Towards Process-Oriented Hospital Structures; Drivers behind the Development of Hospital Designs
Hospitals have been encouraged to develop more process-oriented designs, structured around patient needs, to better deal with patients suffering from multi-morbidity. However, most hospitals still have traditional designs built around medical specialties. We aimed to understand how hospital designs...
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| Veröffentlicht in: | International journal of environmental research and public health 2023-01, Vol.20 (3), p.1993 |
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| container_issue | 3 |
| container_start_page | 1993 |
| container_title | International journal of environmental research and public health |
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| creator | van Wijngaarden, Jeroen D H Braam, Anoek Buljac-Samardžić, Martina Hilders, Carina G J M |
| description | Hospitals have been encouraged to develop more process-oriented designs, structured around patient needs, to better deal with patients suffering from multi-morbidity. However, most hospitals still have traditional designs built around medical specialties. We aimed to understand how hospital designs are currently developing and what the important drivers are. We built a typology to categorize all Dutch general hospitals (61), and we interviewed hospital managers and staff. The inventory showed three types of hospital building blocks: units built around specific medical specialties, clusters housing different medical specialty units, and centers; multi-specialty entities provide the most suitable structure for a process-oriented approach. Only some Dutch hospitals (5) are mainly designed around centers. However, most hospitals are slowly developing towards hybrid designs. Competitive drivers are not important for stimulating these redesigns. Institutional pressures from within the health care sector and institutional 'mimicking' are the main drivers, but the specific path they take is dependent on their 'heritage'. We found that hospital structures are more the result of incremental, path-dependent choices than 'grand-designs'. Although the majority of the Dutch general hospitals still have a general design built around medical specialties, most hospitals are moving towards a more process-oriented design. |
| doi_str_mv | 10.3390/ijerph20031993 |
| format | Article |
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| ispartof | International journal of environmental research and public health, 2023-01, Vol.20 (3), p.1993 |
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| subjects | Alliances Annual reports Boards of directors Competitive advantage Data collection Departments Emergency medical care Health Care Sector Health Personnel Hospital Design and Construction Hospitals Hospitals, General Humans Medicine Morbidity Organizational change Patients Professionals Qualitative research Research methodology Typology |
| title | Towards Process-Oriented Hospital Structures; Drivers behind the Development of Hospital Designs |
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