Abstract Healthcare built environments are increasingly considered an important contributor to patient satisfaction and wellbeing. Nevertheless, few studies have developed rigorous survey tools to capture patients' experience of such settings, and hence facilitate investigating the nexus between the built environment and health-related outcomes, in a reliable manner. Even fewer consider ambulatory oncology settings, where patients usually undergo lengthy treatment sessions. Through systematic review of electronic databases including Ovid MEDLINE, CINAHL, PubMed and Embase, this article reviews eight tools developed to measure patient perception of healthcare built environments, with particular consideration of their capacity to assess the extent to which ambulatory cancer facilities possess the qualities that contribute to the creation of a supportive environment. Consideration of the efforts made to establish valid and reliable properties of such tools is also highlighted. The tools' reported psychometric properties are considered in the light of the recommended standards of the COSMIN checklist. Most of the detected tools exhibited shortcomings relevant to their construct, scope and theoretical foundation. The consequences of applying scientifically-rigorous testing methods on the effectiveness of these tools to comprehensively cover the architectural scope of healthcare settings is discussed. In sum, the review points to the need to develop tools with a stronger conceptual basis, to facilitate attaining rigorous properties of the tools’ constructs as well as ensure reliable description of patient experiences.

中文翻译：

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我们是否在衡量我们应该衡量的东西？评估患者对医疗建筑环境的感知及其对肿瘤学空间适用性的工具审查

摘要 医疗保健建筑环境越来越被认为是提高患者满意度和幸福感的重要因素。然而，很少有研究开发出严格的调查工具来捕捉患者在此类环境中的体验，从而有助于以可靠的方式调查建筑环境与健康相关结果之间的关系。更少考虑门诊肿瘤学设置，患者通常会接受长时间的治疗。通过对包括 Ovid MEDLINE、CINAHL、PubMed 和 Embase 在内的电子数据库的系统回顾，本文回顾了为衡量患者对医疗建筑环境的感知而开发的八种工具，特别考虑到它们评估流动癌症设施在多大程度上具有有助于创造支持性环境的质量的能力。还强调了对为建立此类工具的有效和可靠属性所做的努力的考虑。根据 COSMIN 检查表的推荐标准考虑这些工具报告的心理测量特性。大多数检测到的工具都表现出与其结构、范围和理论基础相关的缺陷。讨论了应用科学严谨的测试方法对这些工具的有效性的影响，以全面覆盖医疗保健环境的架构范围。总之，审查指出需要开发具有更强概念基础的工具，