Anåker Anna, Heylighen Ann, Nordin Susanna, Elf Marie
1 Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
2 School of Education, Health and Social Studies, Dalarna University, Falun, Sweden.
HERD. 2017 Jul;10(4):136-150. doi: 10.1177/1937586716679404. Epub 2016 Dec 18.
We explored the concept of design quality in relation to healthcare environments. In addition, we present a taxonomy that illustrates the wide range of terms used in connection with design quality in healthcare.
High-quality physical environments can promote health and well-being. Developments in healthcare technology and methodology put high demands on the design quality of care environments, coupled with increasing expectations and demands from patients and staff that care environments be person centered, welcoming, and accessible while also supporting privacy and security. In addition, there are demands that decisions about the design of healthcare architecture be based on the best available information from credible research and the evaluation of existing building projects.
The basic principles of Arksey and O'Malley's model of scoping review design were used. Data were derived from literature searches in scientific databases. A total of 18 articles and books were found that referred to design quality in a healthcare context.
Design quality of physical healthcare environments involves three different themes: (i) environmental sustainability and ecological values, (ii) social and cultural interactions and values, and (iii) resilience of the engineering and building construction. Design quality was clarified herein with a definition.
Awareness of what is considered design quality in relation to healthcare architecture could help to design healthcare environments based on evidence. To operationalize the concept, its definition must be clear and explicit and able to meet the complex needs of the stakeholders in a healthcare context, including patients, staff, and significant others.
我们探讨了与医疗环境相关的设计质量概念。此外，我们还提出了一种分类法，用以说明在医疗领域中与设计质量相关的广泛术语。
高质量的物理环境能够促进健康和幸福。医疗技术和方法的发展对护理环境的设计质量提出了很高的要求，同时患者和工作人员对护理环境的期望和要求也日益增加，他们希望护理环境以人为本、温馨宜人且方便使用，同时还要保障隐私和安全。此外，还有要求指出，医疗建筑设计决策应基于可靠研究的最佳可用信息以及对现有建筑项目的评估。
采用了阿克西和奥马利范围审查设计模型的基本原则。数据来源于科学数据库中的文献检索。共找到18篇提及医疗背景下设计质量的文章和书籍。
物理医疗环境的设计质量涉及三个不同主题：（i）环境可持续性和生态价值；（ii）社会和文化互动及价值；（iii）工程和建筑结构的弹性。本文通过定义对设计质量进行了阐释。
了解与医疗建筑相关的设计质量概念有助于基于证据设计医疗环境。为了使这一概念得以实施，其定义必须清晰明确，并能够满足医疗环境中包括患者、工作人员及其他重要人员在内的利益相关者的复杂需求。
