Care pathways and the built environment: Conceptual framework for understanding

Amna Shibeika, Richard Davies, Colin Gray

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

The 'Care Pathways' is a relatively recent health care management concept that seeks to make explicit the process of caring for patients. Care pathways appear central to the UK government's National Healthcare Service reforms. However, published reports of care pathways do not adequately incorporate the nature of the built environment infrastructure within and through which most care is delivered. Aligning care pathways issues with buildings' spatial system elements, we realised that the information embedded in care pathways can and arguably should be able to inform architects thinking when considering a building's spatial system. Briefing is identified as the interface where care pathways issues are discussed, and their consequences in the infrastructure tested and formulated. To understand how design requirements to encapsulate care pathways concepts is captured and assessed during the briefing process, scoping study designed with the aim to investigate the mechanisms of specification and evaluation of care pathways in current briefing practices. The study showed that Care Pathways as a term does not exist in current briefing documents. Also it revealed that delivery architects are not involved in the health care planning process furthermore they are not well informed of the outcomes of the health care planning process. As we recognised that care pathways have the potential to inform briefing if represented innovatively and in an understandable way to both health care clients and designers, we are proposing modelling as an approach to understand care pathways to capture the spatial requirements of health care facilities.

Original languageEnglish
Title of host publicationAssociation of Researchers in Construction Management, ARCOM 2009 - Proceedings of the 25th Annual Conference
Pages301-308
Number of pages8
Publication statusPublished - 2009
Externally publishedYes
Event25th Annual Conference of the Association of Researchers in Construction Management, ARCOM 2009 - Nottingham, United Kingdom
Duration: Sep 7 2009Sep 9 2009

Publication series

NameAssociation of Researchers in Construction Management, ARCOM 2009 - Proceedings of the 25th Annual Conference

Conference

Conference25th Annual Conference of the Association of Researchers in Construction Management, ARCOM 2009
Country/TerritoryUnited Kingdom
CityNottingham
Period9/7/099/9/09

Keywords

  • Briefing
  • Care pathways
  • NHS
  • Requirements

ASJC Scopus subject areas

  • Civil and Structural Engineering
  • Building and Construction

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