Department of Design & Environmental Analysis, Cornell University, Ithaca, NY, USA.
HERD. 2011 Summer;4(4):114-29. doi: 10.1177/193758671100400409.
This paper explores some of the premises of evidence-based design (EBD) and suggests that greater attention to and differentiation of the various purposes of research are needed, along with the development of an ecological theory that reflects the complexity of the health systems studied and more varied ways to communicate with and engage practitioners.
Problems with the American healthcare system are well known. For the past 20 years, an intervention that has gained increasing attention has been the physical design of healthcare facilities-hospitals in particular. EBD has been advocated as one means of using research to examine the relationship between design and healthcare to improve patient safety and the quality of care.
The concept of integrated healthscape strategies is proposed to focus not only on research "evidence" and the methods used to collect and analyze it, but also on the different purposes research serves, the role of theory, and the use of EBD research in practice.
本文探讨了循证设计（EBD）的一些前提，并认为需要更加关注和区分研究的各种目的，同时发展一种能够反映所研究的卫生系统复杂性的生态理论，并寻找更多与实践者沟通和合作的方式。
美国医疗体系存在的问题众所周知。在过去的 20 年中，越来越受到关注的一种干预措施是医疗设施的物理设计，特别是医院。EBD 被提倡作为一种利用研究来检验设计与医疗保健之间关系的方法，以提高患者安全性和医疗质量。
提出了综合健康景观策略的概念，不仅要关注研究“证据”及其收集和分析方法，还要关注研究的不同目的、理论的作用以及 EBD 研究在实践中的应用。
