Perceived Hospital Environment Quality Indicators: The Case of Healthcare Places for Terminal Patients

Abstract

The “user-centered” design perspective (Gifford, 2002) suggests that healthcare places should improve their environmental quality in order to both meet the users’ needs and become “more humane” care environments, facilitating a higher level of patients’ satisfaction, wellbeing, and quality of life. The hospice is a specific category of healthcare, given the specificity of its target population, i.e., the terminal patients. This research aimed (i) to verify the factorial structure of an adapted version of the Perceived Hospital Environment Quality Indicators (PHEQIs, Fornara et al., 2006) for the hospice environment; (ii) to test the reliability of such indicators; and (iii) to detect the association between each indicator and the global satisfaction toward the hospice. Participants (N = 135) were patients, their relatives, and staff of eleven Italian hospices. They had to fill in a questionnaire including items tapping three diverse hospice settings (i.e., external spaces, interior common spaces, and interior private spaces). The confirmatory factor analysis run for each scale produced six reliable Hospice PHEQIs. As expected, significant relationships between most of them and the overall users’ satisfaction toward the hospice environment emerged.

Keywords

• healthcare environment
• design humanization
• confirmatory factor analysis
• user-centered design
• environmental comfort
• indoor environmental quality (IEQ)