Patients’ Perspectives on the Design of Hospital Outpatient Areas

Abstract

There is a growing interest among healthcare managers and designers in moving towards a ‘patient-centred’ design of health and care facilities by integrating patient perceptions and expectations of the physical environment where care takes place. Increased interests in physical environments can mostly be attributed to our improved understanding of their role in patients’ health outcomes and staff productivity. There is a gap in the literature on users’ perspectives on physical settings in the context of healthcare. Moreover, the connection of care services with the design of the facility is often overlooked partly due to the lack of evidence. This research was aimed at filling the gap by exploring outpatients’ perspectives on design factors related to the areas frequented by them, e.g., hospital waiting areas. A 16-item questionnaire was conducted among randomly selected outpatients in two hospitals in Qingdao, China, with a response rate of 84.3%. Five principal factors were identified: sensory; lighting and thermal; facilities; spatial; and seating design, which agreed with the literature. Non-parametric tests were applied to assess variances in constructed principal dimensions concerning demographic variables. Female outpatients were found to be more perceptive of the ‘sensory design’ factors than males. The number of previous visits to the hospital was found to be associated with ‘spatial’ and ‘seating design’ factors, while respondents’ age had an association with ‘sensory’ and ‘seating design’ factors. Respondents ranked ‘noise’ and ‘air freshness’ and ‘cleanliness’ as highly important.

Keywords

• healthcare design
• outpatients’ perspectives
• waiting areas
• patient-centred design (PCD)
• patient-centred care (PCC)