Purpose

Several healthcare quality assessment tools measure the processes and outcomes of the care system. The actual physical infrastructure (buildings and organizational) aspects are, however, rarely considered. The purpose of this paper is to describe the process of validation and weighting of an evidence-informed framework for the quality assessment of hospital facilities from social, environmental and organizational perspectives to complement other assessments.

Design/methodology/approach

Sustainable High-quality Healthcare version 2 (SustHealth v2) is the updated version of an existing framework composed of three domains (social, environmental and organizational quality). To validate and establish a relevant weighting, interviews were conducted with 15 professionals within the field of healthcare planning, design, research and management. The study has been conducted through semi-structured interviews and the application of the Simon Roy Figueras (SRF) procedure for the elicitation of weights criteria. The data collected have been processed through the DecSpace web platform.

Findings

Among the three domains, the organizational qualities appear to be the most important (W = 49%), followed by the environmental (W = 29%) and social aspects (W = 22%). Relevant indicators such as future-proofing, wayfinding and users’ space control emerged as the most important within each macro-area. Those results are confirmed by the outcome of the interviews that highlight user/patient-centeredness, wayfinding strategies and space functionality as the most important concepts to foster in existing healthcare facilities improvement.

Practical implications

The study highlights important structural and organizational aspects that hospital managers and planners can consider when dealing with healthcare facilities’ quality improvement.

Originality/value

The use of the SRF multicriteria method is novel in this context when used to weight an assessment tool with a focus on hospital built environment.

中文翻译：

---

验证用于医疗机构质量评估的多准则工具

目的

几种医疗质量评估工具可衡量护理系统的过程和结果。但是，很少考虑实际的物理基础结构（建筑物和组织）方面。本文的目的是从社会，环境和组织的角度描述医院设施质量评估的循证框架的验证和加权过程，以补充其他评估。

设计/方法/方法

可持续高质量医疗保健版本2（SustHealth v2）是由三个领域（社会，环境和组织质量）组成的现有框架的更新版本。为了验证和确定相关权重，在医疗保健计划，设计，研究和管理领域对15名专业人员进行了访谈。该研究是通过半结构化访谈和西蒙·罗伊·菲格拉斯（Simon Roy Figueras）（SRF）程序在确定体重标准中的应用而进行的。收集的数据已通过DecSpace Web平台进行了处理。

发现

在这三个领域中，组织素质似乎是最重要的（W = 49％），其次是环境（W = 29％）和社会方面（W = 22％）。在每个宏区域中，诸如面向未来，寻路和用户空间控制等相关指标已成为最重要的指标。这些结果得到了采访结果的肯定，这些采访强调了以用户/患者为中心的定位，寻路策略和空间功能，这是在现有医疗保健设施改善中最重要的概念。

实际影响

该研究突出了医院管理者和计划者在处理医疗机构质量改善时可以考虑的重要结构和组织方面。

创意/价值

在将SRF多准则方法用于评估评估工具（重点放在医院构建环境）时，在此上下文中使用SRF多准则方法是新颖的。