Elrod James K, Fortenberry John L
Willis-Knighton Health System, 2600 Greenwood Road, Shreveport, LA, 71103, USA.
LSU Shreveport, 1 University Place, Shreveport, LA, 71115, USA.
BMC Health Serv Res. 2017 Jul 11;17(Suppl 1):451. doi: 10.1186/s12913-017-2339-4.
Adaptive reuse-the practice of identifying, acquiring, renovating, and placing back into service a building or similar structure for a purpose different than that for which it was originally designed-offers great potential for addressing the spatial expansion needs of healthcare establishments in a unique and mutually beneficial manner. This repurposing approach, however, has received very little attention in the health sciences literature, diminishing the opportunities of those serving in hospitals, medical clinics, and related care providing institutions to acquire an understanding of the practice.
The delivery of healthcare services primarily is site based, requiring physical space for physicians, nurses, administrators, and others to carry out the many duties associated with the provision of medical care and attention. But this space often represents a significant expenditure, consuming financial resources which otherwise could be directed toward patient care. Economies on this front are possible through adaptive reuse, permitting more resources to be directed toward mission fulfillment activities. This article directs attention toward adaptive reuse by profiling Willis-Knighton Health System's associated experiences and implementation strategies. Among other things, opportunities and obstacles are discussed, detailed cases are presented, and an operational framework is provided, permitting healthcare providers to understand and make use of this novel practice for addressing spatial expansion needs more affordably.
Since space considerations exist throughout the lives of healthcare establishments, providers must ensure an awareness of methods for productively attending to these requirements. Evidenced by Willis-Knighton Health System's associated experiences and outcomes, adaptive reuse presents an option for more economically addressing spatial requirements, fostering opportunities to expand the delivery of health and medical services.
适应性再利用——即识别、收购、翻新并重新投入使用一座建筑或类似结构，使其用于与最初设计目的不同的用途——为以独特且互利的方式满足医疗机构的空间扩张需求提供了巨大潜力。然而，这种重新利用的方法在健康科学文献中很少受到关注，减少了医院、医疗诊所及相关护理机构工作人员了解该做法的机会。
医疗服务的提供主要基于场所，需要为医生、护士、管理人员及其他人员提供物理空间，以履行与提供医疗护理相关的诸多职责。但这种空间往往代表着一笔巨大的开支，消耗原本可用于患者护理的财政资源。通过适应性再利用可在这方面实现节约，使更多资源能够用于履行使命的活动。本文通过介绍威利斯 - 奈顿健康系统的相关经验和实施策略，将注意力引向适应性再利用。文中讨论了机会和障碍，展示了详细案例，并提供了一个操作框架，使医疗服务提供者能够理解并以更经济实惠的方式利用这种新颖做法来满足空间扩张需求。
由于在医疗机构的整个运营过程中都存在空间方面的考量，医疗服务提供者必须确保了解有效满足这些需求的方法。威利斯 - 奈顿健康系统的相关经验和成果表明，适应性再利用为更经济地满足空间需求提供了一种选择，为扩大健康和医疗服务的提供创造了机会。
