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Evidence-Based Healthcare Facility Design: Key Issues in a Collaborative Process

Evidence-Based Healthcare Facility Design: Key Issues in a Collaborative Process,FRANKLIN BECKER,JANE CARTHEY

Evidence-Based Healthcare Facility Design: Key Issues in a Collaborative Process  
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Over the past twenty years interest had grown in developing three related approaches to improving the quality of healthcare: "patient-centered care", "patient-centered design", and "evidence-based design". All three approaches to improving the quality of healthcare are grounded in and require crossing of the disciplinary boundaries of clinical practice, architecture and its allied disciplines, the social sciences, and business and administration. This paper examines the premises underlying the concept of evidence-based design. It argues that the basic premise underlying evidence-based design is sound, but that considerable ambiguity and misunderstanding exists about what it means to actually implement the concept of "evidence-based design" in practice. More attention needs to be paid to the diverse forms of "evidence" that are considered, and to the "filters" through which the wide variety of stakeholders view the research findings, including their use of these as an "evidence base" for healthcare facility design. The authors propose that a combination of both academic-based and practice-based research are needed, and that appropriate solutions for a specific project emerge from a collective problem-solving process involving key stakeholders considering diverse forms of evidence.
Published in 2007.
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