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Revealing change dynamics in hospital construction projects

Lavikka, Rita Henriikka ; Kyrö, Riikka LU ; Peltokorpi, Antti and Särkilahti, Anna (2019) In Engineering, Construction and Architectural Management
Abstract

Purpose: Hospital construction projects often suffer from relatively late changes in the project lifecycle, which disrupt the project execution and impact project productivity. The purpose of this paper is to explore the root causes of changes in hospital construction projects. The paper aims to propose ways to prepare for the changes. Design/methodology/approach: The study focuses on changes during the construction of new hospital facilities. An explorative, case study research design is utilised. Five case projects from Finland, Sweden and the USA were selected for in-depth analysis. The primary data comprise semi-structured interviews, supported by secondary evidence such as change order documents. Findings: The findings reveal eight... (More)

Purpose: Hospital construction projects often suffer from relatively late changes in the project lifecycle, which disrupt the project execution and impact project productivity. The purpose of this paper is to explore the root causes of changes in hospital construction projects. The paper aims to propose ways to prepare for the changes. Design/methodology/approach: The study focuses on changes during the construction of new hospital facilities. An explorative, case study research design is utilised. Five case projects from Finland, Sweden and the USA were selected for in-depth analysis. The primary data comprise semi-structured interviews, supported by secondary evidence such as change order documents. Findings: The findings reveal eight categories for change sources: contracts, and equipment and systems are reflective of the fast-paced healthcare technology and changing user requirements, while external environment comprises changes caused by both regulatory and physical environment. Changes in operations are reflected in the continuous development of treatment methods and processes. The user, owner, designer and contractor initiated changes represent the stakeholder influence. The paper makes a connection between these change sources and project complexity dimension. A framework for change dynamics is introduced, and product and process flexibility is suggested as a suitable method to prepare for and manage changes. Originality/value: The paper is the first to link construction changes to project complexity factors. The paper argues that changes, when managed appropriately, are not only necessary but also beneficial to large construction projects in a quickly changing environment. The findings guide project stakeholders in implementing project flexibility, in the product and process dimensions, which is a balancing force to project complexity.

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Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
Case study, Construction, Project management
in
Engineering, Construction and Architectural Management
publisher
Emerald Group Publishing Ltd.
external identifiers
  • scopus:85065570384
ISSN
0969-9988
DOI
10.1108/ECAM-03-2018-0119
language
English
LU publication?
yes
id
2bce6a65-bda9-498c-9ebd-3ebbb664560f
date added to LUP
2019-06-03 15:26:33
date last changed
2019-11-25 09:31:10
@article{2bce6a65-bda9-498c-9ebd-3ebbb664560f,
  abstract     = {<p>Purpose: Hospital construction projects often suffer from relatively late changes in the project lifecycle, which disrupt the project execution and impact project productivity. The purpose of this paper is to explore the root causes of changes in hospital construction projects. The paper aims to propose ways to prepare for the changes. Design/methodology/approach: The study focuses on changes during the construction of new hospital facilities. An explorative, case study research design is utilised. Five case projects from Finland, Sweden and the USA were selected for in-depth analysis. The primary data comprise semi-structured interviews, supported by secondary evidence such as change order documents. Findings: The findings reveal eight categories for change sources: contracts, and equipment and systems are reflective of the fast-paced healthcare technology and changing user requirements, while external environment comprises changes caused by both regulatory and physical environment. Changes in operations are reflected in the continuous development of treatment methods and processes. The user, owner, designer and contractor initiated changes represent the stakeholder influence. The paper makes a connection between these change sources and project complexity dimension. A framework for change dynamics is introduced, and product and process flexibility is suggested as a suitable method to prepare for and manage changes. Originality/value: The paper is the first to link construction changes to project complexity factors. The paper argues that changes, when managed appropriately, are not only necessary but also beneficial to large construction projects in a quickly changing environment. The findings guide project stakeholders in implementing project flexibility, in the product and process dimensions, which is a balancing force to project complexity.</p>},
  author       = {Lavikka, Rita Henriikka and Kyrö, Riikka and Peltokorpi, Antti and Särkilahti, Anna},
  issn         = {0969-9988},
  language     = {eng},
  publisher    = {Emerald Group Publishing Ltd.},
  series       = {Engineering, Construction and Architectural Management},
  title        = {Revealing change dynamics in hospital construction projects},
  url          = {http://dx.doi.org/10.1108/ECAM-03-2018-0119},
  doi          = {10.1108/ECAM-03-2018-0119},
  year         = {2019},
}