Modeling Patient Satisfaction in Hospital Design Using Evidence-Based Design (Case Study: Kasra Hospital)
Subject Areas : Architecture
Aida Sadeghi
1
,
Azadeh Shahcheraghi
2
*
,
Khosro Daneshjoo
3
,
Seyed Behshid Hosseini
4
1 - Ph.D. Candidate in Architecture, Department of Architecture, Science and Research Branch, Islamic Azad University, Tehran, Iran
2 - Associate professor, Department of Architecture, Science and Research branch, Islamic Azad University, Tehran, Iran.
3 - Associate Professor, Department of Architecture, Faculty of Arts, Tarbiat Modares University, Tehran, Iran.
4 - Professor, Department of Architecture, Faculty of Architecture and Urban Planning, Iran University of Art, Tehran, Iran.
Keywords: Healing Environment, ASPECT Tool, Patient-Centered Design, EBD, Hospital Architecture, User Experience,
Abstract :
Patient satisfaction is a key indicator in evaluating the quality of healthcare services and plays a crucial role in the healing process and patients' perception of the healthcare system. Evidence-Based Design (EBD) is a scientific approach that uses empirical data to optimize healthcare environments. The goals of this research are to promote the principles of designing healthcare centers using an evidence-based approach, thereby improving the quality of space, enhancing patient satisfaction, and accelerating the recovery process.
The research method is based on patient-centered principles, aligning with analytical-descriptive research that incorporates field observations, library studies, and data collection through questionnaires from 65 patients hospitalized at Kasra Hospital. These data are analyzed to provide a suitable solution for the design. Data analysis is conducted using the regression and correlation methods. The software used is ASPECT and SPSS 26.
According to the obtained results, threshold rate of 6, the average factors of views (3.646), nature and outdoors (3.472), comfort and control (3.913), Legibility of place (3.900), facilities (3.079) and staff (3.594) means that the patients in the hospital are relatively satisfied with the aforementioned factors and the average of privacy and participation (2.769) and interior design (2.896) indicating low satisfaction with the mentioned factors.
This study confirms that implementing evidence-based design principles in hospital environments significantly enhances the patient experience, increases satisfaction, and accelerates the healing process.
1. Adibhesami, M. Sadeghi, A. Noormohammadifar, N. Sahebi, S. (2021). The Impact of Hospital Atmosphere on the Reducing Stress of Pediatric: A Case Study in Tehran, Iran, Environmental Design Research Association, https://jhttps://edra.confex.com
2. Anderson, D. C. (2024). The Impact of Hospital Design on Patient Recovery: Boston University Research Articles. https://www.bu.edu/articles/2024/impact-of-hospital-design-on-patient-recovery
3. Benedetti, F., Colombo, C., Barbini, B., Campori, E., & Smeraldi, E. (2001). Morning sunlight reduces the length of hospitalization in bipolar depression, Journal of Affective Disorders, 62(3), 201-223.
4. Cama, R. (2009). Evidence-Based Healthcare Design, John Wiley and Sons, Inc., Hoboken, New Jersey.
5. Carpman, J. R., & Grant, M. A. (2001). Design that cares: Planning health facilities for patients and visitors (2nd ed.). American Hospital Publishing.
6. Dalke, H., Littlefair, P.J., Leo, D. L., Camgöz, L. (2004). Lighting and color for hospital design: A report on an NHS Estates Funded Research Project, London South Bank University, London.
7. Garcia, M., & Martinez, A. (2021). The role of hospital design in patient satisfaction: Evidence from recent studies, Journal of Environmental Psychology, 75, 101-110.
8. Guenther, R., & Vittori, G. (2020), Sustainable healthcare architecture (2nd ed.), Wiley Guenther, R., & Vittori, G. (2020), Sustainable healthcare architecture (2nd ed.), Wiley
9. Hamilton, D. K., & Watkins, D. H. (2009). Evidence-based design for multiple building types. John Wiley & Sons.
10. Heidari, M.R. Anooshe, M. Azadarmaki, T. Mohammadi, E. (2011). The Process of Patient Privacy: A Grounded Theory. Journal of Shahid Sadoughi University of Medical Sciences, Vol. 19, Issue 5.
11. Hosking, S., Haggard, L. (1999), Healing The Hospital Environment: Design. Management and Maintenance of Healthcare Premises, E&FN Spon, London and New York.
12. Hosseini, S.B. Sadeghi, A. Piryaei. A. (2022). Realization of healing hospital environment criteria using a patient-centered approach. Journal of Armanshahr Architecture and Urban Development, 15(39), 45-62.
13. Huisman, E. R. C. M., Morales, E., van Hoof, J., & Kort, H. S. M. (2012). Healing environment: A review of the impact of physical environmental factors on users. Building and Environment, 58, 70–80. https://doi.org/10.1016/j.buildenv.2012.06.016
14. Joseph, A., & Zimring, C. (2022). The role of the physical environment in the hospital of the 21st century: A once-in-a-lifetime opportunity. Journal of Healthcare Design, 45(1)-3-17
15. Kaiser, C. P. (2007). Careful fine art selection simulates patient healing: Serene nature views, rather than abstract art or no art, helps heart patients recover faster. Diagnostic Imaging 2007(1) Pp. 7-8.
16. Kemper, K. J., and Danhauer, S. C. (2005)' Music as therapy, South Medical Journal 98(3) Pp. 282-8.
17. Kim, H., & Choi, J. (2023). The impact of hospital environment on patient satisfaction: A systematic review, Journal of Healthcare Management, 68(1), 45-58.
18. Lawson, B., & Phiri, M. (2003). The Architectural Healthcare Environment and Its Effect on Patient Health Outcomes: A Report for NHS Estates. The Stationery Office.
19. MacAllister, L. Zimring. C. (2016). Environmental Variables That Influence Patient Satisfaction: A Review of the Literature.Health Environments Research & Design Journal,1-15
20. Malkin, J. (1992). Hospital Interior Architecture: Creating Healing Environments for Special Patient Population. New York: John Wiley.
21. Marcus, C. C., & Barnes, M. (1999). Healing gardens: Therapeutic benefits and design recommendations. New York, NY: John Wiley & Sons.
22. Mardomi, K. Hashemnejad, H. Hassanpour; K. Bagheri, M. (2011). The architecture of wayfinding wayfinding process design in healthcare architecture. Journal of Fine Arts, Issue 48.
23. Mardomi, K., Hashemnejad, H., Hasanpour, K. Bagheri, M. (2013). EBD for medical centers. Exploration Era, Tehran.
24. Ministry of Health, Treatment and Medical Education, Deputy of Management and Resources, Physical Resources Management and Executor of Civil Projects, (2013). Safe Hospital Design and Planning Standard. General Standards and Requirements of Hospital, Vol. 10, Pendar Nik, Tehran.
25. Mollerup, P. (2009). Way showing in the hospital, Australasian Medical Journal, 10(1), 112-114.
26. Mosaddegh Rad, A. M., & Esna Ashari, P. (2004). Patients' and Physicians' Awareness of Patients' Rights and Its Implementation at Beheshti Hospital in Isfahan. Iranian Journal of Medical Education; 4 (1):45-54
27. Nikabadi, S., Zabihi, H. Shahcheraghi, A. (2021). Effect of Spatial Layout Features on Improving the Quality of the Hospitalization Environment. Health and Treatment Management, Vol. 12, Issue 3, 87-101.
28. Nikabadi, S. Zabihi, H. Shahcheraghi, A. (2022). Evaluating the Effective Factors of Hospital Rooms on Patients' Recovery Using the Data Mining Method. Health Environments Research & Design Journal, Vol. 15(1) 97-114
29. Pati, D., & Nanda, U. (2020). Influence of positive distractions on children in two clinic waiting areas. HERD: Health Environments Research & Design Journal, 4(3):124-40 DOI:10.1177/193758671100400310
30. Rashid, M. (2020). The question of knowledge in evidence-based design for healthcare Care facilities: limitations and suggestions, July 2013 HERD Health Environments Research & Design Journal 6(4):101-126, DOI:10.1177/193758671300600407
31. Smith, L. M., Johnson, P. R., & Williams, K. (2022). Environmental factors influencing patient satisfaction in healthcare settings, Health Services Research, 57(3), 789-805.
32. Smith, J. A., & Hamilton, D. K. (2023). Designing for flexibility in healthcare facilities, In Proceedings of the International Conference on Healthcare Design, pp. 45-56.
33. Siegrist, J. (2003). Subjective wellbeing: new conceptual and methodological development in health-related social sciences, Department of Medical Sociology, University of Duesseldorf;1-13
34. Teschke, D. A. (1991), Nebraska hospital brings services closer to patients-Bishop Clarkson Memorial Hospital-provider Perspective, Health Care Financial Management, 45(10), p.118.
35. Ulrich, R.S. (1984). View through a window may influence recovery from surgery, Science, 224(4647), 420–421. https://doi.org/10.1126/science.6143402
36. Ulrich, R. S., & Zimring, C. (2021). The Evidence-Based Design of Healthcare Facilities: Current Perspectives and Future Directions. Health Environments Research & Design Journal, 14(2), 10-23. https://doi.org/10.1177/1937586720976275
37. Ulrich, R. S., Zimring, C., Zhu, X., DuBose, J., Seo, H. B., Choi, Y. S., Quan, X., & Joseph, A. (2008). A review of the research literature on evidence-based healthcare design. HERD: Health Environments Research & Design Journal, 1(3), 61–125. https://doi.org/10.1177/193758670800100306