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Published in: BMC Health Services Research 1/2015

Open Access 01-12-2015 | Debate

Shared decision making in designing new healthcare environments—time to begin improving quality

Authors: Marie Elf, Peter Fröst, Göran Lindahl, Helle Wijk

Published in: BMC Health Services Research | Issue 1/2015

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Abstract

Background

Successful implementation of new methods and models of healthcare to achieve better patient outcomes and safe, person-centered care is dependent on the physical environment of the healthcare architecture in which the healthcare is provided. Thus, decisions concerning healthcare architecture are critical because it affects people and work processes for many years and requires a long-term financial commitment from society. In this paper, we describe and suggest several strategies (critical factors) to promote shared-decision making when planning and designing new healthcare environments.

Discussion

This paper discusses challenges and hindrances observed in the literature and from the authors extensive experiences in the field of planning and designing healthcare environments. An overview is presented of the challenges and new approaches for a process that involves the mutual exchange of knowledge among various stakeholders. Additionally, design approaches that balance the influence of specific and local requirements with general knowledge and evidence that should be encouraged are discussed.

Summary

We suggest a shared-decision making and collaborative planning and design process between representatives from healthcare, construction sector and architecture based on evidence and end-users’ perspectives. If carefully and systematically applied, this approach will support and develop a framework for creating high quality healthcare environments.
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Metadata
Title
Shared decision making in designing new healthcare environments—time to begin improving quality
Authors
Marie Elf
Peter Fröst
Göran Lindahl
Helle Wijk
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2015
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-015-0782-7

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