Theoretical Issues and Conceptual Framework for Physical Facilities Design in Hospital Buildings

Akinluyi Muyiwa L. (Department of Architecture, Afe Babalola University, Ado-Ekiti (ABUAD), Nigeria)
Fadamiro Joseph A. (Department of Architecture, Federal University of Technology (FUTA) , Akure, Ondo- State, Nigeria)
Ayoola Hezekiah A. (Department of Architecture, Federal University of Technology (FUTA) , Akure, Ondo- State, Nigeria)
ALADE Morakinyo J. (Directorate of Physical Planning and Development (DPPD) Living Faith Church Canaan land)


This study reviewed the theoretical issues relating to morphological and psychological design issues in hospital building design evaluation. The study of morphological configurations design issues, concentrates on the elements of building, shape/form, the structure of the environment, the structural efficiency and the architectural appearance of the hospital building forms. The psychological design issues focused on the essential issues relating to Proximity, Privacy and Wayfindings. Through the literature review of previous models such as, Khan (2012) Operational Efficiency Model, Haron, Hamid and Talib Usability Framework, (2012), Zhao, Mourshed & Wright (2009) Model, Alalouch, Aspinall & Smith Model (2016) and Hill & Kitchen (2009). A conceptual framework for physical facilities design evaluation and satisfaction in hospital buildings was developed. The study, however, provides useful information for the development of a design framework that can inform policy on hospital buildings.


Theories;Framework;Physical facilities;Hospital Building

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[1] Oladejo, E, Umeh, E, Ogbuefi, J. An Examination of Impact of Tertiary Healthcare Facility Design on User Needs and Satisfaction in South East Nigeria. Journal of Environment and Earth Science, 2015, 5(5). ISSN: 2224-3216

[2] Johanes M, Atmodiwirjo. Visibility Analysis of Hospital Inpatient Ward. International Journal of Technology. Department of Architecture, Faculty of Engineering, Universitas Indonesia, Kampus Baru UI Depok, Depok 16424, Indonesia, 2015. Received: June 2015 / Revised:June 2015 / Accepted: July: 400-409 ISSN 2086-9614 © IJTech 2015.

[3] Varni J, Burwinkle T, Dickinson P, Sherman S, Dixon P, Ervice J, Leyden P., Sadler B. Evaluation of the built environment at a children’s convalescent hospital: development of the pediatric quality of Life Inventory TM parent and staff satisfaction measures for pediatric health care facilities. J Develop Behavior Pediatric, 2004, 25:10-20.

[4] Armstrong D, Kane M, Reid D, McBurney M, Aubrey- Rees R, Lawson B, Buchan J. The role of hospital design in the recruitment, retention and performance of NHS nurses in England. Report. London: CABE, 2004.

[5] Joseph, A, Rashid, M. The Architecture of Safety: hospital design. Current Opinion in Critical Care, 2007. Vol. 13:714-719.

[6] Levin D. J, Joseph .A Planning, Design, and Construction of Health Care Facilities, Second Edition. Joint Commission on Accreditation of Healthcare Organizations. Printed in the U.S.A. 5 4 3 2 1, 2009: 1-9.

[7] Cifter, A.S, Cifter M. A Review on Future Directions in Hospital Spatial Designs with a Focus on Patient Experience. An International Journal for All Aspects of Design, 2017. ISSN pp. S2999S2008 1460-6925 (Print) 1756-3062 (Online) Journal homepage:

[8] Sadek,A.H, Shepley, M.M. Space Syntax Analysis: Tools for Augmenting the Precision of Healthcare Facility Spatial Analysis. Health Environments Research & Design Journal, 2016, 10(1): 114-129.

[9] LaVela,S .L , Etingen, Hill, J.N, Miskevics, S. Patient Perceptions of the Environment of Care in Which Their Healthcare is Delivered. Health Environments Research& Design Journal 2016, 2015, 9(3):31-46.

[10] Sun, X. Comparative Analysis of Urban Morphology: Evaluating Space Syntax and Traditional Morphological Methods. Master’ Degree projects in Geomatics & Land Management, 2013.

[11] Sima, Y., Zhang, D. Comparative precedents on the study of urban morphology. Proceedings of 7th International Space Syntax Symposium, Stockholm, 2009.

[12] Hillier, B., Iida, S. Network and psychological effects in urban movement. In A. G., Cohn & D. M. Mark (Eds.), Spatial information theory (lecture notes in computer science). Berlin, Germany: Springer, 2005: 475-490.

[13] Yanga, T., Lib, M., Shen, Z, Between morphology and function : How syntactic centers of the Beijing city are defined. Journal of Urban Management, 2015(4): 125-134.

[14] Guenther, R., Vittori, G. Sustainable Healthcare architecture New Jersey Wiley & Sonsilne Beheshti Publications, Tehran, 2008.

[15] Koch, D, Steen, J. Analysis of Strongly Programmed Workplace Environments Architectural configuration and time space properties of hospital work. In: M.Greene, J.Reyes, and A Castro, ed. (2012).Proceedings: Eighth International Space Syntax Symposium Santiago de Chile: PUC, 2012a: 8146.

[16] Ching, D., K. Interior Design Illustrated. New Jersey: John Wiley & Sons, 2005.

[17] Khan, N. Analyzing Patient Flow: Reviewing Literature to Understand the Contribution of Space Syntax to Improve Operational Efficiency in Healthcare Settings Department of Architecture, University of Kansas, United States. Proceedings: Eighth International Space Syntax, Symposium. Edited By M. Greene, J. Reyes and A. Castro. Santiago De Chile: PUC, 2012:1-11.

[18] Setola, N. A New Approach to the Flows System Analysis in the Teaching Hospitals. Proceedings of the 7th International Space Syntax Symposium edited by Daniel Koch, Lars Marcus and Jesper Steen, Stockholm: KTH, 099:1, 2009:1-7.

[19] Huybers, P. The Morphology of Building Structures. Springer-Verlag Berlin Heidelberg, 2002: 85-94.

[20] Fischl, G. A Psychosocial Approach to Architectural Design: A Methodological Study. Division of Engineering Psychology, Department of Human Work Sciences, Luleå, 2004.

[21] Steinke, C. Assessing the physical service setting: A look at emergency departments. Health Environment Research and Design Journal, 2015, 8: 31-42.

[22] Sundstrom, E. Work places: The psychology of the physical environment in offices and factories. Cambridge, UK: Cambridge University Press, 1980.

[23] Newell, P. B. A Cross-Cultural Comparison of Privacy Definitions and Functions: A System Approach. Journal of Environmental Psychology, 1998, 18: 357-371.

[24] Akinluyi, M.L , Folusho Charles Awe, F.C , Adeleye O.O, Ogunruku, M.P. Paediatric Physical Facilities Design Characteristics in Southwestern Nigerian University Teaching Hospital: Lesson from Netherland Children Hospital. Universal Journal of Public Health, 2019, 7(6): 233-254. DOI: 10.13189/ujph.2019.070602

[25] Mead, N., P. Bower, P. Patient-centred consultations and outcomes in primary care: a review of the literature. Patient Education and Counselling, 2002, 48(1): 51-61.

[26] Berg, A. E. V. d. Health impacts of healing environments: a review of evidence for benefits of nature, daylight, fresh air, and quiet in healthcare settings. University Hospital, Groningen, 2005.

[27] Jones, W J, Bullard, M. Translating operational change into facility design. Healthcare Forum Journal, 1993, 36(1): 67-69.

[28] Lule, G.S, Tugumisirize, J., Ndekha, M. Quality ofcare and its effects on utilisation of maternity services at health centre level. East African Medical Journal, 2000, 77(5): 250-255.

[29] Pitt, M., Chotipanich, S., Issarasak,S., Mulholland, K., Panupattanapong, P. An examination of facility management, customer satisfaction and service relationship in the Bangkok healthcare system. Indoor and Built Environment, 2016, 25(3): 442-458.

[30] Lambert,V., Coad, J, Hicks, P., Glacken, M. Young children’s perspectives of ideal physical design features for hospital-built environments. Journal of Child Health Care, 2013, 18(1): 57-71.

[31] Devlin, A. S., A. B. Arneill. Health care environment and patient outcomes: A review of the literature. Environment and Behavior, 2003, 35(5): 665-694.

[32] Dalke, H., J. Little, et al. Colour and lighting in hospital design. Optics and LaseTechnology, 2006, 38(4- 6): 343-365.

[33] Zwart, J.V, Voordt, T.V. Pre-Occupancy Evaluation of Patient Satisfaction in Hospitals. Health Environments Research & Design Journal, 2015, 9(1): 110- 124. Permissions.nav DOI: 10.1177/1937586715595506

[34] Parke. Physical Design Dimension of an Elder Friendly Hospital: An evidence based practice review undertaken for the Vancouver Island Health Authority. University of Victoria, Centre on Aging, 2007: 2-25.

[35] Samah, Z.A, Ibrahim,N, Wahab, M.H. Users’ Assessment on Interior Environment of a Hospital Outpatient Unit in Malaysia. Asian Journal of Environment-Behaviour Studies, 2013, 4.

[36] Alvaro,C., Wilkinson, A.J., Gallant, S.N, Kostovski, D., Gardner, P. Evaluating Intention and Effect: The Impact of Healthcare Facility Design on Patient and Staff Well-Being. Health Environments Research & Design Journal, 2016, 9(2): 82- 104, DOI: 10.1177/1937586715605779

[37] Kline, T. J. B, Baylis, B. W., Chatur, F., Morrison, S. A., White, D. E., Flin, R. H., Ghali, W. A. Patient Satisfaction: Evaluating the Success of Hospital Ward Redesign. Journal for Healthcare Quality, 2007, 29(3): 44-49.

[38] Haron. S.N. Hamid. M. Y., Talib. A.Towards Healthcare Service Quality: An Understanding of the Usability Concept in Healthcare Design. Proceeding Of ASEAN Conference On Environmental-Behaviour Studies, Sarawak, 2012.

[39] Zhao, Y., Mourshed, M., Wright, J. Factors Influencing The Design Of Spatial Layouts In Healthcare Buildings. In: Dainty, A. (Ed) Procs 25th Annual ARCOM Conference, Nottingham, UK, Association Of Researchers In Construction Management, 2009: 1041-1049.

[40] Alalouch, C., Aspinall, P.A, Smith, H. Design Criteria for Privacy-Sensitive 10.7763/IJET.2016.V8.854 32, 2018, 8(1).

[41] Hills, R., Kitchen, S. Healing environment: A review of the impact of physical environmental factors on users. Work undertaken while at the Physiotherapy Department, Mile End Hospital Bancroft Road, London, 2009: 243- 254.



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