A computational model for linking healthcare architectural variables with health outcomes using systems engineering

IF 7.6 1区工程技术 Q1 CONSTRUCTION & BUILDING TECHNOLOGY

Building and Environment Pub Date : 2025-09-23 DOI:10.1016/j.buildenv.2025.113763

Tahere Golgolnia , Timoleon Kipouros , P. John Clarkson , Maja Kevdzija , Gesine Marquardt

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引用次数: 0

Abstract

This study introduces a transition from manual approaches, such as assessment tools, to a software-driven solution for assessing the health friendliness of healthcare facilities. When the specifications of a facility are entered into the software, it automatically calculates the impact of Architectural Variables (AVs) on Health and Care Outcomes (HCOs), providing quantitative insights. It demonstrates how various AVs affect different HCOs. To do so, the software relies on a computational model created by modeling the interactions of AVs on HCOs. It considers all interactions, including AV-HCO, AV-HCOHCO, and AV-AV-HCO. The Model-Based Systems Engineering (MBSE) approach is used to model these interactions and is integrated into the software as its calculation engine. The software is developed as a case study in the context of dementia-friendly design in nursing homes, involving 40 AVs, 36 HCOs, and 396 interactions. However, its structure is adaptable to other healthcare facilities. Moreover, this web-based software offers enhanced usability by providing digital fields for receiving design specifications and automated calculations. Compared to previous assessment tools, it provides a wide range of data insights for informed decision-making and enables the creation of design assessment benchmarks through its coherent database. This research contributes to the advancement of performance-oriented, occupant-centered design evaluation methods and aligns with current efforts in digital transformation of the architectural design process. It demonstrates how computational tools can bridge architecture and health, offering a replicable and adaptive framework for assessing the impact of environmental design on human well-being.

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使用系统工程将医疗体系结构变量与健康结果联系起来的计算模型

本研究介绍了从手动方法（如评估工具）到软件驱动的解决方案的过渡，以评估医疗保健设施的健康友好性。当将设施的规格输入到软件中时，它会自动计算建筑变量（av）对健康和护理结果（HCOs）的影响，从而提供定量的见解。它展示了不同的av如何影响不同的hco。为了做到这一点，该软件依赖于通过模拟自动驾驶汽车在hco上的相互作用而创建的计算模型。它考虑了所有的相互作用，包括AV-HCO、AV-HCOHCO和AV-AV-HCO。基于模型的系统工程（MBSE）方法用于对这些交互进行建模，并作为计算引擎集成到软件中。该软件是在养老院的痴呆症友好设计背景下开发的一个案例研究，涉及40个av， 36个hco和396个交互。然而，它的结构可以适应其他医疗设施。此外，这个基于网络的软件通过提供接收设计规范和自动计算的数字字段提供了增强的可用性。与以前的评估工具相比，它为明智的决策提供了广泛的数据见解，并能够通过其连贯的数据库创建设计评估基准。这项研究有助于推进以性能为导向、以乘员为中心的设计评估方法，并与当前建筑设计过程的数字化转型相一致。它展示了计算工具如何在建筑和健康之间架起桥梁，为评估环境设计对人类福祉的影响提供了一个可复制和自适应的框架。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Building and Environment 工程技术-工程：环境

CiteScore

12.50

自引率

23.00%

发文量

1130

审稿时长

27 days

期刊介绍： Building and Environment, an international journal, is dedicated to publishing original research papers, comprehensive review articles, editorials, and short communications in the fields of building science, urban physics, and human interaction with the indoor and outdoor built environment. The journal emphasizes innovative technologies and knowledge verified through measurement and analysis. It covers environmental performance across various spatial scales, from cities and communities to buildings and systems, fostering collaborative, multi-disciplinary research with broader significance.