Sebire N J, Adams A, Arpiainen L, Celi L, Charlesworth A, Gorgens M, Gorsky M, Magrabi F, Nagasawa Y, Onoka C, McKee M
Digital Research and Informatics Unit, NIHR Great Ormond Street Biomedical Research Centre at UCL, London, UK.
Department of Social Studies of Medicine / School of Architecture, McGill University, Montreal, Canada.
Int J Health Plann Manage. 2025 May;40(3):730-740. doi: 10.1002/hpm.3893. Epub 2025 Jan 2.
Health care is changing rapidly. Hospitals are, and will remain, an essential setting to deliver it. We discuss how to maximise the benefits of hospitals in the future in different geographic and health system settings, highlighting a series of cross-cutting issues. We do this by exploring the evolving roles of hospitals and the main factors that we must consider as they adapt. These include changing population and disease profiles, the impact of evolving technology, and new concepts in hospital design and planning. Our focus is on delivering high-quality, patient-centred care while ensuring equitable access, even if strategic decisions require compromise across these functions. The COVID-19 pandemic has shown the importance of hospitals in societies while also revealing the limitations of current structures and the potential of technology to transform hospital services within the broader healthcare system. The aim of this multidisciplinary perspective is to provide an overview of pertinent issues whilst highlighting the challenges and opportunities in optimising future hospital planning, construction, design, and development in high-income (HIC) and low -and medium-income country (LMIC) settings.
医疗保健正在迅速变化。医院过去是、将来也仍将是提供医疗服务的重要场所。我们探讨了如何在不同的地理和卫生系统环境中,在未来最大限度地发挥医院的效益,突出了一系列贯穿各领域的问题。我们通过探究医院不断演变的角色以及医院在适应过程中必须考虑的主要因素来做到这一点。这些因素包括不断变化的人口和疾病状况、技术发展的影响以及医院设计和规划中的新概念。我们的重点是提供高质量的、以患者为中心的护理,同时确保公平获得医疗服务,即使战略决策需要在这些功能之间进行权衡。新冠疫情显示了医院在社会中的重要性,同时也揭示了当前结构的局限性以及技术在更广泛的医疗系统中改变医院服务的潜力。这一多学科视角的目的是概述相关问题,同时突出在高收入国家(HIC)和低收入及中等收入国家(LMIC)环境中优化未来医院规划、建设、设计和发展方面的挑战与机遇。