Analysis of Factors Historically Affecting Innovation in Hospital Building Design

Abstract

Purpose: This article aims to complement the historical literature on the evolution of hospital buildings via a holistic analysis of the contextual factors triggering hospital design innovation over the past 100 years. Background: Innovation in hospital building design should be considered as a complex ecosystem with a heterogeneous set of actors. Methods: A novel hybrid research design to the Mixed Grounded Theory methodology, with Charmaz’s constructivist paradigm, was developed to explore, construct, and interpret concepts and the interconnections between them. Results: Six hundred seventeen interconnections between 146 factors, classified across 14 categories, were developed to explain the individual and combined impacts of all components of the design innovation ecosystem. Conclusions: This study provides hospital building designers, researchers, policy makers, and stakeholders with a systemic understanding of the innovation ecosystem and their potential role in this system. This knowledge suggests the need for interdisciplinary education to address complex and quickly evolving real-world building design problems.

Diagrammatic Modelling Tools for Grounded Theory Research: The Implementation of a Multi-Representational Approach

“…Through our complex case study, the use of different diagrams is explained in relation to the required outputs at different stages of the GT analysis. A holistic understanding of the complex innovation ecosystem evolved through GT analysis using a novel systematic way of constructing and interpreting the interconnections between the very wide range of contextual factors triggering design innovations over the past 100 years (Sal Moslehian, Kocaturk, et al, 2022). Here, the critical contribution is highlighted of the multi-representational approach to the analysis of the interrelated data sets; informing the development of a contextbased, explanatory innovation framework grounded in real data that delineates the nature of design innovation.…”

“…Innovation in hospital building design is a complex ecosystem, comprising different forms of interactions between heterogeneous factors that are not mutually exclusive. Here, insufficient understanding of this complexity has been acknowledged as one of the prime critical factors in the shortage of timely design innovations in this field (Sal Moslehian et al, 2022). A holistic understanding of the complex innovation ecosystem evolved through GT analysis using a novel systematic way of constructing and interpreting the interconnections between the very wide range of contextual factors triggering design innovations over the past 100 years (Sal Moslehian, Kocaturk, et al, 2022).…”

“…Innovation in hospital building design is a complex ecosystem, comprising different forms of interactions between heterogeneous factors that are not mutually exclusive. Here, insufficient understanding of this complexity has been acknowledged as one of the prime critical factors in the shortage of timely design innovations in this field(Sal Moslehian et al, 2022).…”