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Shared-decision making in designing new healthcare environments: ready to take off for improved quality
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.ORCID iD: 0000-0001-7044-8896
Chalmers Tekniska Högskola.
Chalmers Tekniska Högskola.
2015 (English)In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 15, 114Article in journal (Refereed) Published
Abstract [en]


Successful implementation of new methods and models of healthcare to achieve better patient outcomes and safe, person-centered care is dependent on the physical environment of the healthcare architecture in which the healthcare is provided. Thus, decisions concerning healthcare architecture are critical because it affects people and work processes for many years and requires a long-term financial commitment from society. In this paper, we describe and suggest several strategies (critical factors) to promote shared-decision making when planning and designing new healthcare environments.


This paper discusses challenges and hindrances observed in the literature and from the authors extensive experiences in the field of planning and designing healthcare environments. An overview is presented of the challenges and new approaches for a process that involves the mutual exchange of knowledge among various stakeholders. Additionally, design approaches that balance the influence of specific and local requirements with general knowledge and evidence that should be encouraged are discussed.


We suggest a shared-decision making and collaborative planning and design process between representatives from healthcare, construction sector and architecture based on evidence and end-users’ perspectives. If carefully and systematically applied, this approach will support and develop a framework for creating high quality healthcare environments.

Place, publisher, year, edition, pages
2015. Vol. 15, 114
Keyword [en]
Design process; Healthcare architecture; Quality improvements; Shared decision-making; Person-centered
National Category
Engineering and Technology Health Sciences
Research subject
Health and Welfare, Designa hållbara vårdmiljöer för framtiden
URN: urn:nbn:se:du-19033DOI: 10.1186/s12913-015-0782-7PubMedID: 25888922OAI: diva2:847023
Available from: 2015-08-18 Created: 2015-08-18 Last updated: 2016-08-03Bibliographically approved

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