Relevant bibliographies by topics / Hospital buildings

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Hospital buildings'

Author: Grafiati
Published: 4 June 2021
Last updated: 29 July 2024

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Journal articles on the topic "Hospital buildings"

1

Pupu Pujiawati, Eufemia Maria, Shony Mandala, and Vip Paramarta. "Pentingnya Sertifikat Laik Fungsi Di Rumah Sakit." DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan 2, no. 1 (January 15, 2024): 107–12. http://dx.doi.org/10.59581/diagnosa-widyakarya.v2i1.2609.

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A Building functional certificate, hereinafter referred to as SLF, is a certificate issued by the regional government except for special function buildings by the central government, to state the building's functional fitness as a condition for it to be utilized. Based on Minister of Health Regulation Number 40 of 2022 concerning technical requirements for hospital buildings, infrastructure and health equipment in article 1, the regulation of technical requirements for hospital buildings, infrastructure and health equipment aims to create functional hospital buildings, infrastructure and health equipment. Referring to the regulations above, hospital buildings must meet the requirements for safety, health, comfort, convenience, efficient use of resources, harmony and harmony with their environment, realizing orderly, effective and efficient hospital building management. This literature review was made to include journals published in Indonesian, journals published in the 2022-2023 period regarding certificates of functional fitness for hospital buildings, especially regarding the requirements for fulfilling certificates of functional fitness in hospitals. After going through screening, inclusion and exclusion criteria, 3 articles were analyzed. As a result, hospitals need to adjust permits and proper functioning of buildings in accordance with new regulations, then hospitals are expected to follow new regulatory updates in order to maintain the security and safety of patients, visitors and hospital employees from unexpected events.
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Hanan Perkasa, Garindra, and Maria Ulfa. "A Mapping Model of the Sustainability Hospital Buildings in Post Occupancy Evaluation: A Bibliometric Analysis." International Journal of Research and Review 10, no. 1 (January 10, 2023): 189–203. http://dx.doi.org/10.52403/ijrr.20230121.

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Post Occupancy Evaluation (POE) has proven to be an important tool for assessing interior environmental quality and a useful strategy for continuous building quality improvement in addition to standard tools. This study aims to provide an integrated evaluation model for occupant needs by investigating how the Sustainability Hospital Buildings are related to POE. This research employs a qualitative method with Bibliometric Analysis. The information used in this study was obtained by searching the keywords "Post Occupancy Evaluation" in the Scopus database from 2010 to February 2022. The identification of the time range resulted in the discovery of 305 documents. Overall, the sustainable Buildings scores were positively associated with intelligent buildings (r= 0,584). In addition, the sustainable Buildings had a significant relationship with low-energy buildings, low carbon building design, green building performance, and green buildings with correlation coefficients ranging from 0.5833 to 0.550. Concurrently, Hospital Building and sustainable building design showed a correlation (r= 0,538). Therefore, with the aspect of the sustainable Building in the hospital can determine a strategy for designing hospital buildings that produce results hospital management will be able to keep the building's quality, both in terms of indoor air quality and comfort. Keywords: Post occupancy evaluation, Sustainability Building, Bibliometric, Hospital
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Ikeuchi, Junko. "Who Can Evaluate the Safety of a Hospital Building Just After a Great Earthquake?" Prehospital and Disaster Medicine 34, s1 (May 2019): s177—s178. http://dx.doi.org/10.1017/s1049023x19004084.

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Introduction:The earthquake-resistant standard of the buildings of Japan is maintained by several levels. After the Great Hanshin-Awaji Earthquake(1995) the Ministry of Land, Infrastructure, Transport, and Tourism in Japan classified the earthquake-resistant performance for the base facilities into 3 levels. The hospital manager often selects the middle level of earthquake-resistance. However, 10 hospitals were closed down for the destruction of facilities by the Kumamoto earthquake. Who may evaluate the safety of a hospital after a great earthquake? The purpose of this study is to consider the methods to evaluate the safety of hospital buildings just after a great earthquake.Methods:The damage to hospitals and the measures based on Japanese Law are arranged. Then it is considered who can declare the safety of hospital buildings after a great earthquake.Results:Hospital buildings collapsed in the Hanshin-Awaji Great Earthquake and many hospitals lost a function by a tsunami in the Great East Japan Earthquake. In addition, the glass and the ceilings of the hospital were damaged in the Kumamoto Earthquake. The damage occurred although these many hospitals had an earthquake-resistant standard established in the Building Standard Act of Japan. It is necessary for the experts to judge the safety of the hospital building just after a great earthquake.Discussion:The safety of hospital buildings is the responsibility of the hospital manager. However, there isn’t an expert of building structure employed as staff at a hospital. Thus, the hospital personnel must allow the expert of the building structure to advise a manager. In the future, it is important that the evaluation methods that can judge the damage of a hospital are developed, and the practical training for the hospital personnel are repeated.
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M. Kadhim, Esraa, and Meervat R. Altaie. "Factors Affecting Maintenance Practises in Iraq’s Hospital Buildings." Jordan Journal of Civil Engineering 17, no. 3 (July 10, 2023): 408–18. http://dx.doi.org/10.14525/jjce.v17i3.04.

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A lack of adequate building maintenance is a significant obstacle faced by governmental hospitals. This paper evaluates factors that negatively impact building-maintenance practices in Iraq. A literature review was conducted to identify factors affecting maintenance. A list of 42 factors affecting hospital-buildings was collected from previous studies and tested using a structured questionnaire distributed to hospital-maintenance experts. During the data analysis, 76 valid questionnaires were used. Based on the respondents’ ratings, the relative-importance index (RII) was used to determine the level of importance of each factor. From the results, it was concluded that twelve factors affect maintenance practices in hospital buildings: faulty design (0.889), lack of funding (0.874), inadequate training (0.871), misuse of building facilities (0.866), construction errors (0.863), lack of work experience (0.858), building age (0.826), individual modifications carried out by the hospital staff (0.826), shortage of maintenance staff (0.824), administrative corruption (0.821), selection of unqualified maintenance contractors (0.816) and unavailability of skilled appointed maintenance personnel (0.808). Understanding these factors’ effects is essential for maintenance-department managers to develop strategies for maintaining hospital buildings in Iraq by controlling them, as well as identifying problems and finding appropriate solutions to avoid them. KEYWORDS: Governmental hospitals, Maintenance, Iraq, Building maintenance, Maintenance practices, Factors affecting maintenance
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Ebekozien, Andrew, Solomon Oisasoje Ayo-Odifiri, Angeline Ngozika Chibuike Nwaole, Aginah Lawrence Ibeabuchi, and Felix Ebholo Uwadia. "Barriers in Nigeria’s public hospital green buildings implementation initiatives." Journal of Facilities Management 20, no. 4 (August 18, 2021): 586–605. http://dx.doi.org/10.1108/jfm-01-2021-0009.

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Purpose The high consumption of energy by buildings may have enhanced land degradation, flooding, air pollution and many other hazardous environmental issues. However, green practices in buildings have been proved as one of the successful technologies to mitigate these issues. Past studies have shown lax green practices in Nigerian buildings. Concerning public hospital buildings, this is yet to be explored. Therefore, this paper aims to investigate the barriers to green practices and proffer possible policy solutions to promote hospital green buildings. Design/methodology/approach In attaining these objectives, the view of hospital building contractors, design team, hospital management and policymakers in the relevant ministries/agencies was engaged via virtual interviews. The collated data were analysed and presented in the thematic pattern. Findings Findings show that green building construction is extremely low in Nigeria, but the worst hit is the health-care buildings across the states. Government/policy-related, organisational/leadership-related, financial-related, technical-related, design team-related and stakeholders’ behaviour-related barriers emerged as the main six themes of barriers affecting public hospital green buildings implementation initiatives. Findings show that proffering possible policies to addressing these barriers may improve public hospital green construction across the states. Research limitations/implications This paper is limited to barriers to green buildings implementation in public hospitals in Nigeria, and data collection was through virtual interviews but does not affect the strength of the findings. Thus, this paper suggests that the sub-themes and variables/items that emerged from the collated data as presented in Figure 1 can be further developed quantitatively via questionnaire survey to validate and improve the reliability of results from this paper. Practical implications As part of this study’s implications, suggestions from this paper will stir up policymakers’ decisions, to be tailored towards achieving green buildings implementation initiatives in Nigerian public hospitals. Originality/value To the best of the authors’ knowledge, this paper is probably the first that attempted to investigate the barriers to green buildings implementation in public hospitals in Nigeria.
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Li, Yan Jun, and Zeng Feng Yan. "Study on Analysis and Quota of Energy Consumption for Large Comprehensive Hospital Buildings in Shaanxi Province of China." Advanced Materials Research 512-515 (May 2012): 2817–24. http://dx.doi.org/10.4028/www.scientific.net/amr.512-515.2817.

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As social and economic development in China，building scale and medical devices have greatly improved in hospitals, and patients and medical staff are requiring a more and more comfortable indoor environment. All these lead to rising energy consumption of hospital buildings. How to save energy and reduce consumption on the basis of keeping medical quality? This paper takes studies on energy consumption of hospitals in Shaanxi province. First of all, questionnaires about energy consumption of hospitals were carried out. Total energy consumption and electricity consumption were analyzed and energy consumption law was summarized. Then, quota principle and quota method of energy consumption were explored, and energy consumption quota of hospital buildings in Shaanxi province was established. This research contributes to energy-saving of hospital building and provides reference for other public buildings in Shaanxi province.
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Roesdiana, Novada Indra, and Maria Ulfa. "Sick Building Syndrome on Healthcare Workers in Hospital Buildings." Galore International Journal of Health Sciences and Research 7, no. 4 (March 29, 2023): 41–51. http://dx.doi.org/10.52403/gijhsr.20221007.

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Sick Building Syndrome (SBS) is characterized by discomfort, eye pain, nose problems, tightness in the chest, lethargy, and sore throat. However, there is currently a deficiency of study in this field on bibliometric analytical mapping investigations. This research aimed to identify hospital development strategies for the use of advanced future research. Information for the research is acquired by searching through the database (https://www.scopus.com) with the keyword “Sick Building Syndrome” from a publication starting from 2020 to 2022; there are 108 documents recorded. The data were analyzed with VOS viewer and NVivo 12 Plus software. The findings show that sick building syndrome research studies increased in 2021. The study on sick building syndrome revealed seven dominant theme groups. Indoor environmental quality and sick building syndrome in hospitals, infrastructure development and mobilizing human resources, green and healthy hospitals, and COVID-19 are current research trends. Through bibliometric analysis and network visualization, the researchers summarized recent developments in sick building syndrome research involving healthcare professionals to explain their research trends, boundaries, and popular issues. These results can offer helpful direction for future study and viewpoints in this quickly changing sector. Keywords: Sick Building Syndrome; Healthcare Workers; Hospital Buildings
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Olanrewaju, Abdullateef, Wong Wai Fang, and Seong Yeow Tan. "Hospital Building Maintenance Management Model." International Journal of Engineering & Technology 7, no. 2.29 (May 22, 2018): 747. http://dx.doi.org/10.14419/ijet.v7i2.29.14010.

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Wellness of the patients correlated with the hospital building performance. For building to achieve it design objectives and provide value added services to owners, users and other stakeholders, maintenance functions are strategic. As a result, management of the maintenance of hospital buildings is a delicate and expensive task to perform. Despite the fact that there is a lack of representative data on the maintenance of hospital buildings in Malaysia, there is a growing concern surrounding the subject. Fire outbreaks and decay in hospital buildings suggest a need to conduct critical research to investigate the maintenance management practices of hospital buildings. This paper reports part of an ongoing research that aims to develop a maintenance model for hospital buildings. Hence, this current research reports the results of literature reviews and observations on hospital buildings in Malaysia and their maintenance practices. Upon reviewing the literature, a conceptual framework of maintenance model for hospital buildings was proposed. The research found that the current approaches to maintenance management in the hospital buildings were corrective, fragmented, cost-driven and expensive. The procurement of maintenance services was mainly outsourcings. All these call into question, the decision making processes of the hospital maintenance organisations. Collectively, the above considerations have led to the formulation of the main research question- what are the critical success factors [CSFs] for the maintenance of hospital buildings? The current study also discussed a proposed research methodology for the main research. Furthermore, issues pertaining to the research design, ontology and epistemology were briefly discussed. It was established that to enrich the findings of the main research, it was imperative to collect primary data using both quantitative and qualitative research paradigms.
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Jia, Zhuo, Song Pan, Haowei Yu, Yiqiao Liu, Shen Wei, Mingyuan Qin, Li Chang, and Ying Cui. "Modeling Occupant Window Behavior in Hospitals—A Case Study in a Maternity Hospital in Beijing, China." Sustainability 15, no. 11 (May 25, 2023): 8606. http://dx.doi.org/10.3390/su15118606.

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Nowadays, relevant data collected from hospital buildings remain insufficient because hospital buildings often have stricter environmental requirements resulting in more limited data access than other building types. Additionally, existing window-opening behavior models were mostly developed and validated using data measured from the experimental building itself. Hence, their accuracy is only assessed by the algorithm’s evaluation index, which limits the model’s applicability, given that it is not tested by the actual cases nor cross-verified with other buildings. Based on the aforementioned issues, this study analyzes the window-opening behavior of doctors and patients in spring in a maternity hospital in Beijing and develops behavioral models using logistic regression. The results show that the room often has opened windows in spring when the outdoor temperature exceeds 20 °C. Moreover, the ward windows’ use frequency is more than 10 times higher than those of doctors’ office. The window-opening behavior in wards is more susceptible to the influence of outdoor temperature, while in the doctors’ office, more attention is paid to indoor air quality. Finally, by embedding the logistic regression model of each room into the EnergyPlus software to simulate the CO2 concentration of the room, it was found that the model has better applicability than the fixed schedule model. However, by performing cross-validation with different building types, it was found that, due to the particularity of doctors’ offices, the models developed for other building types cannot accurately reproduce the window-opening behavior of doctors. Therefore, more data are still needed to better understand window usage in hospital buildings and support the future building performance simulations of hospital buildings.
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Wahyuningrum, Sri Hartuti, Mustika Kusumaning Wardhani, and Robert Rianto Widjaja. "AUTHENTICITY IN BUILDING ADJUSTMENT SIMULATION (Case Study: Emergency Room of St. Elizabeth Hospital Semarang, Indonesia)." DIMENSI (Journal of Architecture and Built Environment) 48, no. 1 (October 26, 2021): 19–28. http://dx.doi.org/10.9744/dimensi.48.1.19-28.

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This paper aims to simulate adjustments for new functions in hospitals that respect the authenticity of cultural heritage buildings. The development of heritage buildings should be integrated, especially in adjusting building functions, such as room arrangement. The emergency room is a vital function for hospital services, and consideration is needed to arrange procedures. The research method chosen in this research is descriptive qualitative with a case study in the Magdalena Daeman building St Elizabeth Hospital. Design simulation can be realized by adjusting the standard emergency room requirements into the layout of the building. Additionally, cultural heritage buildings should be maintained to be used in operational functions by carrying out development. This study's results can be a guideline in developing new functions of cultural heritage buildings that meet the conservation technique guidelines.
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Dissertations / Theses on the topic "Hospital buildings"

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Pelloski, Brian Matthew. "New Riverview Hospital providing a "low cost" hospital for Detroit /." PDF viewer required Home page for entire collection, 2008. http://archives.udmercy.edu:8080/dspace/handle/10429/9.

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Fernández, Mérida María Dolores. "Los hospitales malagueños en los siglos XV - XIX : historia y arquitectura /." Málaga : Servicio de Publ., Dip. Provincial de Málaga, 2004. http://www.gbv.de/dms/sub-hamburg/489074103.pdf.

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Choi, Ka-wing Janet. "Prioritization of planned maintenance works in public hospitals in Hong Kong." Click to view the E-thesis via HKU Scholars Hub, 2006. http://lookup.lib.hku.hk/lookup/bib/B37937637.

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Bishop, Katherine G. "From their perspectives: Children and young people's experience of a paediatric hospital environment and its relationship to their feeling of well-being." Thesis, The University of Sydney, 2008. http://hdl.handle.net/2123/3962.

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This study was conducted to increase our understanding of children and young people’s experience of a hospital environment and to identify the salient attributes of the physical environment in their experience. There were three specific aims: to describe children and young people’s experience of a hospital environment and identify what constitutes a supportive paediatric environment; to examine the role of the physical environment in patients’ feeling of well-being; and to highlight the capacity of participatory research with children and young people to inform evidence-based paediatric design. At this stage, there has been very little healthcare design research carried out with populations of children and young people. Well-being research with children and young people in paediatric environments that identifies the potential supportive attributes in this environment is also very limited. Historically research on children’s health and well-being has been dominated by a focus on the prevalence of disorders, problems and disabilities. More recently, in response to the change to health promotion, positive attributes have been included in well-being and satisfaction measures. At this stage, there are still many fewer positive measures. Within the body of literature that exists in healthcare, healthcare design research, and well-being research, there are only a small number of participatory studies that focus on children and young people’s experience of hospitalisation, and an even smaller number that include children and young people’s experience of hospital environments. The picture that is created by the research that exists is patchy. There is a need for a more holistic understanding of children and young people’s experience of hospitalisation and of hospital environments from their own perspectives. Based on these gaps in current knowledge, two research questions were developed. The first was concerned with describing children and young people’s experience of the sociophysical environment of a paediatric hospital. The second question was concerned with understanding the role of the physical environment in children and young people’s feeling of well-being in a hospital environment. In addressing these questions, the intention was to identify attributes within the hospital setting which collectively comprise a supportive environment for children and young people and which contribute to children and young people’s feeling of well-being in a paediatric setting. The current study was conducted as an exploratory qualitative case study and carried out at the Children’s Hospital at Westmead, in Sydney, Australia. Using participatory research techniques, the sequence of the study included two pilot studies and the main study. The focus was on understanding the experiences of longer-term patients of a paediatric hospital environment. In the main study 25 children and young people, aged between 9-18 years, who had been in hospital for at least a week completed semi-structured interviews in which they talked about their response to the environment of the hospital and their experience of hospitalisation. Data analysis was completed using a combination of concept mapping and thematic analysis techniques. Preliminary findings were used as the basis of a further member-checking task carried out with a further six children and young people before conclusions were reached. The findings reveal that children and young people’s experience of a paediatric setting involves a number of major areas of influence including their personal situation, their social experience, their interaction with the physical environment, opportunities and characteristics of the organisation, and the effect of time. The findings also reveal that children’s feeling of well-being within this experience is linked to their ability to feel comfortable in the environment, to maintain a positive state of mind, and to remain positively engaged with the experience and the environment. This research reveals a dynamic relationship between children and young people and a paediatric environment that children and young people actively manage and shape. It reveals some of the key considerations in children and young people’s experience of hospitalisation. It also reveals why these considerations are important and what role they play in patients’ experience and feeling of well-being. These findings provide the basis for further research and they have implications for future design and research practice in paediatric healthcare settings.
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Bishop, Katherine G. "From their perspectives children and young people's experience of a paediatric hospital environment and its relationship to their feeling of well-being /." University of Sydney, 2008. http://hdl.handle.net/2123/3962.

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Doctor of Philosophy (PhD)
This study was conducted to increase our understanding of children and young people’s experience of a hospital environment and to identify the salient attributes of the physical environment in their experience. There were three specific aims: to describe children and young people’s experience of a hospital environment and identify what constitutes a supportive paediatric environment; to examine the role of the physical environment in patients’ feeling of well-being; and to highlight the capacity of participatory research with children and young people to inform evidence-based paediatric design. At this stage, there has been very little healthcare design research carried out with populations of children and young people. Well-being research with children and young people in paediatric environments that identifies the potential supportive attributes in this environment is also very limited. Historically research on children’s health and well-being has been dominated by a focus on the prevalence of disorders, problems and disabilities. More recently, in response to the change to health promotion, positive attributes have been included in well-being and satisfaction measures. At this stage, there are still many fewer positive measures. Within the body of literature that exists in healthcare, healthcare design research, and well-being research, there are only a small number of participatory studies that focus on children and young people’s experience of hospitalisation, and an even smaller number that include children and young people’s experience of hospital environments. The picture that is created by the research that exists is patchy. There is a need for a more holistic understanding of children and young people’s experience of hospitalisation and of hospital environments from their own perspectives. Based on these gaps in current knowledge, two research questions were developed. The first was concerned with describing children and young people’s experience of the sociophysical environment of a paediatric hospital. The second question was concerned with understanding the role of the physical environment in children and young people’s feeling of well-being in a hospital environment. In addressing these questions, the intention was to identify attributes within the hospital setting which collectively comprise a supportive environment for children and young people and which contribute to children and young people’s feeling of well-being in a paediatric setting. The current study was conducted as an exploratory qualitative case study and carried out at the Children’s Hospital at Westmead, in Sydney, Australia. Using participatory research techniques, the sequence of the study included two pilot studies and the main study. The focus was on understanding the experiences of longer-term patients of a paediatric hospital environment. In the main study 25 children and young people, aged between 9-18 years, who had been in hospital for at least a week completed semi-structured interviews in which they talked about their response to the environment of the hospital and their experience of hospitalisation. Data analysis was completed using a combination of concept mapping and thematic analysis techniques. Preliminary findings were used as the basis of a further member-checking task carried out with a further six children and young people before conclusions were reached. The findings reveal that children and young people’s experience of a paediatric setting involves a number of major areas of influence including their personal situation, their social experience, their interaction with the physical environment, opportunities and characteristics of the organisation, and the effect of time. The findings also reveal that children’s feeling of well-being within this experience is linked to their ability to feel comfortable in the environment, to maintain a positive state of mind, and to remain positively engaged with the experience and the environment. This research reveals a dynamic relationship between children and young people and a paediatric environment that children and young people actively manage and shape. It reveals some of the key considerations in children and young people’s experience of hospitalisation. It also reveals why these considerations are important and what role they play in patients’ experience and feeling of well-being. These findings provide the basis for further research and they have implications for future design and research practice in paediatric healthcare settings.
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Karakurt, Aysin Sevgi. "Critical Analysis And Evaluation Of Hospital Main Entrances According To Design And Performance Criteria In The Case Of Turkey." Master's thesis, METU, 2003. http://etd.lib.metu.edu.tr/upload/1078435/index.pdf.

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The entrance space of a hospital has formed an effective period of hospital life since it has reflected the scope and the image of the entire facility. Therefore it has directly influenced by the new formation of healthcare facilities on preserving and growing role of the community health instead of threatening the illnesses. Since entrance space is apart from the other spaces in the facility that has shaped by the restrictive nature of the medical technology, the space most efficiently implement these new objectives more than any space of the entire facility. However, entrance spaces of hospitals in Turkey are still bothered with many insufficiencies and displayed a problematic panorama. Therefore, this thesis has obtained the problems of main entrance space, and has analyzed it with a consistent form of criteria to gather new solution proposals. In order to serve for this purpose, the present Turkish health care environment has explored and entrance space has been analyzed around new emerging concepts that reflect the changing ideals of the community. To present the problems and solution proposals about this specific place sufficiently, they are also evaluated through design and performance criteria. The essence of coping with the stress created by the environment with healing potential is emphasized. As a result, this thesis is expected to influence further researches, new hospital main entrance space designs as well as the renovation of older ones.
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Lu, Yi. "Directed visibility analysis: three case studies on the relationship between building layout, perception and behavior." Diss., Georgia Institute of Technology, 2011. http://hdl.handle.net/1853/39569.

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This is a study of the spatial affordances of buildings that allow them to organize and transmit cultural ideas and to support the performance of organizational roles. The particular affordances under consideration are those that arise from the manner in which buildings structure the visual fields that are potentially available to a situated observer. In studying directed visibility patterns, supported by the development of appropriate analytical tools, we focus on a previously specified set of visual targets and ask how many become visible from each occupiable location. Parametric restrictions concerning the direction into which a subject faces and the viewing angle sustained by the target object are also taken into consideration. The aim is to demonstrate how such refinements of visibility analysis, lead to more precise and penetrating insights as to how building users tune their behavior to the spatial affordances of environment, and how the environment impacts their understanding in turn. Three different studies were presented. The fist used directed visibility measures to evaluate the affordances of different nursing-unit designs relative to how well nurses are able to survey patients in different rooms as they go about their duties. The second study focuses on the manner in which nurses and physicians position themselves in a Neuro Intensive Care Unit (ICU), particularly when interacting. The third study investigates how aware exhibition visitors become of the visual structure of environment and how the visibility structure of exhibitions affects the ability of visitors to conceptually group paintings according to their thematic content. The case studies support the following conclusions. 1) The way in which people position themselves in an environment as they perform their assigned tasks is tuned to the way in which visual fields are structured. 2) The visual structure of environment is contingent upon the interaction between the underlying structure of visual fields and paths of movement. 3) Directed visibility analysis leads to stronger correlations with behavior and performance than generic visibility analysis. This implies that environments are layered. Their underlying spatial structure is charged by the distribution of the contents that are programmatically primary.
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Hammond, Bonny Marguerite. "The Indiana State Hospital project : the research and documentation of twenty-eight Indiana State Hospital structures." Virtual Press, 1986. http://liblink.bsu.edu/uhtbin/catkey/460294.

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The retention of historic structures and the information which they contain, the basic goals of historic preservation, has occurred with increasing frequency in the twenty-year period following the passage of the National Historic Preservation Act of 1966. Admittedly, the ideal scenario involves the retention and reuse of architecturally or historically important structures. However, occasionally notable buildings are found which are located upon sites earmarked for new construction or which have deteriorated to a condition which makes restoration or adaptive reuse not economically feasible. Adequate documentation prior to the destruction of such buildings not only preserves the information therein contained, but also may encourage reuse of some structures by making the owner aware of their contribution to the streetscape, to local history or to the architectural history of a community or region.Although parameters for adequate documentation exist at the national level for national landmarks, state and local standards are vague at best, leaving both the professional and the non-professional preservationist to determine the level of documentation and the amount of research required. Difficult at best for the professional, documentation in the absence of guidelines frequently proves disastrous for the non-professional.This thesis is the product of a documentation project conducted between September 1984 and October 1985 to provide "adequate documentation" for a client of the College of Architecture and Planning at Ball State University, Muncie, Indiana. Having no established guidelines or precedent to follow, and instructed to produce "adequate documentation" for 28 structures at six Indiana State Hospitals, the documentation team learned much during the fourteen-month process of producing both written and graphic documentation.The author presents this descriptive analysis of one component of the documentation process - the preparation of the 331-page written text which accompanied photographs and H.A.B.S. drawings. While each project differs, the Indiana State Hospital Project established a precedent which may be referred to By the C.A.P. when faced with similar projects in the future.
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Borges, Nicolau João Gonçalves. "O Hospital Termal das Caldas da Rainha-arte e património." Master's thesis, Instituições portuguesas -- UL-Universidade de Lisboa -- -Faculdade de Letras, 1998. http://dited.bn.pt:80/30320.

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McFarlane, Margaret R. "Glutaraldehyde hazard assessment and risk control in a hospital setting /." Online version, 1998. http://www.uwstout.edu/lib/thesis/1998/1998mcfarlanem.pdf.

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Books on the topic "Hospital buildings"

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Ltd, Building Maintenance Information, ed. Occupancy costs of hospital buildings. London: Building Maintenance Information, 2003.

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Susan, Strong, ed. Hospital-based medical office buildings. 2nd ed. [Chicago, IL]: American Hospital Pub., 1986.

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Manfred, Hilbert, Rudolph Hans, and Deutschsprachiger Arbeitskreis für Krankenhaushygiene, eds. Hospital hygiene. 2nd ed. Wiesbaden: mhp-Verlag GmbH, 1998.

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Laget, Pierre-Louis. L'hôpital en France: Histoire et architecture. Lyon: Lieux Dits Editions, 2012.

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D, Prybil Lawrence, and Hochkammer William O, eds. Planning and managing major construction projects: A guide for hospitals. Ann Arbor, Mich: Health Administration Press Perspectives, 1985.

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Lubelza, Concepción Félez. El Hospital Real. Granada: Universidad de Granada, 1990.

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Kongress 1992 "Krankenhaushygiene im Vereinten Europa" (1992 Marburg, Germany). Fortbildungsveranstaltung: Klima- und Lüftungstechnik im Krankenhaus : raumlufttechnische Anlagen : Installation, Betrieb, Wartung, Kontrolle : Organisation der Krankenhaushygiene in Europe : Zusammenfassung einer Podiumsdiskussion auf dem Kongress 1992 "Krankenhaushygiene im Vereinten Europa" in Marburg. Marburg an der Lahn: K.H. Knoll, 1993.

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Germany), Krankenhaushygiene-Kongress (1992 Marburg. Realisierung der Krankenhaushygiene im Vereinten Europa: Bericht über Krankenhaushygiene-Kongress, 26. bis 28. März 1992 in Marburg an der Lahn. Marburg: Medizinisches Zentrum für Hygiene und Medizinische Mikrobiologie der Philipps-Universität, 1992.

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Valdés, Andrés A. Rosende. El Grande y Real Hospital de Santiago de Compostela. Madrid: Electa España, 1999.

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Architects, TRB. Energy audit report: Belau National Hospital buildings. Koror, Palau: TRB Architects, 1997.

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Book chapters on the topic "Hospital buildings"

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Andersen, Bjørg Marit. "Hospital Buildings—Construction Projects." In Prevention and Control of Infections in Hospitals, 987–94. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-99921-0_76.

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Woodall, Samuel James. "First permanent buildings visit of H.R.H. The Duke of York." In The Manor House Hospital, 104–22. London: Routledge, 2023. http://dx.doi.org/10.4324/9781032678078-7.

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Okamoto, Kazuhiko. "The growth and change of hospital buildings." In Healthcare Architecture as Infrastructure, 164–95. Milton Park, Abingdon, Oxon; New York, NY : Routledge, 2019.: Routledge, 2018. http://dx.doi.org/10.4324/9781351256407-10.

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Xu, Ping, and Chengming Liu. "Cost Comparison and Analysis of Prefabricated Frame Structures Under Different Assembly Rates." In Novel Technology and Whole-Process Management in Prefabricated Building, 75–82. Singapore: Springer Nature Singapore, 2024. http://dx.doi.org/10.1007/978-981-97-5108-2_7.

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AbstractCost control is one of the important factors in the promotion and application of Prefabricated building. Prefabricated frame structures are widely used in public buildings such as hospitals and schools because of their strong adaptability. Therefore, it is particularly important to conduct cost research and scheme comparison for prefabricated frame structures with different assembly rates. This article takes a single building project in a hospital in Chongqing as a research example to demonstrate and analyze the relationship between different assembly rates and construction costs, in order to provide reference for related projects.
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Vavili, Fani, and Artemis Kyrkou. "Sustainability and Energy Efficiency Design in Hospital Buildings." In Energy Efficient Building Design, 157–69. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-40671-4_10.

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Abhishek Shastri, B., Y. Sivaji Raghav, R. Sahadev, and Bikarama Prasad Yadav. "Analysis of Fire Protection Facilities in Hospital Buildings." In Advances in Fire and Process Safety, 183–90. Singapore: Springer Singapore, 2018. http://dx.doi.org/10.1007/978-981-10-7281-9_15.

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Dikmen, Çiğdem Belgin, and Arzuhan Burcu Gültekin. "Sustainable Indoor Air Quality (IAQ) in Hospital Buildings." In Survival and Sustainability, 557–65. Berlin, Heidelberg: Springer Berlin Heidelberg, 2010. http://dx.doi.org/10.1007/978-3-540-95991-5_50.

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Poggioli, Piero. "A University Campus for Medical Disciplines in View of the Redevelopment of the Guglielmo da Saliceto Hospital in Piacenza." In Buildings for Education, 271–82. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-33687-5_24.

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Primicerio, Francesca, and Giacomo Di Ruocco. "Quality Evaluation Method for Pediatric Hospital Buildings to Support the Territory." In New Metropolitan Perspectives, 372–83. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-92099-3_43.

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Liu, Yuyang, Rong Leng, Lan Luo, and Qiushi Bo. "Life Cycle Application and Optimization of BIM+VR in Hospital Buildings." In Proceedings of the 27th International Symposium on Advancement of Construction Management and Real Estate, 1538–52. Singapore: Springer Nature Singapore, 2023. http://dx.doi.org/10.1007/978-981-99-3626-7_118.

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Conference papers on the topic "Hospital buildings"

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CHERCHI, PIER FRANCESCO, MARCO LECIS, and CATERINA GIANNATTASIO. "Hospitable City: A New Life for an Abandoned Neoclassical Hospital A Radical Design Experience Between Research and Pedagogy." In 109th ACSA Annual Meeting. ACSA Press, 2021. http://dx.doi.org/10.35483/acsa.am.109.17.

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Hospitable City is a radical design experience between research and pedagogy that addresses the theme of the reuse of large historic buildings. Hospitable City is not merely intended to be a way to adapt old buildings for new purposes. Rather, it is an opportunity to develop new strategies that might link the city and its citizens to abandoned or underused spaces committed to health, well-being, and improved sociality. Hospitable City tackles these issues, focusing on the case study of a late neoclassical nineteenth-century hospital in Cagliari, the principal city of Sardinia. The Hospitable City strategy assumes that buildings like old hospitals, prisons, courts, markets, and other civic types of the nineteenth-century bourgeois city, generally separated from the host context, might be integrated with the city on a symbolic and functional level. They might be reimagined open and in continuity with surroundings, not as cities within cities, introverted complex nuclei, but extensions of the urban realm, permeable, welcoming, and hospitable civitas. Two main actions summarize the strategy. The first one is opening the building to the city, creating new physical connections and routes, and reconfiguring uses calibrated to the urban environment’s current needs. The second action strictly depends on the first one. It involves reading the hospital as an organism with urban characteristics—in some ways a mirror and extension of the city—composed of parts with partial autonomy. With this approach, it is possible to study and implement the reuse in separate phases, programmatically defined and activated at different times. In the Cagliari hospital case, we worked with students in the last year of their master’s university career to experiment with new possibilities for redefining spatiality on the ground floor. This paper presents the ideas emerging from the teaching activity and outlines a position discussing cultural and theoretical implications of adaptive reuse of historic underused buildings.
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Pedamallu, Lakshman Ravi Teja, Vivek Kumar Singh, and Alvaro Peixoto Filipe Gomes. "Quantitative Assessment of Advanced Energy Efficiency Retrofitting for Hospitals in India." In ASME 2016 10th International Conference on Energy Sustainability collocated with the ASME 2016 Power Conference and the ASME 2016 14th International Conference on Fuel Cell Science, Engineering and Technology. American Society of Mechanical Engineers, 2016. http://dx.doi.org/10.1115/es2016-59307.

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Achieving energy efficiency in buildings is an important factor in developed and as well in developing countries in order to meet its energy demand. Over the past few years, a number of reports have been emerged stating that the buildings sectors are responsible for approximately 31% of global final energy demand. Buildings account for 35% of total final energy consumption in India and building energy consumption is growing about 8% per years. Final energy demand in Indian building sector will grow up-to five times by the end of this century, driven by rapid income and population growth. Hospitals are institutions for the care of people with health problems and are usually functional 24hrs a day, all year around, which demands a lot of energy. Health sector is one of the largest and fastest growing sectors in India. By 2020, it is expected to become a $ 280 billion industry. In India hospitals contribute 23% of total energy consumption and the hospital building growth rate 12–15% in last decade. The World Health Organization estimated that India need 80,000 additional hospital beds every year to meet the demands of India’s population. The aim of this study is to assess the energy demand, energy savings & reduced greenhouse gas emissions by increasing the energy efficiency using advanced retrofitting. Bottom-Up Energy Analysis System (BUENAS) is an end use energy demand projection model for Hospital buildings in India, to normalize the assessment of energy-saving models also going to fill the gap in energy demand reduction by energy system modeling and decomposition analysis. Energy efficiency retrofitting of existing buildings plays a major role in developing country like India in order improve its energy security and minimizing the greenhouse gases. The positive effects of retrofitting of energy efficiency and need the policies and target base proposal for government intention to achieve the potential for energy efficiency are discussed.
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Li, Ting, Liming Yuan, Guoqiu Hou, and Yifeng Wu. "Rapid Design and Construction Management of Emergency Hospital During the COVID-19 Epidemic." In IABSE Congress, Nanjing 2022: Bridges and Structures: Connection, Integration and Harmonisation. Zurich, Switzerland: International Association for Bridge and Structural Engineering (IABSE), 2022. http://dx.doi.org/10.2749/nanjing.2022.2048.

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<p>In order to control the spread of the COVID-19 epidemic across the country, China has used all available resources to build infectious disease hospitals in various ways. These hospitals include three modes and adapt to different disease levels: temporary emergency hospitals; makeshift hospitals by transforming public buildings; and existing general wards transformed into infectious wards. Through the practice of several projects, on the basis of the original standard system, China urgently issued a series of relevant standards and guidelines to guide the construction of temporary hospitals. As one of the earliest cases of temporary emergency infectious disease hospital, the Thunder God Mountain Hospital adopted a prefabricated modular design concept in plan design, plane design and component design, and also combined the application of Building Information Modeling (BIM) and Computational Fluid Dynamics (CFD) technology. Based on industrialized module processing and manufacturing, combined with an efficient on-site construction management system, the problem was solved of completing the construction in a very short time, which played a key role in controlling the epidemic situation.</p>
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Koulamas, C., A. Moronis, A. Kalogeras, and D. Liberanome. "Choosing measures for energy efficient hospital buildings." In 2017 22nd IEEE International Conference on Emerging Technologies and Factory Automation (ETFA). IEEE, 2017. http://dx.doi.org/10.1109/etfa.2017.8247666.

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Lin, Fan-Ru, Juin-Fu Chai, Yung-An Tsai, Chang-Chen Yeh, and Kuo-Chun Chang. "Seismic Evaluation Methods for Fire Protection Sprinkler Piping Systems in Buildings." In ASME 2019 Pressure Vessels & Piping Conference. American Society of Mechanical Engineers, 2019. http://dx.doi.org/10.1115/pvp2019-93443.

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Abstract Based on recent earthquakes experiences in Taiwan, losses do not necessarily result from damages of building structures but non-structural components. For instance, the leakage of the fire protection sprinkler systems in hospitals during small earthquakes could results in shortage of medical function and fire protection, and malfunction and repairs of medical equipment. The break of sprinkler systems caused by strong earthquakes could even harm the life safety. Taking a medium-scale hospital as an example, this research aims to conduct a simplified seismic evaluation method to improve seismic performance of the fire protection sprinkler system in critical buildings. The content of this research is summarized below: 1. Numerical analysis of the sample sprinkler piping system: a detailed numerical model of the fire protection sprinkler system in the sample hospital was established with SAP2000 v.20 software. Proper parameters to simulate the threaded joint of piping and the gap between adjacent partition walls or ceiling systems were proposed and verified by the results of component tests and shaking table tests. Ambient vibration tests in the sample hospital were conducted with velocimeters to clarify the structural characteristics of the building structure and the sprinkler piping system. 2. Fragility analysis of sprinkler piping systems: seismic fragility curves the fire protection sprinkler system in the sample hospital were conducted according to a mount of detailed analysis results and verified by the real damage state under Jiaxian earthquake. The effects of engineering demand parameters and categories of ground motion on fragility results are discussed for three types of failure modes. 3. Simplified seismic evaluation method for sprinkler piping systems: according to the results of shaking table tests and detailed analysis, a reliable simplified evaluation method was established to predict seismic behavior of typical sprinkler piping systems in hospitals by the information obtained from in-situ survey. The conservative level and accuracy of simplified evaluation results were verified by comparing the results of fragility analysis of numerical model and simplified evaluation.
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Galiano Garrigós, Antonio, and Joaquín López-Torres López. "The use of Digital Twins for heritage conservation: the Church of San Juan del Hospital as a case study." In HEDIT 2024 - International Congress for Heritage Digital Technologies and Tourism Management. Valencia: Universitat Politècnica de València, 2024. http://dx.doi.org/10.4995/hedit2024.2024.18065.

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The evolution of new technologies in construction is opening up new possibilities in the process of information management that encompass all stages of a building's useful life, design, construction, and operation. In this sense, the tools of the Building Information Modelling (BIM) environment are very useful, consolidating themselves in the management of new buildings. They are currently beginning their introduction to the management of historic buildings through HBIM. Among the utilities that facilitate the management of historic buildings is the simulation of their behaviour in order to develop the most appropriate strategies to guarantee the conservation of their heritage assets. Among the tools that guarantee a correct simulation of the building behaviour are digital twins that, based on HBIM models and duly provided with real data, allow the generation of dynamic models that facilitate the decision-making process for the maintenance of the building. This paper describes the creation and validation of the digital twin developed for the church of San Juan del Hospital in Valencia, where the importance of data collection to bring the behaviour of the simulated building closer to the real behaviour has been proven.
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Jones, K., and J. Berman. "77. Hospital HVAC Systems, Hospital Airborne Fungal Concentrations, and Comparisons to Other Buildings." In AIHce 2003. AIHA, 2003. http://dx.doi.org/10.3320/1.2757976.

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Rao, C., D. Weissman, G. Kullman, and J. Cox-Ganser. "102. Latex Allergen Reservoirs in Two Hospital Buildings." In AIHce 2003. AIHA, 2003. http://dx.doi.org/10.3320/1.2757767.

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Zini, Marco, Carlo Carcasci, and Roberto Sodini. "Modelling and Optimization of a Hospital Gas Turbine-Based Cogeneration System." In ASME Turbo Expo 2022: Turbomachinery Technical Conference and Exposition. American Society of Mechanical Engineers, 2022. http://dx.doi.org/10.1115/gt2022-80828.

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Abstract Hospitals are among the most energy-intensive commercial buildings in the service industry and their energy demand is characterized by specific features, being operative 24 hours a day, 365 days a year. Moreover, several activities performed inside the building require strict control of the indoor climate conditions to ensure comfort and security standards. Often, they present complex HVAC systems that need various energy forms like electricity and thermal energy in the form of hot water, chilled water and steam. Consequently, hospitals and healthcare facilities are ideal application to exploit the cogeneration systems potential. Indeed, the number of hospitals using CHP systems has grown steadily in past years. Hospitals that use CHP take advantage of favourable rate structures and protect themselves from rising electricity prices. Since CHP uses waste heat to produce thermal energy for heating and cooling, hospitals using CHP systems are more energy-efficient, leading also to a reduction of the global emissions connected to the hospital activity. The present study involves the development of a numerical model of the gas turbine-based cogeneration system installed in a hospital facility. The realized model has been used to define the system management strategies that enabled two achievements. The minimization of the main global emissions parameters of the system as CO and NOx and the maximization of operational CHP parameters as total efficiency and primary energy saving (PES). The present work describes in detail the realized model and its exploitation, leading to define the optimal system management strategy based on control parameters applicable to the real test case management system.
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Fang Ming, Ma Jing, and Cao Zhikui. "The architectural design of natural light in hospital buildings." In 2011 International Conference on Electric Technology and Civil Engineering (ICETCE). IEEE, 2011. http://dx.doi.org/10.1109/icetce.2011.5775754.

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Reports on the topic "Hospital buildings"

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William Dorsey and Nelson Vasquez. Jackson Park Hospital Green Building Medical Center. Office of Scientific and Technical Information (OSTI), March 2010. http://dx.doi.org/10.2172/992848.

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Dorsey, William, and Nelson Vasquez. Jackson Park Hospital Green Building Medical Center. Office of Scientific and Technical Information (OSTI), May 2010. http://dx.doi.org/10.2172/1030642.

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Lange. Camogli Hospital redevelopment: background evidence on approach to building a new hospital on Tristan Da Cunha. Evidence on Demand, August 2013. http://dx.doi.org/10.12774/eod_hd043.jul2013.lange.

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Napier, Thomas R., and Sheila A. McCarthy. Condition Assessment of William Beaumont General Hospital Historic Building at Fort Bliss, Texas. Fort Belvoir, VA: Defense Technical Information Center, September 2002. http://dx.doi.org/10.21236/ada421608.

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D'Ayala, Dina, Carmine Galasso, Stylianos Minas, and Viviana Novelli. Review of methods to assess the seismic vulnerability of buildings, with particular reference to hospitals and medical facilities. Evidence on Demand, October 2015. http://dx.doi.org/10.12774/eod_hd.june2015.dayaladetal.

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D'Ayala, Dina, Carmine Galasso, Stylianos Minas, and Viviana Novelli. Review of retrofitting methods to reduce seismic vulnerability of buildings, with particular reference to hospitals and medical facilities. Evidence on Demand, October 2015. http://dx.doi.org/10.12774/eod_hdr.june2015.ddayalaetal1.

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Fu, Yuqi, Shuo Liu, Weijie Chen, Guohui Ruan, and Li Liu. Assessing the impact of ventilation on the potential airborne infection risk in hospital lung function room. Department of the Built Environment, 2023. http://dx.doi.org/10.54337/aau541663876.

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Controlling the spread of respiratory infectious diseases in healthcare settings is important to avoid nosocomial infection. We utilized computational fluid dynamics (CFD) simulation, real-time carbon dioxide (CO2) monitoring, microorganism culturing, and microorganism sequencing to quantitatively assess the exposure risk of healthcare workers to infectious respiratory particles (IRPs) in one lung function room under two ventilation configurations. The original ventilation system supplied 2 air changes per hour (ACH) for fresh air and 2 ACH for recirculated air, while the retrofitted ventilation system supplied 6 ACH of fresh air. Indoor CO2 concentration and microorganism concentration decreased after the retrofit. The ventilation modification significantly improved the discharge efficiency for 5 μm IRPs and 50 μm IRPs. The intake fraction of 5 μm aerosols and 50 μm aerosols for HCW decreased by 0.005% and 0.006%, respectively. This study also reviewed the effectiveness of the above methods when evaluating building retrofit.
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Jigjidsuren, Altantuya, Bayar Oyun, and Najibullah Habib. Supporting Primary Health Care in Mongolia: Experiences, Lessons Learned, and Future Directions. Asian Development Bank, January 2021. http://dx.doi.org/10.22617/wps210020-2.

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ince the early 1990s, the Asian Development Bank (ADB) has broadly supported health sector reforms in Mongolia. This paper describes primary health care (PHC) in Mongolia and ADB support in its reform. It highlights results achieved and the lessons drawn that could be useful for future programs in Mongolia and other countries. PHC reform in Mongolia aimed at facilitating a shift from hospital-based curative services toward preventive approaches. It included introducing new management models based on public–private partnerships, increasing the range of services, applying more effective financing methods, building human resources, and creating better infrastructure. The paper outlines remaining challenges and future directions for ADB support to PHC reform in the country.
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Bhatt, Mihir R., Shilpi Srivastava, Megan Schmidt-Sane, and Lyla Mehta. Key Considerations: India's Deadly Second COVID-19 Wave: Addressing Impacts and Building Preparedness Against Future Waves. Institute of Development Studies (IDS), June 2021. http://dx.doi.org/10.19088/sshap.2021.031.

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Since February 2021, countless lives have been lost in India, which has compounded the social and economic devastation caused by the second wave of COVID-19. The sharp surge in cases across the country overwhelmed the health infrastructure, with people left scrambling for hospital beds, critical drugs, and oxygen. As of May 2021, infections began to come down in urban areas. However, the effects of the second wave continued to be felt in rural areas. This is the worst humanitarian and public health crisis the country has witnessed since independence; while the continued spread of COVID-19 variants will have regional and global implications. With a slow vaccine rollout and overwhelmed health infrastructure, there is a critical need to examine India's response and recommend measures to further arrest the current spread of infection and to prevent and prepare against future waves. This brief is a rapid social science review and analysis of the second wave of COVID-19 in India. It draws on emerging reports, literature, and regional social science expertise to examine reasons for the second wave, explain its impact, and highlight the systemic issues that hindered the response. This brief puts forth vital considerations for local and national government, civil society, and humanitarian actors at global and national levels, with implications for future waves of COVID-19 in low- and middle-income countries. This review is part of the Social Science in Humanitarian Action Platform (SSHAP) series on the COVID-19 response in India. It was developed for SSHAP by Mihir R. Bhatt (AIDMI), Shilpi Srivastava (IDS), Megan Schmidt-Sane (IDS), and Lyla Mehta (IDS) with input and reviews from Deepak Sanan (Former Civil Servant; Senior Visiting Fellow, Centre for Policy Research), Subir Sinha (SOAS), Murad Banaji (Middlesex University London), Delhi Rose Angom (Oxfam India), Olivia Tulloch (Anthrologica) and Santiago Ripoll (IDS). It is the responsibility of SSHAP.
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Berkman, Nancy D., Eva Chang, Julie Seibert, Rania Ali, Deborah Porterfield, Linda Jiang, Roberta Wines, Caroline Rains, and Meera Viswanathan. Management of High-Need, High-Cost Patients: A “Best Fit” Framework Synthesis, Realist Review, and Systematic Review. Agency for Healthcare Research and Quality (AHRQ), October 2021. http://dx.doi.org/10.23970/ahrqepccer246.

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Background. In the United States, patients referred to as high-need, high-cost (HNHC) constitute a very small percentage of the patient population but account for a disproportionally high level of healthcare use and cost. Payers, health systems, and providers would like to improve the quality of care and health outcomes for HNHC patients and reduce their costly use of potentially preventable or modifiable healthcare services, including emergency department (ED) and hospital visits. Methods. We assessed evidence of criteria that identify HNHC patients (best fit framework synthesis); developed program theories on the relationship among contexts, mechanisms, and outcomes of interventions intended to change HNHC patient behaviors (realist review); and assessed the effectiveness of interventions (systematic review). We searched databases, gray literature, and other sources for evidence available from January 1, 2000, to March 4, 2021. We included quantitative and qualitative studies of HNHC patients (high healthcare use or cost) age 18 and over who received intervention services in a variety of settings. Results. We included 110 studies (117 articles). Consistent with our best fit framework, characteristics associated with HNHC include patient chronic clinical conditions, behavioral health factors including depression and substance use disorder, and social risk factors including homelessness and poverty. We also identified prior healthcare use and race as important predictors. We found limited evidence of approaches for distinguishing potentially preventable or modifiable high use from all high use. To understand how and why interventions work, we developed three program theories in our realist review that explain (1) targeting HNHC patients, (2) engaging HNHC patients, and (3) engaging care providers in these interventions. Theories identify the need for individualizing and tailoring services for HNHC patients and the importance of building trusting relationships. For our systematic review, we categorized evidence based on primary setting. We found that ED-, primary care–, and home-based care models result in reduced use of healthcare services (moderate to low strength of evidence [SOE]); ED, ambulatory intensive caring unit, and primary care-based models result in reduced costs (low SOE); and system-level transformation and telephonic/mail models do not result in changes in use or costs (low SOE). Conclusions. Patient characteristics can be used to identify patients who are potentially HNHC. Evidence focusing specifically on potentially preventable or modifiable high use was limited. Based on our program theories, we conclude that individualized and tailored patient engagement and resources to support care providers are critical to the success of interventions. Although we found evidence of intervention effectiveness in relation to cost and use, the studies identified in this review reported little information for determining why individual programs work, for whom, and when.
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