Sturge Jodi, Eggink Wouter, Gasca Omar Martinez, Ludden Geke, Annemans Margo
Department of Design, Production and Management, Faculty of Engineering Technology, University of Twente, Enschede, The Netherlands.
Department of Product Design, University of Antwerp, Antwerpen, Belgium.
HERD. 2025 Jul;18(3):198-212. doi: 10.1177/19375867251332642. Epub 2025 Apr 30.
There is a need for a more theoretical understanding of human behavior to inform the decision-making related to how technology should be integrated into healthcare environments. Healthcare systems are transforming with more technology embedded within the built environment of healthcare facilities. The placement of these technologies, however, only sometimes considers the needs or workflow of patients, visitors or staff. Despite similarities, evidence-based design, smart building design and human-building interaction research rarely intersect. However, each relies on multi-disciplinary insights to enhance these fields. In this paper, we contextualize human-building interaction with building technology through an analytical framework inspired by mediation theory. Based on five case examples from previous studies and site visits, we present the interaction and explain how mediation theory provides insight into the interaction. Looking at human-building technology interaction from the lens of mediation theory, it is apparent that the specific decisions taken in spatial and technological design impact the behaviors of building occupants. This paper provides examples of how technology in healthcare environments is used unintendedly, resulting in adapting the use to meet the user's needs. Mediation theory provides a framework to contextualize such encounters which will allow researchers to anticipate user needs and avoid disruptive building technologies in the future.
需要对人类行为有更具理论性的理解,以便为有关如何将技术融入医疗环境的决策提供信息。随着更多技术嵌入医疗设施的建筑环境中,医疗系统正在发生变革。然而,这些技术的布局有时仅考虑患者、访客或工作人员的需求或工作流程。尽管存在相似之处,但基于证据的设计、智能建筑设计和人与建筑交互研究很少交叉。然而,每一个都依赖多学科见解来推动这些领域的发展。在本文中,我们通过一个受中介理论启发的分析框架,将人与建筑的交互与建筑技术相结合。基于先前研究和实地考察的五个案例,我们展示了这种交互,并解释了中介理论如何为这种交互提供见解。从中介理论的角度审视人与建筑技术的交互,很明显,在空间和技术设计中做出的具体决策会影响建筑使用者的行为。本文提供了医疗环境中技术被意外使用的例子,以及如何调整使用方式以满足用户需求。中介理论提供了一个框架,用于将此类情况背景化,这将使研究人员能够预测用户需求,并在未来避免使用具有破坏性的建筑技术。