The evolving role of evidence-based research in healthcare facility design competitions

The architectural design competition remains a widely accepted method to advance design innovation, creativity, theoretical discourse, and the profession. In the realm of healthcare facility design, by contrast, clients and their sponsoring organizations seldom utilize this method. The reasons for this are many, and continue to stand in stark contrast to a growing body of evidence-based research and design (EBR&D)that is potentially of value in improving performance-based dimensions—esthetic and otherwise—of healthcare facilities globally. A comparative analysis of the entrants to a recent U.S. completion was conducted. Based on the results of this analysis, a two-phased healthcare facility design competition paradigm is put forth that is premised on the assumption that the intuitive dimensions of design creativity can be further advanced by means of a well timed and thoughtful injection of quantitatively based knowledge pertaining to patient, family, staff, and organizational concerns and priorities. This proposal׳s limitations, and future opportunities, are discussed.