Analysis of Factors Historically Affecting Innovation in Hospital Building Design. (October 2022)

• Record Type: Journal Article
• Authors: Moslehian, Anahita Sal; Tucker, Richard; Kocaturk, Tuba; Andrews, Fiona
• Is Part Of: HERD. Volume 15:Number 4(2022)
• Page Start: 249
• Page End: 269
• Publication Date: 2022-10
• Subjects: hospital building design -- historical analysis -- contextual factors -- Mixed Grounded Theory (MGT) -- systems thinking; Health facilities -- Design and construction -- Periodicals; Medical care -- Periodicals; Health facilities -- Design and construction; Medical care; Periodicals; 725.5
• DOI: 10.1177/19375867221113874
• Languages: English
• ISSNs: 1937-5867

Abstract

Purpose: This article aims to complement the historical literature on the evolution of hospital buildings via a holistic analysis of the contextual factors triggering hospital design innovation over the past 100 years. Background: Innovation in hospital building design should be considered as a complex ecosystem with a heterogeneous set of actors. Methods: A novel hybrid research design to the Mixed Grounded Theory methodology, with Charmaz's constructivist paradigm, was developed to explore, construct, and interpret concepts and the interconnections between them. Results: Six hundred seventeen interconnections between 146 factors, classified across 14 categories, were developed to explain the individual and combined impacts of all components of the design innovation ecosystem. Conclusions: This study provides hospital building designers, researchers, policy makers, and stakeholders with a systemic understanding of the innovation ecosystem and their potential role in this system. This knowledge suggests the need for interdisciplinary education to address complex and quickly evolving real-world building design problems.