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Shared decision making in designing new healthcare environments-time to begin improving quality

M. Elf ; Peter Fröst (Institutionen för arkitektur) ; Göran Lindahl (Institutionen för bygg- och miljöteknik, Construction Management) ; Helle Wijk
BMC Health Services Research (1472-6963). Vol. 15 (2015), p. Article no. 114.
[Artikel, refereegranskad vetenskaplig]

Background: Successful implementation of new methods and models of healthcare to achieve better patient outcomes and safe, person-centered care is dependent on the physical environment of the healthcare architecture in which the healthcare is provided. Thus, decisions concerning healthcare architecture are critical because it affects people and work processes for many years and requires a long-term financial commitment from society. In this paper, we describe and suggest several strategies (critical factors) to promote shared-decision making when planning and designing new healthcare environments. Discussion: This paper discusses challenges and hindrances observed in the literature and from the authors extensive experiences in the field of planning and designing healthcare environments. An overview is presented of the challenges and new approaches for a process that involves the mutual exchange of knowledge among various stakeholders. Additionally, design approaches that balance the influence of specific and local requirements with general knowledge and evidence that should be encouraged are discussed. Summary: We suggest a shared-decision making and collaborative planning and design process between representatives from healthcare, construction sector and architecture based on evidence and end-users' perspectives. If carefully and systematically applied, this approach will support and develop a framework for creating high quality healthcare environments.

Nyckelord: Design process, Healthcare architecture, Quality improvements, Shared decision-making, Person-centered

Denna post skapades 2015-04-20. Senast ändrad 2016-11-03.
CPL Pubid: 215413


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Institutioner (Chalmers)

Institutionen för arkitektur (2005-2017)
Institutionen för bygg- och miljöteknik, Construction Management (2008-2017)
Institutionen för vårdvetenskap och hälsa (GU)


Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi

Chalmers infrastruktur