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Connecting adaptability strategies to building system lifecycles in hospital retrofits

Kyrö, Riikka LU ; Peltokorpi, Antti and Luoma-halkola, Lauri (2019) In Engineering, Construction and Architectural Management
Abstract
Purpose
The fast advancement of medical technology and processes poses challenges to hospital construction and management. The purpose of this paper is to provide a structured approach to advancing adaptability in hospital retrofits, proposing the preferable timing and scope of different adaptability strategies.

Design/methodology/approach
A qualitative research approach was chosen, with 28 semi-structured interviews designers, project managers, clients and healthcare professionals as the primary research data.

Findings
This paper presents a model for planning for the future in hospital retrofits. The model includes 11 different adaptability strategies, categorized based on the level of adaptability.... (More)
Purpose
The fast advancement of medical technology and processes poses challenges to hospital construction and management. The purpose of this paper is to provide a structured approach to advancing adaptability in hospital retrofits, proposing the preferable timing and scope of different adaptability strategies.

Design/methodology/approach
A qualitative research approach was chosen, with 28 semi-structured interviews designers, project managers, clients and healthcare professionals as the primary research data.

Findings
This paper presents a model for planning for the future in hospital retrofits. The model includes 11 different adaptability strategies, categorized based on the level of adaptability. Furthermore, each strategy is linked to an open building system level, indicating the appropriate timing. Based on the findings, generality strategies in the tertiary building system level are the most effective forms of adaptability, as they are easy to implement and answer to non-specific changes in hospital operations.

Research limitations/implications
The findings contribute to existing knowledge on adaptability in buildings, and provide practical guidance particularly for designers. A new type of service offering, an adaptability roadmap detailing the scope and timing of adaptability, is suggested.

Originality/value
The paper contributes to the existing research by detailing different approaches and knowledge related to adaptability and its strategies in hospital retrofits. More specifically, the three-fold categorization of adaptability is linked to both timing and intrusiveness in a novel way. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Value management, Construction planning, Management
in
Engineering, Construction and Architectural Management
publisher
Emerald Group Publishing Limited
external identifiers
  • scopus:85063795559
ISSN
0969-9988
DOI
10.1108/ECAM-10-2017-0217
language
English
LU publication?
yes
id
21682d06-75a4-458a-82ec-17949ccb26ba
date added to LUP
2019-04-11 10:27:14
date last changed
2020-01-22 07:32:34
@article{21682d06-75a4-458a-82ec-17949ccb26ba,
  abstract     = {Purpose<br/>The fast advancement of medical technology and processes poses challenges to hospital construction and management. The purpose of this paper is to provide a structured approach to advancing adaptability in hospital retrofits, proposing the preferable timing and scope of different adaptability strategies.<br/><br/>Design/methodology/approach<br/>A qualitative research approach was chosen, with 28 semi-structured interviews designers, project managers, clients and healthcare professionals as the primary research data.<br/><br/>Findings<br/>This paper presents a model for planning for the future in hospital retrofits. The model includes 11 different adaptability strategies, categorized based on the level of adaptability. Furthermore, each strategy is linked to an open building system level, indicating the appropriate timing. Based on the findings, generality strategies in the tertiary building system level are the most effective forms of adaptability, as they are easy to implement and answer to non-specific changes in hospital operations.<br/><br/>Research limitations/implications<br/>The findings contribute to existing knowledge on adaptability in buildings, and provide practical guidance particularly for designers. A new type of service offering, an adaptability roadmap detailing the scope and timing of adaptability, is suggested.<br/><br/>Originality/value<br/>The paper contributes to the existing research by detailing different approaches and knowledge related to adaptability and its strategies in hospital retrofits. More specifically, the three-fold categorization of adaptability is linked to both timing and intrusiveness in a novel way.},
  author       = {Kyrö, Riikka and Peltokorpi, Antti and Luoma-halkola, Lauri},
  issn         = {0969-9988},
  language     = {eng},
  publisher    = {Emerald Group Publishing Limited},
  series       = {Engineering, Construction and Architectural Management},
  title        = {Connecting adaptability strategies to building system lifecycles in hospital retrofits},
  url          = {http://dx.doi.org/10.1108/ECAM-10-2017-0217},
  doi          = {10.1108/ECAM-10-2017-0217},
  year         = {2019},
}