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Responsiveness and Adaptability of Healthcare Facilities in Emergency Scenarios: COVID-19 Experience

Author

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  • Marta Łukasik

    (Faculty of Architecture, Krakow University of Technology, 31-155 Krakow, Poland)

  • Anna Porębska

    (Faculty of Architecture, Krakow University of Technology, 31-155 Krakow, Poland)

Abstract

The COVID-19 pandemic revealed many vulnerabilities of the contemporary built environment along with limited preparedness and low efficiency in mitigating unexpected and unprecedented challenges. This article discusses the efficiency and responsiveness of basic hospital spatial layouts in three different scenarios: normal operation; the segregation of a large number of patients and still providing them with access to emergency healthcare, typical for a pandemic; and a sudden, extremely high number of admissions typical for compound disasters and terrorist attacks. A set of parameters and a method for general adaptability assessment (GAAT) that can be used as a tool in decision-making processes as well as evaluation of both existing facilities and the new models for resilient hospitals resulting from the experience of the pandemic are proposed. The paper emphasizes why factors among which adaptability, convertibility, and scalability should be at the very core of hospital development and management strategies. It also discusses new models of adaptable healthcare facilities that enable day-to-day operations to continue alongside a pandemic, and other emergency scenarios.

Suggested Citation

  • Marta Łukasik & Anna Porębska, 2022. "Responsiveness and Adaptability of Healthcare Facilities in Emergency Scenarios: COVID-19 Experience," IJERPH, MDPI, vol. 19(2), pages 1-18, January.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:2:p:675-:d:719966
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    References listed on IDEAS

    as
    1. Andrea Brambilla & Tian-zhi Sun & Waleed Elshazly & Ahmed Ghazy & Paul Barach & Göran Lindahl & Stefano Capolongo, 2021. "Flexibility during the COVID-19 Pandemic Response: Healthcare Facility Assessment Tools for Resilient Evaluation," IJERPH, MDPI, vol. 18(21), pages 1-20, October.
    2. Chanon Kongkamol & Laaong Padungkul & Nuttanicha Rattanajarn & Supawich Srisara & Lalita Rangsinobpakhun & Kanarit Apiwan & Jittiwat Sompan & Chatchanok Prathipsawangwong & Pennapa Buathong & Sinat Ch, 2021. "Implementation of Triage System and Shortening Patient Journey Time to Prevent COVID-19 Transmission in a University Hospital during a Pandemic," IJERPH, MDPI, vol. 18(13), pages 1-15, June.
    3. Maryam Lesan & Fatemeh Khozaei & Mi Jeong Kim & Marziyeh Shahidi Nejad, 2021. "Identifying Health Care Environment Contradictions in Terms of Infection Control during a Pandemic with a Focus on Health Workers’ Experience," Sustainability, MDPI, vol. 13(17), pages 1-17, September.
    4. Anna Porębska & Paola Rizzi & Satoshi Otsuki & Masahiro Shirotsuki, 2019. "Walkability and Resilience: A Qualitative Approach to Design for Risk Reduction," Sustainability, MDPI, vol. 11(10), pages 1-20, May.
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    Cited by:

    1. Miguel Ortíz-Barrios & Natalia Jaramillo-Rueda & Muhammet Gul & Melih Yucesan & Genett Jiménez-Delgado & Juan-José Alfaro-Saíz, 2023. "A Fuzzy Hybrid MCDM Approach for Assessing the Emergency Department Performance during the COVID-19 Outbreak," IJERPH, MDPI, vol. 20(5), pages 1-39, March.

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