Abstract Tools and methods to improve current practices and quality in the healthcare building sector are necessary to support decision-making at different building life cycle phases. Furthermore, Healthcare Building Sustainability Assessment (HBSA) Methods are based on criteria organised into different levels, such as categories and indicators. These criteria highlight aspects of significant importance when designing and operating a sustainable healthcare building. To bring more objectivity to the sustainability assessments, the standardisation bodies (CEN and ISO) proposed core indicators that should be used in the evaluation of the environmental, societal and economic performances of buildings. Nevertheless, relying on state of the art analysis, it is possible to conclude that there are aspects of major importance for the operation of healthcare buildings that are not considered in the HBSA methods. Thus, the aim of this paper is to discuss the context of sustainability assessment methods in the field of healthcare buildings and to present a proposal for the incorporation of Sustainable-Effective Design (SED) criteria in a new HBSA method. The used research method is innovative since in the development of the list of sustainability criteria it considers the opinion of main healthcare buildings' stakeholders, the existing healthcare assessment methods and the ISO and CEN standardisation works in the field of the methods to assess the sustainability of construction works. As a result, the proposed method is composed of fifty-two sustainability indicators that cover the different dimensions of the sustainability concept to support decision making during the design of a new or retrofitted healthcare building in urban areas.

中文翻译：

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医疗保健建筑可持续性评估工具 - 葡萄牙语境中的可持续有效设计标准

摘要 改善医疗建筑领域当前实践和质量的工具和方法对于支持不同建筑生命周期阶段的决策是必要的。此外，医疗保健建筑可持续性评估 (HBSA) 方法基于组织成不同级别的标准，例如类别和指标。这些标准突出了在设计和运营可持续医疗保健建筑时非常重要的方面。为了使可持续性评估更加客观，标准化机构（CEN 和 ISO）提出了用于评估建筑物环境、社会和经济绩效的核心指标。然而，依靠最先进的分析，可以得出结论，HBSA 方法未考虑对医疗保健建筑的运营具有重要意义的方面。因此，本文的目的是讨论医疗建筑领域可持续性评估方法的背景，并提出将可持续有效设计 (SED) 标准纳入新的 HBSA 方法的建议。所使用的研究方法是创新的，因为在制定可持续性标准清单时，它考虑了主要医疗保健建筑利益相关者的意见、现有的医疗保健评估方法以及 ISO 和 CEN 在评估可持续性标准的方法领域的标准化工作。建设工程。因此，