Built Environment and Alzheimer. Quality Evaluation of Territorial Structures for Patients with Dementia

Brambilla, Andrea; Maino, Roberto; Mangili, Silvia; Capolongo, Stefano

doi:10.1007/978-3-030-52869-0_15

Cited by 4 publications

(3 citation statements)

References 12 publications

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“…The biophysical dimension revealed that there is a lack of systematic information about the state of housing accessibility in the ordinary housing stock, as well as a low level of knowledge and insufficient evidence on the health and wellbeing impacts on individuals and society. Here, the application of performance-based assessment methodologies for quality evaluation of built environments (see e.g., [38,39]) might have the potential to contribute to the much-needed evidence base.…”

Section: Discussionmentioning

confidence: 99%

Understanding the Wicked Problem of Providing Accessible Housing for the Ageing Population in Sweden

Jönsson

Frögren

Haak

et al. 2021

IJERPH

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While accessible housing is known as important to promote healthy ageing, the societal issue of providing accessible housing for the ageing population bears the characteristics of a “wicked problem”. The aim of this study was to gain a better understanding of crucial variables for decision-making about the provision of accessible housing for the ageing population in Sweden. Materials used for a deductive content analysis were elicited through a research circle involving three researchers and twelve non-academic representatives. Brown and colleagues’ conceptual five-dimension framework to address wicked problems was used for the understanding of crucial variables in decision-making about housing provision. The findings show that such reasoning is dominated by the socioeconomic dimension. Findings in the biophysical dimension reveal well-known challenges pertaining to the definition and interpretation of the concept of accessibility and its operationalization. The dimensions are intertwined in a complex manner, which is essential for effective and efficient decision-making. The findings could make decision-makers aware of the diversity of individual thinking involved when addressing this wicked problem. Acting upon the crucial variables identified in this study could contribute to progressive decision-making and more efficient ways to develop and provide accessible housing to promote health ageing.

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Section: Discussionmentioning

confidence: 99%

Understanding the Wicked Problem of Providing Accessible Housing for the Ageing Population in Sweden

Jönsson

Frögren

Haak

et al. 2021

IJERPH

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“…The checklist has been created according to design guidelines and strategies (Brambilla, Maino, et al, 2020) derived from a systematic literature review, case studies, and tools already in use. This allows us to understand which fundamental aspects are to be considered and implemented in a healthcare facility that can accommodate patients with dementia and Alzheimer's disease.…”

Section: Theories and Methodsmentioning

confidence: 99%

Relationship between Built Environment and Dementia. Evaluation of five Nursing Homes in Lombardy region, Italy

MANGILI,

Brambilla,

Capolongo

2022

The Evolving Scholar

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Background: The relationship between the built environment and dementia is nowadays a fundamental theme to investigate in the healthcare field because the elderly population is growing worldwide. Epidemiological data show that Alzheimer's disease incidence is forecast to increase rapidly. Furthermore, the health and socio-sanitary structures for elderly patients represent a fundamental social infrastructure that collects significant investments but must be suitable to host people with dementia. This paper aims to describe the application of a tool able to evaluate architectural design features in facilities for patients with dementia.Methodology: The evaluation framework is based on a systematic literature review on the relationship between the built environment and patients with dementia, different case studies, and an analysis of an analysis of existing evaluation tools. The tool comprises four criteria (quality, spaces, activities, and wayfinding), 19 indicators, and 71 variables validated by recognised experts in the geriatric, psychiatry, and architecture fields. The tool has been applied to five facilities, all accredited to the Italian National Health System and located in Lombardy, that differ in period of construction and type.Results: The maximum score is 100%, and results lower than 60% are considered inadequate, between 60 and 80% are sufficient, and more than 80 are excellent. The results of the evaluation tool show that two are inadequate (47 and 54% of compliance), two sufficient (65 and 75%), and one excellent (92%). The newest building was evaluated as "excellent," while the structure with the lowest score was created by reusing existing structures. Future applications are needed to make the results more scalable.

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“…The pandemic emergency has highlighted the weakness of the health system, placing a heavy burden on hospital centers and especially on emergency departments; therefore, it is pivotal to achieve more extensive and homogeneous levels of service, reduce hospitalization demand, and use digitalization and telemedicine tools, where applicable, to monitor the health of citizens. This change will not be able to disregard the management of an efficient network of places intended for other forms of assistance and the concrete involvement of home care, increases in rehabilitation hospitalization facilities, health residences, and territorial outpatient clinics, and the careful management of services that precede rapid and targeted therapeutic interventions in hospitals [79,80].…”

Section: Re-thinking Community Servicesmentioning

confidence: 99%

Re-Thinking the Environment, Cities, and Living Spaces for Public Health Purposes, According with the COVID-19 Lesson: The LVII Erice Charter

D’Alessandro,

Rebecchi,

Appolloni

et al. 2023

Land

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Background. Urban planning is a key tool to promote health in cities. The COVID-19 emergency accelerated several social, environmental, and digital challenges, stressing the importance of some issues regarding housing, urban mobility, green areas, and health service networks, urban health policies, and actions. These issues were the subject of an intensive residential course (the 57th) held in Erice, Sicily, in June 2021 in the “International School of Epidemiology and Preventive Medicine G. D’Alessandro”, and the main findings are described here. Methods. Lectures presented the topics, subsequently developed them, and argued them in parallel practical sessions using the World Café technique, since it is well suited for the interaction of participants and the involvement of groups. Results. The World Café provides new insights into how to improve the livability and health of urban spaces, and a set of strategies and actions were proposed for each topic. Discussion and Conclusions. All attendees agreed on the importance of participation in the planning processes, but also on the need for strong political support to ensure the resources needed and a full integration of health with other local policies. A multidisciplinary approach to developing systemic operational capacities and health literacy is considered pivotal to raising awareness and participation.

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Built Environment and Alzheimer. Quality Evaluation of Territorial Structures for Patients with Dementia

Cited by 4 publications

References 12 publications

Understanding the Wicked Problem of Providing Accessible Housing for the Ageing Population in Sweden

Understanding the Wicked Problem of Providing Accessible Housing for the Ageing Population in Sweden

Relationship between Built Environment and Dementia. Evaluation of five Nursing Homes in Lombardy region, Italy

Re-Thinking the Environment, Cities, and Living Spaces for Public Health Purposes, According with the COVID-19 Lesson: The LVII Erice Charter

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