use: Critical application of healthcare building design evidence. Engineering, Construction and Architectural Management, 26(3), pp. 350-366. ISSN 0969-9988

Abstract

Purpose: The re-use of good design solutions is a key source of evidence and knowledge in the design of healthcare buildings. However, due to the unique nature of healthcare built environments, the critical application of this evidence is of paramount importance. The purpose of this paper is to investigate the features of such critical application and identify the aspects that need to be considered during the re-use of good designs. Design/methodology/approach: Data from three case studies of hospital designs in the UK were used to explore the processes behind the adaption and re-use of design solutions during the design of healthcare buildings. Data were thematically analysed to distinguish the aspects that should be carefully compared and contrasted during design re-use. Findings: Existing designs of healthcare buildings should be captured and evaluated along with: patient demographics, care models of the hospital, other local departmental needs and facility operational aspects in order to ensure the effectiveness of re-use. In addition, properly introducing the design to the users is also a part of successful design re-use. Research limitations/implications: The findings of this research were integrated into a framework to support healthcare designers on the effective re-use of good designs. This data-driven framework could be validated further with design practitioners. Further, this research relied on memory recall of the interviewees and the accuracy and completeness of documentary records. Practical implications: This research provides details of how healthcare built environment designs are embedded in project-unique circumstances. The results could therefore be used to develop meaningful and informative evaluation mechanisms for new and re-used healthcare building design features. Originality/value: This research extends the understanding of the critical application of healthcare design evidence, by explaining how healthcare design solutions should be evaluated during the design process.

Item Type: Article
Uncontrolled Keywords: critical application of evidence; design evaluation; design management; design re-use; healthcare built environments; knowledge management; project management
Index terms: project management, demographics, effectiveness, healthcare built environment, design evaluation, designer, case study, re-use, building design, knowledge management, evidence, practitioner, methodology, design management, accuracy, design process
Subjects: demography, research methods, performance management, health safety and environment, professional development, project management theory and practice, design process, architectural design, data collection methods, evaluation and assessment methods, construction type, profession, design assessment, design methods, practitioner
Topics: Design Practice, Urban Studies, Quality Management, Health and Safety, Research Practice, Project Management, Information Management, Roles and Professions, Construction Technology
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