Patients’ hotel design attributes based on aspects of a healing environment framework and patients’ preferences
DOI:
https://doi.org/10.17411/jacces.v15i2.602Abstract
The lack of access to advanced medical services forces some patients to travel to medical destinations, which raises concerns about health equity. One of the main challenges for both medical travelers and medical centers is ensuring access to lodging facilities at medical destinations. This study explores the preferences of medical travelers for the design features of such facilities, known as patients' hotels, which are necessary for areas with a potential medical service. The research used a literature review, questionnaires, and statistical analysis to identify the critical elements of patients' hotel design features under three influential categories: "distinctive features of patients' hotels,", "patients' rooms", and "public spaces". According to respondents, the critical elements of the first category are proximity to medical centers, consideration of patients' physical and spiritual needs in the design, and a homelike environment. From medical travelers’ perspectives, patient rooms must have a sense of privacy, additional spaces and amenities, and flexible layouts. The degree of social interaction preferred by patients’ companions is “talking to each other” and for patients, it is “participating in a group activity”. The spaces preferred for this interaction are “green spaces of the surrounding area”, and for decorating public spaces, “using greenery” and “traditional architecture patterns” are preferred.
References
Alalouch, C., Aspinall, P. A., & Smith, H. (2016). Design criteria for privacy-sensitive healthcare buildings. International Journal of Engineering and Technology, 8(1), 32-39. https://doi.org/10.7763/IJET.2016.V8.854
Anåker, A., Heylighen, A., Nordin, S., & Elf, M. (2017). Design quality in the context of healthcare environments: a scoping review. HERD: Health Environments Research & Design Journal, 10(4), 136-150. https://doi.org/10.1177/1937586716679404
Anåker, A., von Koch, L., Heylighen, A., & Elf, M. (2019). “It’s Lonely”: Patients’ Experiences of the Physical Environment at a Newly Built Stroke Unit. HERD: Health Environments Research & Design Journal, 12(3), 141-152. https://doi.org/10.1177/1937586718806696
Aries, M. B., Aarts, M. P., & van Hoof, J. (2015). Daylight and health: A review of the evidence and consequences for the built environment. Lighting Research & Technology, 47(1), 6-27. https://doi.org/10.1177/1477153513509258
Awtuch, A., & Gębczyńska-Janowicz, A. (2017). Art and Healthcare-Healing Potential of Artistic Interventions in Medical Settings. IOP Conference Series: Materials Science and Engineering.
Brambilla, A., & Capolongo, S. (2019). Healthy and Sustainable Hospital Evaluation—A Review of POE Tools for Hospital Assessment in an Evidence-Based Design Framework. Buildings, 9(4), 76. https://doi.org/10.3390/buildings9040076
Capolongo, S. (2016). SOCIAL HEALTH: THE CHALLENGES FOR HEALTHCARE FACILITIES'DESIGN. Edited by Stefano Capolongo. Preface: Social aspects and well‑being for improving healing processes’ effectiveness. Annali dell'Istituto Superiore di Sanità, 52(1), 11-14.
Chaudhury, H., Mahmood, A., & Valente, M. (2005). Advantages and disadvantages of single-versus multiple-occupancy rooms in acute care environments: a review and analysis of the literature. Environment and behavior, 37(6), 760-786. https://doi.org/10.1177/0013916504272658
Chaulagain, S., Jahromi, M. F., Hua, N., & Wang, Y. (2023). Understanding the determinants of intention to stay at medical hotels: a customer value perspective. International Journal of Hospitality Management, 112, 103464. https://doi.org/10.1016/j.ijhm.2023.103464
Devlin, A. S., & Arneill, A. B. (2003). Health care environments and patient outcomes: A review of the literature. Environment and behavior, 35(5), 665-694. https://doi.org/10.1177/0013916503255102
Dijkstra, K., Pieterse, M. E., & Pruyn, A. (2008). Stress-reducing effects of indoor plants in the built healthcare environment: The mediating role of perceived attractiveness. Preventive medicine, 47(3), 279-283. https://doi.org/10.1016/j.ypmed.2008.01.013
DuBose, J., MacAllister, L., Hadi, K., & Sakallaris, B. (2016). Exploring the Concept of Healing Spaces. HERD: Health Environments Research & Design Journal, 11(1), 43-56. https://doi.org/10.1177/1937586716680567
Elf, M., Fröst, P., Lindahl, G., & Wijk, H. (2015). Shared decision making in designing new healthcare environments—time to begin improving quality. BMC Health Services Research, 15(1), 114. https://doi.org/10.1186/s12913-015-0782-7
Elassal, A., & Ahmed, M. (2024). Towards a healthy and sustainable environment through a Universal Design Approach. Case of Pediatrics Hospital, Assiut University, Egypt. Aswan University Journal of Environmental Studies. 5(4), 447-471. https://doi.org/10.21608/aujes.2024.315190.1274
Ferwati, M. S., Keyvanfar, A., Shafaghat, A., & Ferwati, O. (2021). A Quality Assessment Directory for Evaluating Multi-functional Public Spaces. Architecture and Urban Planning, 17(1), 136-151. https://doi.org/10.2478/aup-2021-0013
Han, H. (2013). The healthcare hotel: Distinctive attributes for international medical travelers. Tourism management, 36, 257-268. https://doi.org/10.1016/j.tourman.2012.11.016
Han, H., & Hwang, J. (2013). Multi-dimensions of the perceived benefits in a medical hotel and their roles in international travelers’ decision-making process. International Journal of Hospitality Management, 35, 100-108. https://doi.org/10.1016/j.ijhm.2013.05.011
Han, H., & Hyun, S. S. (2014). Medical hotel in the growth of global medical tourism. Journal of travel & tourism marketing, 31(3), 366-380. https://doi.org/10.1080/10548408.2013.876955
Han, H., Kim, Y., Kim, C., & Ham, S. (2015). Medical hotels in the growing healthcare business industry: Impact of international travelers' perceived outcomes. Journal of Business Research, 68(9), 1869-1877. https://doi.org/10.1016/j.jbusres.2015.01.015
Harris, D. D., Shepley, M., White, R., Kolberg, K. J., & Harrell, J. (2006). The impact of single family room design on patients and caregivers: executive summary. Journal of Perinatology, 26(3), S38-S48. https://doi.org/10.1038/sj.jp.7211583
Herweijer-van Gelder, M. H. (2016). Evidence-Based Design in Nederlandse ziekenhuizen. A+ BE| Architecture and the Built Environment(6), 1-456. https://doi.org/10.7480/abe.2016.6.1156
Huisman, E. R. C. M., Morales, E., van Hoof, J., & Kort, H. S. M. (2012). Healing environment: A review of the impact of physical environmental factors on users. Building and Environment, 58, 70-80. https://doi.org/10.1016/j.buildenv.2012.06.016
Hutton, A. (2002). The private adolescent: privacy needs of adolescents in hospitals. Journal of pediatric nursing, 17(1), 67-72. https://doi.org/10.1053/jpdn.2002.16718
Iyendo, T. O., & Alibaba, H. (2014). Enhancing the hospital healing environment through art and day-lighting for user’s therapeutic process. International journal of arts and commerce, 3(9), 101-119
Iyendo, T. O., Uwajeh, P. C., & Ikenna, E. S. (2016). The therapeutic impacts of environmental design interventions on wellness in clinical settings: a narrative review. Complementary therapies in clinical practice, 24, 174-188. https://doi.org/10.1016/j.ctcp.2016.06.008
Jamshidi, S., Parker, J. S., & Hashemi, S. (2020). The effects of environmental factors on the patient outcomes in hospital environments: A review of literature. Frontiers of Architectural Research, 9(2), 249-263. https://doi.org/10.1016/j.foar.2019.10.001
Jellema, P., Annemans, M., & Heylighen, A. (2019). The roles of cancer care facilities in users' well-being. Building Research and Information. https://doi.org/10.1080/09613218.2019.1620094
Leino-Kilpi, H., Välimäki, M., Dassen, T., Gasull, M., Lemonidou, C., Scott, A., & Arndt, M. (2001). Privacy: a review of the literature. International journal of nursing studies, 38(6), 663-671. https://doi.org/10.1016/S0020-7489(00)00111-5
Luo, Q. (2017). Introducing Positive Distraction in a Clinic Waiting Room. https://doi.org/10.7298/X4VH5KZP
MacAllister, L., Bellanti, D., & Sakallaris, B. R. (2016). Exploring inpatients' experiences of healing and healing spaces: A mixed methods study. Journal of patient experience, 3(4), 119-130. https://doi.org/10.1177/2374373516676182
Meesala, A., & Paul, J. (2018). Service quality, consumer satisfaction and loyalty in hospitals: Thinking for the future. Journal of Retailing and Consumer Services, 40, 261-269. https://doi.org/10.1016/j.jretconser.2016.10.011
Mogensen, J. (2011). HEALTH CARING ARCHITECTURE, SPACES FOR SOCIAL SUPPORT Aalborg University].
Molzahn, E. J. (2013). Revealing attributes of supportive healing environments in interior design: Staff perceptions in healthcare design Colorado State University].
Mosca, EI., & Capolongo, S. (2023). Design for all A.U.D.I.T. (Assessment Universal Design & Inclusion Tool). A tool to evaluate physical, sensory-cognitive and social quality in healthcare facilities. Acta Biomed, 94(S3), e2023124. https://doi.org/10.23750/abm.v94iS3.14288
Öhlén, J., Ekman, I., Zingmark, K., Bolmsjö, I., & Benzein, E. (2014). Conceptual development of “at-homeness” despite illness and disease: A review. International journal of qualitative studies on health and well-being, 9(1), 23677. https://doi.org/10.3402/qhw.v9.23677
Park MY, Chai C-G, Lee H-K, Moon H, & Noh JS. The Effects of Natural Daylight on Length of Hospital Stay. Environmental Health Insights. 2018. https://doi.org/10.1177/1178630218812817
Payne, S. R., Mackrill, J., Cain, R., Strelitz, J., & Gate, L. (2015). Developing interior design briefs for health-care and well-being centres through public participation. Architectural Engineering and Design Management, 11(4), 264-279. https://doi.org/10.1080/17452007.2014.923288
Persson, E., Anderberg, P., & Ekwall, A. (2014). A room of one′s own – Being cared for in a hospital with a single-bed room design. Scandinavian journal of caring sciences, 29. https://doi.org/10.1111/scs.12168
Peters, T. (2017). Design for Health: Sustainable Approaches to Therapeutic Architecture. John Wiley & Sons.
Phillips, T. (2012). Design o f Acute Care Patient Rooms for Improved Patient/Family Experience: A Case for Interdisciplinary Collaboration (Publication Number 978-0-494-93501-9) Carleton University]. Heritage Branch.
Piramanayagam, S., Pritam, P., & More, B. A. (2019). Inclusive hotel design in India: A user perspective. Journal of Accessibility and Design for All, 9(1), 41-65.
Pleijel, J. (2019). A Home Away From Home-Designing a patient hotel that promotes health in an urban context
Proshansky, H. M., Ittelson, W. H., & Rivlin, L. G. (1970). Environmental psychology: Man and his physical setting.
Raps, C. S., Peterson, C., Jonas, M., & Seligman, M. E. (1982). Patient behavior in hospitals: Helplessness, reactance, or both? Journal of Personality and Social Psychology, 42(6), 1036-1041. https://doi.org/10.1037/0022-3514.42.6.1036
Reiling, J. (2006). Safe design of healthcare facilities. BMJ Quality & Safety, 15(suppl 1), i34-i40. https://doi.org/10.1136/qshc.2006.019422
Salonen, H., Lahtinen, M., Lappalainen, S., Nevala, N., Knibbs, L. D., Morawska, L., & Reijula, K. (2013). Physical characteristics of the indoor environment that affect health and wellbeing in healthcare facilities: a review. Intelligent Buildings International, 5(1), 3-25. https://doi.org/10.1080/17508975.2013.764838
Schreuder, E., Lebesque, L., & Bottenheft, C. (2016). Healing environments: What design factors really matter according to patients? An exploratory analysis. HERD: Health Environments Research & Design Journal, 10(1), 87-105. https://doi.org/10.1177/1937586716643951
Selami Cifter, A., & Cifter, M. (2017). A review on future directions in hospital spatial designs with a focus on patient experience. The Design Journal, 20(sup1), S1998-S2009. https://doi.org/10.1080/14606925.2017.1352719
Shepley, M. M., Watson, A., Pitts, F., Garrity, A., Spelman, E., Kelkar, J., & Fronsman, A. (2016). Mental and behavioral health environments: critical considerations for facility design. General hospital psychiatry, 42, 15-21. https://doi.org/10.1016/j.genhosppsych.2016.06.003
Sklavoua, E., & Tzouvadakis, I. (2016). Customizing sustainable evidence based design: A daylight study in south semi-private patient rooms. Journal of Buildings and Sustainability, 1(2).
Taylor, E., Card, A. J., & Piatkowski, M. (2018). Single-occupancy patient rooms: a systematic review of the literature since 2006. HERD: Health Environments Research & Design Journal, 11(1), 85-100. https://doi.org/10.1177/1937586718755110
Tutuncu, O. (2017). Investigating the accessibility factors affecting hotel satisfaction of people with physical disabilities. International Journal of Hospitality Management, 65, 29-36. https://doi.org/10.1016/j.ijhm.2017.06.002
Van der Linden, V., Annemans, M., & Heylighen, A. (2016). Architects’ approaches to healing environment in designing a Maggie’s Cancer Caring Centre. The Design Journal, 19(3), 511-533. https://doi.org/10.1080/14606925.2016.1149358
van Nijhuis, J. (2017). Healing environment and patients’ well-being: Finding the relationship between healing environment aspects and patients’ well-being involving Dutch hospitals Wageningen].
Yang, E., Ismail, A., Kim, Y., Erdogmus, E., Boron, J., Goldstein, F., DuBose, J., & Zimring, C. (2022). Multidimensional Environmental Factors and Sleep Health for Aging Adults: A Focused Narrative Review. International Journal of Environmental Research and Public Health, 19(23), 15481. https://doi.org/10.3390/ijerph192315481
Zhang, Y., Tzortzopoulos, P., & Kagioglou, M. (2018). Healing built-environment effects on health outcomes: environment–occupant–health framework. Building Research & Information, 47(6), 747–766. https://doi.org/10.1080/09613218.2017.1411130
Zhang, Y., Tzortzopoulos, P., & Kagioglou, M. (2019). Healing built-environment effects on health outcomes: Environment–occupant–health framework. Building Research & Information, 47(6), 747-766. https://doi.org/10.1080/09613218.2017.1411130
Zhao, Y., & Mourshed, M. (2017). Patients’ perspectives on the design of hospital outpatient areas. Buildings, 7(4), 117. https://doi.org/10.3390/buildings7040117
Zimring, C., Joseph, A., & Choudhary, R. (2004). The role of the physical environment in the hospital of the 21st century: A once-in-a-lifetime opportunity. Concord, CA: The Center for Health Design.
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