Evidence-Based and Value-Based Decision Making About Healthcare Design

Zadeh, Rana Sagha; Sadatsafavi, Hessam; Xue, Ryan

doi:10.1177/1937586715586393

Cited by 19 publications

(31 citation statements)

References 17 publications

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“…Instead, in hospitals and in residential care, the low adoption of these CFs may be related to the specificity of these clinical settings, where these elements (e.g., colors of the room, windows and skylights) symbolize infrastructural elements which are not modifiable as compared to music, fragrances or temperature. Therefore, there is a need to direct health policies towards renovating architecture and environmental design with the aim of improving the overall healthcare process and patients’ satisfaction[70].…”

Section: Discussionmentioning

confidence: 99%

Physical therapists’ perspectives on using contextual factors in clinical practice: Findings from an Italian national survey

Rossettini¹,

Palese

Geri³

et al. 2018

PLoS ONE

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BackgroundContextual factors (CFs) represent a potential therapeutic tool to boost physiotherapy outcomes, triggering placebo effects. Nevertheless, no evidence about the use of CFs among physical therapists is currently available.ObjectiveTo investigate the use of CFs and the opinion of Italian physical therapists specialized in Orthopaedic Manual Therapy (OMTs) on their therapeutic benefits.DesignAn exploratory cross-sectional online survey.MethodsA 17-item questionnaire and 2 clinical vignettes assessed the perspective of OMTs on the adoption of CFs in daily clinical practice. The target population was composed of 906 OMTs. An online survey was performed in 2016 using SurveyMonkey Software. Data were analyzed by descriptive and inferential statistics.ResultsA total of 558 volunteers (61.6% of the target OMT population) participated in the study. Half of the participants (52.0%) claimed to use CFs frequently in their practice. More of 50% of OMTs valued the therapeutic significance of CFs for different health problems as determined by a combined psychological and physiological effect. OMTs considered the use of CFs ethically acceptable when they exert beneficial therapeutic effects and their effectiveness has emerged in previous clinical experiences (30.6%). They disagreed on the adoption of CFs when they are deceptive (14.1%). Moreover, OMTs did not communicate the adoption of CFs to patients (38.2%), and CFs were usually used in addition to other interventions to optimize clinical responses (19.9%). Psychological mechanisms, patient’s expectation and conditioning were believed to be the main components behind CFs (7.9%).LimitationsConsidering that the data collected were self-reported and retrospective, recall and response biases may limit the internal and external validity of the findings.ConclusionsOMTs used CFs in their clinical practice and believed in their therapeutic effect. The knowledge of CFs, placebo and nocebo mechanisms and their clinical effects should be included in physical therapists’ university studies.

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Section: Discussionmentioning

confidence: 99%

Physical therapists’ perspectives on using contextual factors in clinical practice: Findings from an Italian national survey

Rossettini¹,

Palese

Geri³

et al. 2018

PLoS ONE

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“…[14] Strategies for occupational exposure of space environment can be summarized as: measures to weaken the exposure by space environment, through building space layout control hazard scope, through the improvement of the medical operating environment control intrusion behavior, specific intrusive way of setting Angle of architecture technology barrier. [15] Architectural point of view of medical safety rational thinking is a kind of demand of The Times. Of this study is devoted to the analysis architectural space environment factors affecting the safety of medical treatment, to provide relevant risk control on the basis of the theory and practice level.…”

Section: Safe Environmentmentioning

confidence: 99%

The Design Trend of Modern Hospital Architecture

Wang¹,

Wang²

2018

Proceedings of the 2018 7th International Conference on Energy, Environment and Sustainable Development (ICEESD 2018)

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The hospital is an important part of public infrastructure in the development of modern society. As a modern hospital, it should adhere to the principle of people-oriented and the service objective of modern hospital architecture design. On the base of theory and practice analysis, the trend of modern hospital architecture aims to put forward a new idea of modern hospital architecture design to adapt to the update and change of medical mode in China. Hospital construction should not only consider the comfort level, but also consider the actual use process. Therefore, in the process of the construction of hospital, the surrounding environment is the design scheme and the technique and equipment of the hospital should be investigated.

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“…Zadeh et al proposed a framework to develop the evidence based tool in the stages of planning, design and construction and operation stages of healthcare facilities [2]. This framework lays a common platform of analytical language for the stakeholders, by pairing EBD with value-driven decision making.…”

Section: Literature Reviewmentioning

confidence: 99%

“…Zadeh et al proposed a framework to develop the tool for the optimization of healthcare infrastructure [2]. His tool is more cost and profit centric, not incorporating the quality and continuity of care, availability and reach of the healthcare facility to the patients.…”

Section: Limitations Of the Previous Studiesmentioning

confidence: 99%

Selecting Environments for Distribution of Services

Wadhwa¹,

Farahmand²

2016

HealthCare Current Reviews

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In order to decide if a specialty service (SS), offered as part of a healthcare program for a targeted group of patients such as U.S. Department of Veterans Administration (VA) offering specialty services for veterans, may be a good candidate for distribution into the rural geographic location several factors must be carefully analyzed and evaluated. For example, the distribution should be based on VA criteria's and the veterans / patient criteria's for distribution as well as maximizing access for veterans as stated by the Veterans Choice Program. The proposed decision making tool will be an easy assessment tool that could be used by VA managers and decision makers to decide if the specialty service(s) is an ideal candidate for distribution. The decision making tool will be in the form of a questionnaire which will allow the decision makers to determine and evaluate basic requirements for distribution of services. The answers to the questionnaire will be scored and if the overall score is above the threshold, then the specialty service will be considered a good candidate for expansion or distribution. There are four main solutions to the distribution problem; 1) distributing to an existing facility; 2) using a third party provider; 3) building a new facility; or 4) a combination of some of them. Each solution constitutes a category of questions that are designed to assess the feasibility of the solution for each specialty service. Each specialty service has a score for each question under the categories designated for each solution. Hence, the goal is to designate the best qualitative solution for each specialty service,

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Evidence-Based and Value-Based Decision Making About Healthcare Design

Abstract: Evidence-based and value-based design frameworks can be applied to communicate the life-cycle costs and savings of EBD interventions to stakeholders, thereby contributing to more informed decision makings and the optimization of healthcare infrastructures.

Cited by 19 publications

References 17 publications

Physical therapists’ perspectives on using contextual factors in clinical practice: Findings from an Italian national survey

Physical therapists’ perspectives on using contextual factors in clinical practice: Findings from an Italian national survey

The Design Trend of Modern Hospital Architecture

Selecting Environments for Distribution of Services

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