The impacts of the built environment on health outcomes

Codinhoto, Ricardo; Tzortzopoulos, Patrícia; Kagioglou, Mike; Aouad, Ghassan; Cooper, Cary L.

doi:10.1108/02632770910933152

Cited by 94 publications

(86 citation statements)

References 72 publications

(112 reference statements)

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“…Elf, Nordin, Wijk, & McKee, 2017;Codinhoto, Tzortzopoulos, Kagioglou, Aouad, & Cooper, 2009;Ulrich, Berry, Quan, & Parish, 2010;Durmisevic & Ciftcioglu, 2010;Haq & Luo, 2012;Rashid, 2015). The purpose of these models is varied and influenced by diverse disciplinary foundations.…”

Section: Preliminary Conceptual Frameworkmentioning

confidence: 99%

“…The majority of extant empirical studies have focused on patient outcomes. Codinhoto et al (2009) explored this further to group patient outcomes according to the impact of HBE on their mind or body physically, physiologically and psychologically. In the same study, the physiological impact was intentionally omitted because body temperature, blood pressure, heart rate etc.…”

Section: Hbe Impact On Health Outcomesmentioning

confidence: 99%

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Healing built-environment effects on health outcomes: environment–occupant–health framework

Zhang

Tzortzopoulos

Kagioglou

2018

Building Research & Information

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An investigation examined the structured scientific evidence on healthcare facilities (the healing built environment -HBE) and its impact on patients' health outcomes under a holistic conceptual evaluative framework. The integrative review considered 127 papers (of which 59 were review papers). It found there was no adequate framework that could integrate existing research findings holistically. Such a holistic framework needs to demonstrate the cumulative and interactive effects of various HBE characteristics on patients' health outcomes and wellbeing. An environment-occupant-health (E-O-H) framework is proposed, taking a holistic perspective to identify and evaluate different HBE characteristics. The E-O-H framework should support future research by (1) identifying the HBE characteristics that affect health outcomes; (2) defining appropriate future research designs; and (3) understanding the need for holistic analysis of the integrated effects of diverse HBE characteristics on health outcomes.

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Section: Preliminary Conceptual Frameworkmentioning

confidence: 99%

Section: Hbe Impact On Health Outcomesmentioning

confidence: 99%

Healing built-environment effects on health outcomes: environment–occupant–health framework

Zhang

Tzortzopoulos

Kagioglou

2018

Building Research & Information

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“…Discussions about the importance of the built environment for delivering health care extend at least as far back as Hippocrates (400 BC) (CODINHOTO et al 2009). Current climate changes and their impact on the health of an ageing society play a significant role in relocation on the real estate market.…”

Section: Discussionmentioning

confidence: 99%

Real Estate for the Ageing Society – the Perspective of a New Market

Kazak

Hoof

Świąder

et al. 2017

Real Estate Management and Valuation

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Currently, one of the key challenges on a global scale is the issue of an ageing society. The UN predicts that the number of people aged 60 and over will double by 2050 and treble by 2100. In the coming years, the demand for real estate that addresses the specific needs of older people will increase both qualitatively and quantitatively. Therefore, two main questions arise: What are the architectural features of real estate required to accommodate for the needs of an ageing society? Which European Union countries seem to have the highest and lowest potential to create a segment of the real estate market focused on older people? This paper contains a research overview in the field of the built environment for older people and case studies of different policies established by public authorities from past decades. The potential for real estate for an ageing society in EU countries was determined on the basis of variables collected by the UNECE. The results also enable assumptions to be made on which factors may influence future development in this area. Due to global climate changes combined with the urbanization process and resulting deterioration of air quality, heat island effect or poor accessibility to open areas, the ageing society will have to face the problem of adapting to these new conditions. Therefore, the authors assume that this will have a significant impact on the relocation of this age group on the real estate market in the future. The conclusions of the research contribute to general discussion on new trends in the real estate market and the assessment of future investments in real estate.

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“…For example, Evidence-Based Design (EBD) for healthcare is grounded in a considerable body of research that demonstrates how properly designed healthcare built environments can positively impact health outcomes of the building users (see for example, Rubin et al, 1998;Ulrich et al, 2004Phiri, 2006, Ulrich et al, 2008, Codinhoto et al, 2009. Codinhoto et al (2009), in their comprehensive review of research-based evidence supporting EBD, established that there are both direct and indirect relationships between built environment interventions and psychological, physiological, physical and behavioural outcomes of the building users. Both industry and academia generally consider the inclusion of such research-based evidence, with its focus on therapeutic benefits, to be a positive way forward in improving the quality of health care delivery overall.…”

Section: Introductionmentioning

confidence: 99%

Healthcare designers’ use of prescriptive and performance-based approaches

Wanigarathna

Sherratt

Price

et al. 2016

Architectural Engineering and Design Management

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In the UK, healthcare built environment design is guided by a series of long established design standards and guidance issued by the Department of Health.More recently, healthcare design focus has broadened to encompass new approaches, supported by large bodies of credible research evidence. It is therefore timely to rethink how healthcare design standards and guidance should be best expressed to suit 'designerly ways' of using evidence, to improve their use and effectiveness in practice. This research explored how designers use performance and prescriptive approaches during the healthcare design process.Three in-depth healthcare built environment case studies were used to explore how designers employed such approaches during the design of selected exemplar design elements. Results show that design elements in the pre and conceptual design phases significantly employed performance based approaches, and due to project-unique circumstances, prescriptive solutions were often significantly modified based on performance criteria. For design elements in the detailed and technical design phases, there was significant use of solutions based on prescriptive approaches, whilst performance-based criteria were used to evaluate design solutions. This research proposes a performance-based, specification driven healthcare design with supplementary prescriptive specifications provided for optimum healthcare environment design.Keywords: healthcare built environments; evidence; designing; performancebased specification; prescriptive specification IntroductionHospital design has traditionally focused on efficiency, cost and clinical functionality (Gesler et al., 2004). Similar to many elements of the built environment, the healthcare design process draws on various sources of evidence including but not limited to formal education, personal and colleagues' knowledge and experience, common sense, intuitions and personal interpretations (Hamilton, 2003, Tetreault & Passini, 2003, Lawson, 2004, Martin & Guerin, 2007 as well as more formal design guidance (Lafratta, 2006, Hignett andLu, 2009) This paper presents an empirical examination, drawing on three case study projects, of how healthcare designers draw on evidence, through designerly ways, in the process of healthcare built environment design. Evidence within this study is considered as either based on experience, found within formally produced design guidance or more explicitly grounded in academic research findings, or indeed a combination of all three, creating a naturally broad and inclusive definition which enables the process of design to be explored in depth. It is hoped that in taking a practice-based approach with due recognition of designerly ways, this research can contribute to improvements within the process of healthcare design, and also provide useful insights to help develop an 'ideal balance' of prescriptive and performance specification within this specific built environment context.

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The impacts of the built environment on health outcomes

Cited by 94 publications

References 72 publications

Healing built-environment effects on health outcomes: environment–occupant–health framework

Healing built-environment effects on health outcomes: environment–occupant–health framework

Real Estate for the Ageing Society – the Perspective of a New Market

Healthcare designers’ use of prescriptive and performance-based approaches

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