Academic journal article Frontiers of Health Services Management

Summary of the Commentaries

Academic journal article Frontiers of Health Services Management

Summary of the Commentaries

Article excerpt

WITH CAPITAL RESOURCES tight, hospital executives must choose their expenditures carefully. In many cases, the renovation of an old plant or the development of a new building is not an option; it is a necessity. But we do have options when choosing what goes into that building. Should we invest in environmental enhancements? Larger spaces? Newer and better technology? Which of these will help us provide better care? Which will provide the best return on investment? The options are many, and the investment is huge.

The three commentaries in this issue of Frontiers come from different perspectives. The first is by Peter L. Bardwell, principal of Bardwell & Associates in Columbus, Ohio, who provides an architect's perspective. He agrees wholeheartedly with Berry et al. and takes the argument one step further. Evidence-based building, he says, is long overdue, and the current state of our traditional hospital buildings is unacceptable. He provides a discussion of the obstacles to implementing these design elements and how these obstacles can be overcome. Finally, this commentator shares some interesting insights on how healthcare systems in other countries deal with these kinds of design elements.

The second commentary is by James E. Hosking, managing director of TriBrook Healthcare Consultants in Chicago. He is not convinced that the facility upgrades and innovations described by Berry and his colleagues contributed greatly to the improved patient care and the financial benefits they report. He attributes much of the stated successes to the "halo" effect of a new building or a new site and suggests that strong management, organizational culture, and leadership are what is most important, as well as an atmosphere of caring, concern, and courtesy. …

Search by... Author
Show... All Results Primary Sources Peer-reviewed

Oops!

An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.