Flexibility during the COVID-19 Pandemic Response: Healthcare Facility Assessment Tools for Resilient Evaluation

Healthcare facilities are facing huge challenges due to the outbreak of COVID-19. Around the world, national healthcare contingency plans have struggled to cope with the population health impact of COVID-19, with healthcare facilities and critical care systems buckling under the extraordinary pressu...

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Autores principales:	Andrea Brambilla, Tian-zhi Sun, Waleed Elshazly, Ahmed Ghazy, Paul Barach, Göran Lindahl, Stefano Capolongo
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	flexibility healthcare facilities hospitals assessment tool COVID-19 evaluation Medicine R
Acceso en línea:	https://doaj.org/article/ce92034b78de475ba78cfc160feb083a
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spelling	oai:doaj.org-article:ce92034b78de475ba78cfc160feb083a2021-11-11T16:36:20ZFlexibility during the COVID-19 Pandemic Response: Healthcare Facility Assessment Tools for Resilient Evaluation10.3390/ijerph1821114781660-46011661-7827https://doaj.org/article/ce92034b78de475ba78cfc160feb083a2021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11478https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Healthcare facilities are facing huge challenges due to the outbreak of COVID-19. Around the world, national healthcare contingency plans have struggled to cope with the population health impact of COVID-19, with healthcare facilities and critical care systems buckling under the extraordinary pressures. COVID-19 has starkly highlighted the lack of reliable operational tools for assessing the level sof flexibility of a hospital building to support strategic and agile decision making. The aim of this study was to modify, improve and test an existing assessment tool for evaluating hospital facilities flexibility and resilience. We followed a five-step process for collecting data by (i) doing a literature review about flexibility principles and strategies, (ii) reviewing healthcare design guidelines, (iii) examining international healthcare facilities case studies, (iv) conducting a critical review and optimization of the existing tool, and (v) assessing the usability of the evaluation tool. The new version of the OFAT framework (Optimized Flexibility Assessment Tool) is composed of nine evaluation parameters and subdivided into measurable variables with scores ranging from 0 to 10. The pilot testing of case studies enabled the assessment and verification the OFAT validity and reliability in support of decision makers in addressing flexibility of hospital design and/or operations. Healthcare buildings need to be designed and built based on principles of flexibility to accommodate current healthcare operations, adapting to time-sensitive physical transformations and responding to contemporary and future public health emergencies.Andrea BrambillaTian-zhi SunWaleed ElshazlyAhmed GhazyPaul BarachGöran LindahlStefano CapolongoMDPI AGarticleflexibilityhealthcare facilitieshospitalsassessment toolCOVID-19evaluationMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11478, p 11478 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	flexibility healthcare facilities hospitals assessment tool COVID-19 evaluation Medicine R
spellingShingle	flexibility healthcare facilities hospitals assessment tool COVID-19 evaluation Medicine R Andrea Brambilla Tian-zhi Sun Waleed Elshazly Ahmed Ghazy Paul Barach Göran Lindahl Stefano Capolongo Flexibility during the COVID-19 Pandemic Response: Healthcare Facility Assessment Tools for Resilient Evaluation
description	Healthcare facilities are facing huge challenges due to the outbreak of COVID-19. Around the world, national healthcare contingency plans have struggled to cope with the population health impact of COVID-19, with healthcare facilities and critical care systems buckling under the extraordinary pressures. COVID-19 has starkly highlighted the lack of reliable operational tools for assessing the level sof flexibility of a hospital building to support strategic and agile decision making. The aim of this study was to modify, improve and test an existing assessment tool for evaluating hospital facilities flexibility and resilience. We followed a five-step process for collecting data by (i) doing a literature review about flexibility principles and strategies, (ii) reviewing healthcare design guidelines, (iii) examining international healthcare facilities case studies, (iv) conducting a critical review and optimization of the existing tool, and (v) assessing the usability of the evaluation tool. The new version of the OFAT framework (Optimized Flexibility Assessment Tool) is composed of nine evaluation parameters and subdivided into measurable variables with scores ranging from 0 to 10. The pilot testing of case studies enabled the assessment and verification the OFAT validity and reliability in support of decision makers in addressing flexibility of hospital design and/or operations. Healthcare buildings need to be designed and built based on principles of flexibility to accommodate current healthcare operations, adapting to time-sensitive physical transformations and responding to contemporary and future public health emergencies.
format	article
author	Andrea Brambilla Tian-zhi Sun Waleed Elshazly Ahmed Ghazy Paul Barach Göran Lindahl Stefano Capolongo
author_facet	Andrea Brambilla Tian-zhi Sun Waleed Elshazly Ahmed Ghazy Paul Barach Göran Lindahl Stefano Capolongo
author_sort	Andrea Brambilla
title	Flexibility during the COVID-19 Pandemic Response: Healthcare Facility Assessment Tools for Resilient Evaluation
title_short	Flexibility during the COVID-19 Pandemic Response: Healthcare Facility Assessment Tools for Resilient Evaluation
title_full	Flexibility during the COVID-19 Pandemic Response: Healthcare Facility Assessment Tools for Resilient Evaluation
title_fullStr	Flexibility during the COVID-19 Pandemic Response: Healthcare Facility Assessment Tools for Resilient Evaluation
title_full_unstemmed	Flexibility during the COVID-19 Pandemic Response: Healthcare Facility Assessment Tools for Resilient Evaluation
title_sort	flexibility during the covid-19 pandemic response: healthcare facility assessment tools for resilient evaluation
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/ce92034b78de475ba78cfc160feb083a
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Flexibility during the COVID-19 Pandemic Response: Healthcare Facility Assessment Tools for Resilient Evaluation

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